hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number|IL,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",financial_aid_policy,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Gibson Area Hospital & Health Services,6/24/2024,2.0.0,Gibson Area Hospital & Health Services,"1120 N Melvin St, Gibson City, IL 60936",836,TRUE,http://www.gibsonhospital.org/services-and-conditions/profile/financial-services,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, description,code|1,code|1|type,code|2,code|2|type,code|3,code|3|type,setting,modifiers,standard_charge|gross,standard_charge|discounted_cash,standard_charge|Aetna|negotiated_dollar,estimated_amount|Aetna,standard_charge|Aetna|negotiated_percentage,standard_charge|Aetna|negotiated_algorithm,standard_charge|Aetna|methodology,additional_payer_notes|Aetna,standard_charge|Aetna|Medicare|negotiated_dollar,estimated_amount|Aetna|Medicare,standard_charge|Aetna|Medicare|negotiated_percentage,standard_charge|Aetna|Medicare|negotiated_algorithm,standard_charge|Aetna|Medicare|methodology,additional_payer_notes|Aetna|Medicare,standard_charge|Aetna|Medicaid|negotiated_dollar,estimated_amount|Aetna|Medicaid,standard_charge|Aetna|Medicaid|negotiated_percentage,standard_charge|Aetna|Medicaid|negotiated_algorithm,standard_charge|Aetna|Medicaid|methodology,additional_payer_notes|Aetna|Medicaid,standard_charge|Aetna|Rental_Network|negotiated_dollar,estimated_amount|Aetna|Rental_Network,standard_charge|Aetna|Rental_Network|negotiated_percentage,standard_charge|Aetna|Rental_Network|negotiated_algorithm,standard_charge|Aetna|Rental_Network|methodology,additional_payer_notes|Aetna|Rental_Network,standard_charge|BCBS|PPO|negotiated_dollar,estimated_amount|BCBS|PPO,standard_charge|BCBS|PPO|negotiated_percentage,standard_charge|BCBS|PPO|negotiated_algorithm,standard_charge|BCBS|PPO|methodology,additional_payer_notes|BCBS|PPO,standard_charge|BCBS|Blue_Choice|negotiated_dollar,estimated_amount|BCBS|Blue_Choice,standard_charge|BCBS|Blue_Choice|negotiated_percentage,standard_charge|BCBS|Blue_Choice|negotiated_algorithm,standard_charge|BCBS|Blue_Choice|methodology,additional_payer_notes|BCBS|Blue_Choice,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|negotiated_dollar,estimated_amount|Blue_Cross_Community_Health_Plan|Medicaid,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|negotiated_percentage,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|negotiated_algorithm,standard_charge|Blue_Cross_Community_Health_Plan|Medicaid|methodology,additional_payer_notes|Blue_Cross_Community_Health_Plan|Medicaid,standard_charge|Community_Partners_Health_Plans|negotiated_dollar,estimated_amount|Community_Partners_Health_Plans,standard_charge|Community_Partners_Health_Plans|negotiated_percentage,standard_charge|Community_Partners_Health_Plans|negotiated_algorithm,standard_charge|Community_Partners_Health_Plans|methodology,additional_payer_notes|Community_Partners_Health_Plans,standard_charge|Dentaquest|negotiated_dollar,estimated_amount|Dentaquest,standard_charge|Dentaquest|negotiated_percentage,standard_charge|Dentaquest|negotiated_algorithm,standard_charge|Dentaquest|methodology,additional_payer_notes|Dentaquest,standard_charge|Health_Alliance|negotiated_dollar,estimated_amount|Health_Alliance,standard_charge|Health_Alliance|negotiated_percentage,standard_charge|Health_Alliance|negotiated_algorithm,standard_charge|Health_Alliance|methodology,additional_payer_notes|Health_Alliance,standard_charge|Health_Alliance|Medicare_HMO|negotiated_dollar,estimated_amount|Health_Alliance|Medicare_HMO,standard_charge|Health_Alliance|Medicare_HMO|negotiated_percentage,standard_charge|Health_Alliance|Medicare_HMO|negotiated_algorithm,standard_charge|Health_Alliance|Medicare_HMO|methodology,additional_payer_notes|Health_Alliance|Medicare_HMO,standard_charge|Health_Alliance|Medicare_PPO|negotiated_dollar,estimated_amount|Health_Alliance|Medicare_PPO,standard_charge|Health_Alliance|Medicare_PPO|negotiated_percentage,standard_charge|Health_Alliance|Medicare_PPO|negotiated_algorithm,standard_charge|Health_Alliance|Medicare_PPO|methodology,additional_payer_notes|Health_Alliance|Medicare_PPO,standard_charge|HFN_Inc|negotiated_dollar,estimated_amount|HFN_Inc,standard_charge|HFN_Inc|negotiated_percentage,standard_charge|HFN_Inc|negotiated_algorithm,standard_charge|HFN_Inc|methodology,additional_payer_notes|HFN_Inc,standard_charge|HFN_Inc|Workers_Compensation|negotiated_dollar,estimated_amount|HFN_Inc|Workers_Compensation,standard_charge|HFN_Inc|Workers_Compensation|negotiated_percentage,standard_charge|HFN_Inc|Workers_Compensation|negotiated_algorithm,standard_charge|HFN_Inc|Workers_Compensation|methodology,additional_payer_notes|HFN_Inc|Workers_Compensation,standard_charge|HFN_Inc|Supplental_Product|negotiated_dollar,estimated_amount|HFN_Inc|Supplental_Product,standard_charge|HFN_Inc|Supplental_Product|negotiated_percentage,standard_charge|HFN_Inc|Supplental_Product|negotiated_algorithm,standard_charge|HFN_Inc|Supplental_Product|methodology,additional_payer_notes|HFN_Inc|Supplental_Product,standard_charge|Interplan_Health_Group|negotiated_dollar,estimated_amount|Interplan_Health_Group,standard_charge|Interplan_Health_Group|negotiated_percentage,standard_charge|Interplan_Health_Group|negotiated_algorithm,standard_charge|Interplan_Health_Group|methodology,additional_payer_notes|Interplan_Health_Group,standard_charge|Meridian_Health_Plan|negotiated_dollar,estimated_amount|Meridian_Health_Plan,standard_charge|Meridian_Health_Plan|negotiated_percentage,standard_charge|Meridian_Health_Plan|negotiated_algorithm,standard_charge|Meridian_Health_Plan|methodology,additional_payer_notes|Meridian_Health_Plan,standard_charge|Molina|negotiated_dollar,estimated_amount|Molina,standard_charge|Molina|negotiated_percentage,standard_charge|Molina|negotiated_algorithm,standard_charge|Molina|methodology,additional_payer_notes|Molina,standard_charge|Multiplan|negotiated_dollar,estimated_amount|Multiplan,standard_charge|Multiplan|negotiated_percentage,standard_charge|Multiplan|negotiated_algorithm,standard_charge|Multiplan|methodology,additional_payer_notes|Multiplan,standard_charge|NPPN|negotiated_dollar,estimated_amount|NPPN,standard_charge|NPPN|negotiated_percentage,standard_charge|NPPN|negotiated_algorithm,standard_charge|NPPN|methodology,additional_payer_notes|NPPN,standard_charge|Prime_Health_Services|negotiated_dollar,estimated_amount|Prime_Health_Services,standard_charge|Prime_Health_Services|negotiated_percentage,standard_charge|Prime_Health_Services|negotiated_algorithm,standard_charge|Prime_Health_Services|methodology,additional_payer_notes|Prime_Health_Services,standard_charge|SIHO_Network_LLC|negotiated_dollar,estimated_amount|SIHO_Network_LLC,standard_charge|SIHO_Network_LLC|negotiated_percentage,standard_charge|SIHO_Network_LLC|negotiated_algorithm,standard_charge|SIHO_Network_LLC|methodology,additional_payer_notes|SIHO_Network_LLC,standard_charge|Quanex_Employees|negotiated_dollar,estimated_amount|Quanex_Employees,standard_charge|Quanex_Employees|negotiated_percentage,standard_charge|Quanex_Employees|negotiated_algorithm,standard_charge|Quanex_Employees|methodology,additional_payer_notes|Quanex_Employees,standard_charge|Three_Rivers|negotiated_dollar,estimated_amount|Three_Rivers,standard_charge|Three_Rivers|negotiated_percentage,standard_charge|Three_Rivers|negotiated_algorithm,standard_charge|Three_Rivers|methodology,additional_payer_notes|Three_Rivers,standard_charge|United_Healthcare|negotiated_dollar,estimated_amount|United_Healthcare,standard_charge|United_Healthcare|negotiated_percentage,standard_charge|United_Healthcare|negotiated_algorithm,standard_charge|United_Healthcare|methodology,additional_payer_notes|United_Healthcare,standard_charge|min,standard_charge|max,additional_generic_notes ALS EMERGENCY TRANSPORT,2152019,CDM,A0427,HCPCS,540,RC,inpatient,,3213.64,3213.64,,2728.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2423.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2731.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2828,88,,percent of total billed charges,,193.45,,,,fee schedule,,,2455.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2924.41,91,,percent of total billed charges,,,3052.96,95,,percent of total billed charges,,,2667.32,83,,percent of total billed charges,,,2667.32,83,,percent of total billed charges,,,,,,,,,,,,,,,2667.32,83,,percent of total billed charges,,,3052.96,95,,percent of total billed charges,,,2892.28,90,,percent of total billed charges,,,2892.28,90,,percent of total billed charges,,,2635.18,82,,percent of total billed charges,,,2892.28,90,,percent of total billed charges,,,2731.59,85,,percent of total billed charges,,193.45,3052.96, ALS EMERGENCY TRANSPORT LEVEL 2,2152020,CDM,A0433,HCPCS,540,RC,inpatient,,3260.19,3260.19,,2767.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2458.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2771.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2868.97,88,,percent of total billed charges,,193.45,,,,fee schedule,,,2490.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,193.45,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2966.77,91,,percent of total billed charges,,,3097.18,95,,percent of total billed charges,,,2705.96,83,,percent of total billed charges,,,2705.96,83,,percent of total billed charges,,,,,,,,,,,,,,,2705.96,83,,percent of total billed charges,,,3097.18,95,,percent of total billed charges,,,2934.17,90,,percent of total billed charges,,,2934.17,90,,percent of total billed charges,,,2673.36,82,,percent of total billed charges,,,2934.17,90,,percent of total billed charges,,,2771.16,85,,percent of total billed charges,,193.45,3097.18, BLS NON EMERGENCY TRANSPORT,2152027,CDM,A0428,HCPCS,540,RC,inpatient,,2482.91,2482.91,,2107.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1872.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2110.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2184.96,88,,percent of total billed charges,,113.76,,,,fee schedule,,,1896.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2259.45,91,,percent of total billed charges,,,2358.76,95,,percent of total billed charges,,,2060.82,83,,percent of total billed charges,,,2060.82,83,,percent of total billed charges,,,,,,,,,,,,,,,2060.82,83,,percent of total billed charges,,,2358.76,95,,percent of total billed charges,,,2234.62,90,,percent of total billed charges,,,2234.62,90,,percent of total billed charges,,,2035.99,82,,percent of total billed charges,,,2234.62,90,,percent of total billed charges,,,2110.47,85,,percent of total billed charges,,113.76,2358.76, BLS EMERGENCY TRANSPORT,2152030,CDM,A0429,HCPCS,540,RC,inpatient,,2583.7,2583.7,,2193.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1948.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2196.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2273.66,88,,percent of total billed charges,,113.76,,,,fee schedule,,,1973.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,113.76,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2351.17,91,,percent of total billed charges,,,2454.52,95,,percent of total billed charges,,,2144.47,83,,percent of total billed charges,,,2144.47,83,,percent of total billed charges,,,,,,,,,,,,,,,2144.47,83,,percent of total billed charges,,,2454.52,95,,percent of total billed charges,,,2325.33,90,,percent of total billed charges,,,2325.33,90,,percent of total billed charges,,,2118.63,82,,percent of total billed charges,,,2325.33,90,,percent of total billed charges,,,2196.15,85,,percent of total billed charges,,113.76,2454.52, ALS EMERGENCY W/SPECIAL SERV,2154023,CDM,A0434,HCPCS,540,RC,inpatient,,3390.58,3390.58,,2878.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,261.04,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2556.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2881.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2983.71,88,,percent of total billed charges,,261.04,,,,fee schedule,,,2590.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,261.04,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3085.43,91,,percent of total billed charges,,,3221.05,95,,percent of total billed charges,,,2814.18,83,,percent of total billed charges,,,2814.18,83,,percent of total billed charges,,,,,,,,,,,,,,,2814.18,83,,percent of total billed charges,,,3221.05,95,,percent of total billed charges,,,3051.52,90,,percent of total billed charges,,,3051.52,90,,percent of total billed charges,,,2780.28,82,,percent of total billed charges,,,3051.52,90,,percent of total billed charges,,,2881.99,85,,percent of total billed charges,,261.04,3221.05, GROUND MILEAGE,2155012,CDM,A0425,HCPCS,540,RC,inpatient,,47.51,47.51,,40.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,5.6,,,,fee schedule,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.81,88,,percent of total billed charges,,5.6,,,,fee schedule,,,36.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5.6,,,,fee schedule,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.23,91,,percent of total billed charges,,,45.13,95,,percent of total billed charges,,,39.43,83,,percent of total billed charges,,,39.43,83,,percent of total billed charges,,,,,,,,,,,,,,,39.43,83,,percent of total billed charges,,,45.13,95,,percent of total billed charges,,,42.76,90,,percent of total billed charges,,,42.76,90,,percent of total billed charges,,,38.96,82,,percent of total billed charges,,,42.76,90,,percent of total billed charges,,,40.38,85,,percent of total billed charges,,5.6,45.13, MED-SURG ROOM - LEVEL I,890040,CDM,,,111,RC,inpatient,,2800,2800,,2377.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2111.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2380,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2464,88,,percent of total billed charges,,,,,,,,,2139.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2548,91,,percent of total billed charges,,,2660,95,,percent of total billed charges,,,2324,83,,percent of total billed charges,,,2324,83,,percent of total billed charges,,,,,,,,,,,,,,,2324,83,,percent of total billed charges,,,2660,95,,percent of total billed charges,,,2520,90,,percent of total billed charges,,,2520,90,,percent of total billed charges,,,2296,82,,percent of total billed charges,,,2520,90,,percent of total billed charges,,,2380,85,,percent of total billed charges,,1668,5410.4, MED-SURG ROOM - LEVEL II,890041,CDM,,,111,RC,inpatient,,3263,3263,,2770.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2460.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2773.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2871.44,88,,percent of total billed charges,,,,,,,,,2492.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2969.33,91,,percent of total billed charges,,,3099.85,95,,percent of total billed charges,,,2708.29,83,,percent of total billed charges,,,2708.29,83,,percent of total billed charges,,,,,,,,,,,,,,,2708.29,83,,percent of total billed charges,,,3099.85,95,,percent of total billed charges,,,2936.7,90,,percent of total billed charges,,,2936.7,90,,percent of total billed charges,,,2675.66,82,,percent of total billed charges,,,2936.7,90,,percent of total billed charges,,,2773.55,85,,percent of total billed charges,,1668,5410.4, MED-SURG ROOM - LEVEL III,890042,CDM,,,111,RC,inpatient,,4272,4272,,3626.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3221.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3631.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3759.36,88,,percent of total billed charges,,,,,,,,,3263.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3887.52,91,,percent of total billed charges,,,4058.4,95,,percent of total billed charges,,,3545.76,83,,percent of total billed charges,,,3545.76,83,,percent of total billed charges,,,,,,,,,,,,,,,3545.76,83,,percent of total billed charges,,,4058.4,95,,percent of total billed charges,,,3844.8,90,,percent of total billed charges,,,3844.8,90,,percent of total billed charges,,,3503.04,82,,percent of total billed charges,,,3844.8,90,,percent of total billed charges,,,3631.2,85,,percent of total billed charges,,1668,5410.4, MED-SURG ROOM - LEVEL IV,890043,CDM,,,111,RC,inpatient,,4680,4680,,3973.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3528.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3978,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4118.4,88,,percent of total billed charges,,,,,,,,,3575.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4258.8,91,,percent of total billed charges,,,4446,95,,percent of total billed charges,,,3884.4,83,,percent of total billed charges,,,3884.4,83,,percent of total billed charges,,,,,,,,,,,,,,,3884.4,83,,percent of total billed charges,,,4446,95,,percent of total billed charges,,,4212,90,,percent of total billed charges,,,4212,90,,percent of total billed charges,,,3837.6,82,,percent of total billed charges,,,4212,90,,percent of total billed charges,,,3978,85,,percent of total billed charges,,1668,5410.4, LONG TERM CARE,890054,CDM,,,111,RC,inpatient,,295,295,,250.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,222.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,250.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,259.6,88,,percent of total billed charges,,,,,,,,,225.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,268.45,91,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,,,,,,,,,,,,,244.85,83,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,241.9,82,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,250.75,85,,percent of total billed charges,,222.43,5410.4, TREATMENT ROOM - OB,830081,CDM,G0463,HCPCS,510,RC,inpatient,,536,536,,455.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,404.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,455.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,471.68,88,,percent of total billed charges,,,,,,,,,409.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,487.76,91,,percent of total billed charges,,,509.2,95,,percent of total billed charges,,,444.88,83,,percent of total billed charges,,,444.88,83,,percent of total billed charges,,,,,,,,,,,,,,,444.88,83,,percent of total billed charges,,,509.2,95,,percent of total billed charges,,,482.4,90,,percent of total billed charges,,,482.4,90,,percent of total billed charges,,,439.52,82,,percent of total billed charges,,,482.4,90,,percent of total billed charges,,,455.6,85,,percent of total billed charges,,404.14,5410.4, OB ROOM - LEVEL I,830050,CDM,,,111,RC,inpatient,,2620,2620,,2224.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1975.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2227,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2305.6,88,,percent of total billed charges,,,,,,,,,2001.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2384.2,91,,percent of total billed charges,,,2489,95,,percent of total billed charges,,,2174.6,83,,percent of total billed charges,,,2174.6,83,,percent of total billed charges,,,,,,,,,,,,,,,2174.6,83,,percent of total billed charges,,,2489,95,,percent of total billed charges,,,2358,90,,percent of total billed charges,,,2358,90,,percent of total billed charges,,,2148.4,82,,percent of total billed charges,,,2358,90,,percent of total billed charges,,,2227,85,,percent of total billed charges,,1668,5410.4, OB ROOM - LEVEL II,830051,CDM,,,111,RC,inpatient,,3028,3028,,2570.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2283.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2573.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2664.64,88,,percent of total billed charges,,,,,,,,,2313.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2755.48,91,,percent of total billed charges,,,2876.6,95,,percent of total billed charges,,,2513.24,83,,percent of total billed charges,,,2513.24,83,,percent of total billed charges,,,,,,,,,,,,,,,2513.24,83,,percent of total billed charges,,,2876.6,95,,percent of total billed charges,,,2725.2,90,,percent of total billed charges,,,2725.2,90,,percent of total billed charges,,,2482.96,82,,percent of total billed charges,,,2725.2,90,,percent of total billed charges,,,2573.8,85,,percent of total billed charges,,1668,5410.4, OB ROOM - LEVEL III,830052,CDM,,,111,RC,inpatient,,3852,3852,,3270.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2904.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3274.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3389.76,88,,percent of total billed charges,,,,,,,,,2942.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3505.32,91,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,,,,,,,,,,,,,3197.16,83,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3158.64,82,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3274.2,85,,percent of total billed charges,,1668,5410.4, OB ROOM - LEVEL IV,830053,CDM,,,111,RC,inpatient,,4256,4256,,3613.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3209.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3617.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3745.28,88,,percent of total billed charges,,,,,,,,,3251.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3872.96,91,,percent of total billed charges,,,4043.2,95,,percent of total billed charges,,,3532.48,83,,percent of total billed charges,,,3532.48,83,,percent of total billed charges,,,,,,,,,,,,,,,3532.48,83,,percent of total billed charges,,,4043.2,95,,percent of total billed charges,,,3830.4,90,,percent of total billed charges,,,3830.4,90,,percent of total billed charges,,,3489.92,82,,percent of total billed charges,,,3830.4,90,,percent of total billed charges,,,3617.6,85,,percent of total billed charges,,1668,5410.4, ORTHO ROOM - LEVEL I,880030,CDM,,,111,RC,inpatient,,2940,2940,,2496.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2216.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2499,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2587.2,88,,percent of total billed charges,,,,,,,,,2246.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2675.4,91,,percent of total billed charges,,,2793,95,,percent of total billed charges,,,2440.2,83,,percent of total billed charges,,,2440.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2440.2,83,,percent of total billed charges,,,2793,95,,percent of total billed charges,,,2646,90,,percent of total billed charges,,,2646,90,,percent of total billed charges,,,2410.8,82,,percent of total billed charges,,,2646,90,,percent of total billed charges,,,2499,85,,percent of total billed charges,,1668,5410.4, ORTHO ROOM - LEVEL II,880031,CDM,,,111,RC,inpatient,,3426,3426,,2908.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2583.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2912.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3014.88,88,,percent of total billed charges,,,,,,,,,2617.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3117.66,91,,percent of total billed charges,,,3254.7,95,,percent of total billed charges,,,2843.58,83,,percent of total billed charges,,,2843.58,83,,percent of total billed charges,,,,,,,,,,,,,,,2843.58,83,,percent of total billed charges,,,3254.7,95,,percent of total billed charges,,,3083.4,90,,percent of total billed charges,,,3083.4,90,,percent of total billed charges,,,2809.32,82,,percent of total billed charges,,,3083.4,90,,percent of total billed charges,,,2912.1,85,,percent of total billed charges,,1668,5410.4, ORTHO ROOM - LEVEL III,880032,CDM,,,111,RC,inpatient,,4486,4486,,3808.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3382.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3813.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3947.68,88,,percent of total billed charges,,,,,,,,,3427.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4082.26,91,,percent of total billed charges,,,4261.7,95,,percent of total billed charges,,,3723.38,83,,percent of total billed charges,,,3723.38,83,,percent of total billed charges,,,,,,,,,,,,,,,3723.38,83,,percent of total billed charges,,,4261.7,95,,percent of total billed charges,,,4037.4,90,,percent of total billed charges,,,4037.4,90,,percent of total billed charges,,,3678.52,82,,percent of total billed charges,,,4037.4,90,,percent of total billed charges,,,3813.1,85,,percent of total billed charges,,1668,5410.4, ORTHO ROOM - LEVEL IV,880033,CDM,,,111,RC,inpatient,,4914,4914,,4171.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3705.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4176.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4324.32,88,,percent of total billed charges,,,,,,,,,3754.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4471.74,91,,percent of total billed charges,,,4668.3,95,,percent of total billed charges,,,4078.62,83,,percent of total billed charges,,,4078.62,83,,percent of total billed charges,,,,,,,,,,,,,,,4078.62,83,,percent of total billed charges,,,4668.3,95,,percent of total billed charges,,,4422.6,90,,percent of total billed charges,,,4422.6,90,,percent of total billed charges,,,4029.48,82,,percent of total billed charges,,,4422.6,90,,percent of total billed charges,,,4176.9,85,,percent of total billed charges,,1668,5410.4, SEMI-PRIVATE ROOM - LEVEL I,890050,CDM,,,120,RC,inpatient,,2035,2035,,1727.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1534.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1729.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1790.8,88,,percent of total billed charges,,,,,,,,,1554.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1851.85,91,,percent of total billed charges,,,1933.25,95,,percent of total billed charges,,,1689.05,83,,percent of total billed charges,,,1689.05,83,,percent of total billed charges,,,,,,,,,,,,,,,1689.05,83,,percent of total billed charges,,,1933.25,95,,percent of total billed charges,,,1831.5,90,,percent of total billed charges,,,1831.5,90,,percent of total billed charges,,,1668.7,82,,percent of total billed charges,,,1831.5,90,,percent of total billed charges,,,1729.75,85,,percent of total billed charges,,1534.39,5410.4, SEMI-PRIVATE ROOM - LEVEL II,890051,CDM,,,120,RC,inpatient,,2364,2364,,2007.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1782.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2009.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2080.32,88,,percent of total billed charges,,,,,,,,,1806.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2151.24,91,,percent of total billed charges,,,2245.8,95,,percent of total billed charges,,,1962.12,83,,percent of total billed charges,,,1962.12,83,,percent of total billed charges,,,,,,,,,,,,,,,1962.12,83,,percent of total billed charges,,,2245.8,95,,percent of total billed charges,,,2127.6,90,,percent of total billed charges,,,2127.6,90,,percent of total billed charges,,,1938.48,82,,percent of total billed charges,,,2127.6,90,,percent of total billed charges,,,2009.4,85,,percent of total billed charges,,1668,5410.4, SEMI-PRIVATE ROOM - LEVEL III,890052,CDM,,,120,RC,inpatient,,3035,3035,,2576.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2288.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2579.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2670.8,88,,percent of total billed charges,,,,,,,,,2318.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2761.85,91,,percent of total billed charges,,,2883.25,95,,percent of total billed charges,,,2519.05,83,,percent of total billed charges,,,2519.05,83,,percent of total billed charges,,,,,,,,,,,,,,,2519.05,83,,percent of total billed charges,,,2883.25,95,,percent of total billed charges,,,2731.5,90,,percent of total billed charges,,,2731.5,90,,percent of total billed charges,,,2488.7,82,,percent of total billed charges,,,2731.5,90,,percent of total billed charges,,,2579.75,85,,percent of total billed charges,,1668,5410.4, SEMI-PRIVATE ROOM - LEVEL IV,890053,CDM,,,120,RC,inpatient,,3354,3354,,2847.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2528.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2850.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2951.52,88,,percent of total billed charges,,,,,,,,,2562.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3052.14,91,,percent of total billed charges,,,3186.3,95,,percent of total billed charges,,,2783.82,83,,percent of total billed charges,,,2783.82,83,,percent of total billed charges,,,,,,,,,,,,,,,2783.82,83,,percent of total billed charges,,,3186.3,95,,percent of total billed charges,,,3018.6,90,,percent of total billed charges,,,3018.6,90,,percent of total billed charges,,,2750.28,82,,percent of total billed charges,,,3018.6,90,,percent of total billed charges,,,2850.9,85,,percent of total billed charges,,1668,5410.4, NEWBORN LEVEL I,831100,CDM,,,171,RC,inpatient,,1734,1734,,1472.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1307.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1473.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1525.92,88,,percent of total billed charges,,,,,,,,,1324.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1577.94,91,,percent of total billed charges,,,1647.3,95,,percent of total billed charges,,,1439.22,83,,percent of total billed charges,,,1439.22,83,,percent of total billed charges,,,,,,,,,,,,,,,1439.22,83,,percent of total billed charges,,,1647.3,95,,percent of total billed charges,,,1560.6,90,,percent of total billed charges,,,1560.6,90,,percent of total billed charges,,,1421.88,82,,percent of total billed charges,,,1560.6,90,,percent of total billed charges,,,1473.9,85,,percent of total billed charges,,1307.44,5410.4, NEWBORN LEVEL II,831101,CDM,,,172,RC,inpatient,,2246,2246,,1906.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1693.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1909.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1976.48,88,,percent of total billed charges,,,,,,,,,1715.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2043.86,91,,percent of total billed charges,,,2133.7,95,,percent of total billed charges,,,1864.18,83,,percent of total billed charges,,,1864.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1864.18,83,,percent of total billed charges,,,2133.7,95,,percent of total billed charges,,,2021.4,90,,percent of total billed charges,,,2021.4,90,,percent of total billed charges,,,1841.72,82,,percent of total billed charges,,,2021.4,90,,percent of total billed charges,,,1909.1,85,,percent of total billed charges,,1668,5410.4, NEWBORN LEVEL III,831102,CDM,,,173,RC,inpatient,,2882,2882,,2446.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2173.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2449.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2536.16,88,,percent of total billed charges,,,,,,,,,2201.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2622.62,91,,percent of total billed charges,,,2737.9,95,,percent of total billed charges,,,2392.06,83,,percent of total billed charges,,,2392.06,83,,percent of total billed charges,,,,,,,,,,,,,,,2392.06,83,,percent of total billed charges,,,2737.9,95,,percent of total billed charges,,,2593.8,90,,percent of total billed charges,,,2593.8,90,,percent of total billed charges,,,2363.24,82,,percent of total billed charges,,,2593.8,90,,percent of total billed charges,,,2449.7,85,,percent of total billed charges,,1668,5410.4, NEWBORN LEVEL IV,831103,CDM,,,174,RC,inpatient,,3391,3391,,2878.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2556.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2882.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2984.08,88,,percent of total billed charges,,,,,,,,,2590.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3085.81,91,,percent of total billed charges,,,3221.45,95,,percent of total billed charges,,,2814.53,83,,percent of total billed charges,,,2814.53,83,,percent of total billed charges,,,,,,,,,,,,,,,2814.53,83,,percent of total billed charges,,,3221.45,95,,percent of total billed charges,,,3051.9,90,,percent of total billed charges,,,3051.9,90,,percent of total billed charges,,,2780.62,82,,percent of total billed charges,,,3051.9,90,,percent of total billed charges,,,2882.35,85,,percent of total billed charges,,1668,5410.4, DELIVERY LEVEL I,831051,CDM,,,722,RC,inpatient,,2502,2502,,2124.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1886.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2126.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2201.76,88,,percent of total billed charges,,,,,,,,,1911.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2276.82,91,,percent of total billed charges,,,2376.9,95,,percent of total billed charges,,,2076.66,83,,percent of total billed charges,,,2076.66,83,,percent of total billed charges,,,,,,,,,,,,,,,2076.66,83,,percent of total billed charges,,,2376.9,95,,percent of total billed charges,,,2251.8,90,,percent of total billed charges,,,2251.8,90,,percent of total billed charges,,,2051.64,82,,percent of total billed charges,,,2251.8,90,,percent of total billed charges,,,2126.7,85,,percent of total billed charges,,1668,5410.4, DELIVERY LEVEL II,831052,CDM,,,722,RC,inpatient,,3708,3708,,3148.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,1668,,,,per diem,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2795.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3151.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3263.04,88,,percent of total billed charges,,,,,,,,,2832.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,5410.4,,,,per diem,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3374.28,91,,percent of total billed charges,,,3522.6,95,,percent of total billed charges,,,3077.64,83,,percent of total billed charges,,,3077.64,83,,percent of total billed charges,,,,,,,,,,,,,,,3077.64,83,,percent of total billed charges,,,3522.6,95,,percent of total billed charges,,,3337.2,90,,percent of total billed charges,,,3337.2,90,,percent of total billed charges,,,3040.56,82,,percent of total billed charges,,,3337.2,90,,percent of total billed charges,,,3151.8,85,,percent of total billed charges,,1668,5410.4, EPIDURAL INJECTION,18601004,CDM,,,360,RC,inpatient,,9809,9809,,8327.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7395.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8337.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8631.92,88,,percent of total billed charges,,,,,,,,,7494.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8926.19,91,,percent of total billed charges,,,9318.55,95,,percent of total billed charges,,,8141.47,83,,percent of total billed charges,,,8141.47,83,,percent of total billed charges,,,,,,,,,,,,,,,8141.47,83,,percent of total billed charges,,,9318.55,95,,percent of total billed charges,,,8828.1,90,,percent of total billed charges,,,8828.1,90,,percent of total billed charges,,,8043.38,82,,percent of total billed charges,,,8828.1,90,,percent of total billed charges,,,8337.65,85,,percent of total billed charges,,7395.99,9318.55, INJN TRT OF NERVE CRYOANALGESIA LT KNEE,18601005,CDM,64640,CPT,360,RC,inpatient,LT,3932,3932,,3338.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2964.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3342.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3460.16,88,,percent of total billed charges,,,,,,,,,3004.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3578.12,91,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,,,,,,,,,,,,,3263.56,83,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3224.24,82,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3342.2,85,,percent of total billed charges,,2964.73,3735.4, INJN TRT OF NERVE CRYOANALGESIA RT KNEE,18601006,CDM,64640,CPT,360,RC,inpatient,RT,3932,3932,,3338.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2964.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3342.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3460.16,88,,percent of total billed charges,,,,,,,,,3004.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3578.12,91,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,3263.56,83,,percent of total billed charges,,,,,,,,,,,,,,,3263.56,83,,percent of total billed charges,,,3735.4,95,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3224.24,82,,percent of total billed charges,,,3538.8,90,,percent of total billed charges,,,3342.2,85,,percent of total billed charges,,2964.73,3735.4, ARTERIAL CATHERT PERCUTANEOUS,33036620,CDM,36620,CPT,360,RC,inpatient,,1682,1682,,1428.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1268.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1429.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1480.16,88,,percent of total billed charges,,,,,,,,,1285.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1530.62,91,,percent of total billed charges,,,1597.9,95,,percent of total billed charges,,,1396.06,83,,percent of total billed charges,,,1396.06,83,,percent of total billed charges,,,,,,,,,,,,,,,1396.06,83,,percent of total billed charges,,,1597.9,95,,percent of total billed charges,,,1513.8,90,,percent of total billed charges,,,1513.8,90,,percent of total billed charges,,,1379.24,82,,percent of total billed charges,,,1513.8,90,,percent of total billed charges,,,1429.7,85,,percent of total billed charges,,1268.23,1597.9, BRACHIAL PLEXUS CONT INFUS BY CATHETER,33602061,CDM,64416,CPT,360,RC,inpatient,,1139,1139,,967.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,858.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,968.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1002.32,88,,percent of total billed charges,,,,,,,,,870.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1036.49,91,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,,,,,,,,,,,,,945.37,83,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,933.98,82,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,968.15,85,,percent of total billed charges,,858.81,1082.05, NERVE BLOCK INJ PUDENDAL,33602064,CDM,64430,CPT,360,RC,inpatient,,2098,2098,,1781.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1581.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1783.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1846.24,88,,percent of total billed charges,,,,,,,,,1602.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1909.18,91,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1741.34,83,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1720.36,82,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1783.3,85,,percent of total billed charges,,1581.89,1993.1, SCIATIC NERVE CONT INFUS BY CATHETER,33602066,CDM,64446,CPT,360,RC,inpatient,,1139,1139,,967.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,858.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,968.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1002.32,88,,percent of total billed charges,,,,,,,,,870.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1036.49,91,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,,,,,,,,,,,,,945.37,83,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,933.98,82,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,968.15,85,,percent of total billed charges,,858.81,1082.05, INJ ANESTHETIC AGENT FEMORAL NERVE,33602067,CDM,64447,CPT,360,RC,inpatient,,1818,1818,,1543.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1370.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1545.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1599.84,88,,percent of total billed charges,,,,,,,,,1388.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1654.38,91,,percent of total billed charges,,,1727.1,95,,percent of total billed charges,,,1508.94,83,,percent of total billed charges,,,1508.94,83,,percent of total billed charges,,,,,,,,,,,,,,,1508.94,83,,percent of total billed charges,,,1727.1,95,,percent of total billed charges,,,1636.2,90,,percent of total billed charges,,,1636.2,90,,percent of total billed charges,,,1490.76,82,,percent of total billed charges,,,1636.2,90,,percent of total billed charges,,,1545.3,85,,percent of total billed charges,,1370.77,1727.1, FEMORAL NERVE CONT INFUS BY CATHETER,33602068,CDM,64448,CPT,360,RC,inpatient,,8930,8930,,7581.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6733.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7590.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7858.4,88,,percent of total billed charges,,,,,,,,,6822.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8126.3,91,,percent of total billed charges,,,8483.5,95,,percent of total billed charges,,,7411.9,83,,percent of total billed charges,,,7411.9,83,,percent of total billed charges,,,,,,,,,,,,,,,7411.9,83,,percent of total billed charges,,,8483.5,95,,percent of total billed charges,,,8037,90,,percent of total billed charges,,,8037,90,,percent of total billed charges,,,7322.6,82,,percent of total billed charges,,,8037,90,,percent of total billed charges,,,7590.5,85,,percent of total billed charges,,6733.22,8483.5, LUMBAR PLEXUS POST APPR CONT INF CATHETR,33602069,CDM,64449,CPT,360,RC,inpatient,,1913,1913,,1624.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1442.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1626.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1683.44,88,,percent of total billed charges,,,,,,,,,1461.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1740.83,91,,percent of total billed charges,,,1817.35,95,,percent of total billed charges,,,1587.79,83,,percent of total billed charges,,,1587.79,83,,percent of total billed charges,,,,,,,,,,,,,,,1587.79,83,,percent of total billed charges,,,1817.35,95,,percent of total billed charges,,,1721.7,90,,percent of total billed charges,,,1721.7,90,,percent of total billed charges,,,1568.66,82,,percent of total billed charges,,,1721.7,90,,percent of total billed charges,,,1626.05,85,,percent of total billed charges,,1442.4,1817.35, INSERT NON-TUNNEL CV CATH,33636556,CDM,36556,CPT,360,RC,inpatient,,3536,3536,,3002.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2666.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3005.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3111.68,88,,percent of total billed charges,,,,,,,,,2701.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3217.76,91,,percent of total billed charges,,,3359.2,95,,percent of total billed charges,,,2934.88,83,,percent of total billed charges,,,2934.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2934.88,83,,percent of total billed charges,,,3359.2,95,,percent of total billed charges,,,3182.4,90,,percent of total billed charges,,,3182.4,90,,percent of total billed charges,,,2899.52,82,,percent of total billed charges,,,3182.4,90,,percent of total billed charges,,,3005.6,85,,percent of total billed charges,,2666.14,3359.2, INJ ANESTHESIA INTERLAMINAR CRV/THRC,33662321,CDM,62321,CPT,360,RC,inpatient,,3822,3822,,3244.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2881.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3248.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3363.36,88,,percent of total billed charges,,,,,,,,,2920.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3478.02,91,,percent of total billed charges,,,3630.9,95,,percent of total billed charges,,,3172.26,83,,percent of total billed charges,,,3172.26,83,,percent of total billed charges,,,,,,,,,,,,,,,3172.26,83,,percent of total billed charges,,,3630.9,95,,percent of total billed charges,,,3439.8,90,,percent of total billed charges,,,3439.8,90,,percent of total billed charges,,,3134.04,82,,percent of total billed charges,,,3439.8,90,,percent of total billed charges,,,3248.7,85,,percent of total billed charges,,2881.79,3630.9, INJ ANESTHESIA BRACHIAL PLEXUS SINGLE,33664415,CDM,64415,CPT,360,RC,inpatient,,2179,2179,,1849.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1642.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1852.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1917.52,88,,percent of total billed charges,,,,,,,,,1664.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1982.89,91,,percent of total billed charges,,,2070.05,95,,percent of total billed charges,,,1808.57,83,,percent of total billed charges,,,1808.57,83,,percent of total billed charges,,,,,,,,,,,,,,,1808.57,83,,percent of total billed charges,,,2070.05,95,,percent of total billed charges,,,1961.1,90,,percent of total billed charges,,,1961.1,90,,percent of total billed charges,,,1786.78,82,,percent of total billed charges,,,1961.1,90,,percent of total billed charges,,,1852.15,85,,percent of total billed charges,,1642.97,2070.05, INJECTION ANESTH SCIATIC SINGLE,33664445,CDM,64445,CPT,360,RC,inpatient,,2099,2099,,1782.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1582.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1784.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1847.12,88,,percent of total billed charges,,,,,,,,,1603.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1910.09,91,,percent of total billed charges,,,1994.05,95,,percent of total billed charges,,,1742.17,83,,percent of total billed charges,,,1742.17,83,,percent of total billed charges,,,,,,,,,,,,,,,1742.17,83,,percent of total billed charges,,,1994.05,95,,percent of total billed charges,,,1889.1,90,,percent of total billed charges,,,1889.1,90,,percent of total billed charges,,,1721.18,82,,percent of total billed charges,,,1889.1,90,,percent of total billed charges,,,1784.15,85,,percent of total billed charges,,1582.65,1994.05, INJECTION ANESTH FEMORAL SINGLE,33664447,CDM,64447,CPT,360,RC,inpatient,,1139,1139,,967.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,858.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,968.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1002.32,88,,percent of total billed charges,,,,,,,,,870.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1036.49,91,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,945.37,83,,percent of total billed charges,,,,,,,,,,,,,,,945.37,83,,percent of total billed charges,,,1082.05,95,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,933.98,82,,percent of total billed charges,,,1025.1,90,,percent of total billed charges,,,968.15,85,,percent of total billed charges,,858.81,1082.05, INJ ANESTH AGENT OTHER PERPHL BRANCH,33664450,CDM,64450,CPT,360,RC,inpatient,,3005,3005,,2551.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2265.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2554.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2644.4,88,,percent of total billed charges,,,,,,,,,2295.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2734.55,91,,percent of total billed charges,,,2854.75,95,,percent of total billed charges,,,2494.15,83,,percent of total billed charges,,,2494.15,83,,percent of total billed charges,,,,,,,,,,,,,,,2494.15,83,,percent of total billed charges,,,2854.75,95,,percent of total billed charges,,,2704.5,90,,percent of total billed charges,,,2704.5,90,,percent of total billed charges,,,2464.1,82,,percent of total billed charges,,,2704.5,90,,percent of total billed charges,,,2554.25,85,,percent of total billed charges,,2265.77,2854.75, TAP BLOCK UNILATERAL BY INJECTION,33664486,CDM,64486,CPT,360,RC,inpatient,,3210,3210,,2725.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2420.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2728.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2824.8,88,,percent of total billed charges,,,,,,,,,2452.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2921.1,91,,percent of total billed charges,,,3049.5,95,,percent of total billed charges,,,2664.3,83,,percent of total billed charges,,,2664.3,83,,percent of total billed charges,,,,,,,,,,,,,,,2664.3,83,,percent of total billed charges,,,3049.5,95,,percent of total billed charges,,,2889,90,,percent of total billed charges,,,2889,90,,percent of total billed charges,,,2632.2,82,,percent of total billed charges,,,2889,90,,percent of total billed charges,,,2728.5,85,,percent of total billed charges,,2420.34,3049.5, US VESSEL ACCESS REQ US,33676937,CDM,76937,CPT,370,RC,inpatient,,939,939,,797.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,708.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,798.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,826.32,88,,percent of total billed charges,,,,,,,,,717.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,854.49,91,,percent of total billed charges,,,892.05,95,,percent of total billed charges,,,779.37,83,,percent of total billed charges,,,779.37,83,,percent of total billed charges,,,,,,,,,,,,,,,779.37,83,,percent of total billed charges,,,892.05,95,,percent of total billed charges,,,845.1,90,,percent of total billed charges,,,845.1,90,,percent of total billed charges,,,769.98,82,,percent of total billed charges,,,845.1,90,,percent of total billed charges,,,798.15,85,,percent of total billed charges,,708.01,892.05, UL NDL PLCMNT US GUIDANCE,33676942,CDM,76942,CPT,402,RC,inpatient,TC,1569,1569,,1332.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1183.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1333.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1380.72,88,,percent of total billed charges,,,,,,,,,1198.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1427.79,91,,percent of total billed charges,,,1490.55,95,,percent of total billed charges,,,1302.27,83,,percent of total billed charges,,,1302.27,83,,percent of total billed charges,,,,,,,,,,,,,,,1302.27,83,,percent of total billed charges,,,1490.55,95,,percent of total billed charges,,,1412.1,90,,percent of total billed charges,,,1412.1,90,,percent of total billed charges,,,1286.58,82,,percent of total billed charges,,,1412.1,90,,percent of total billed charges,,,1333.65,85,,percent of total billed charges,,1183.03,1490.55, INJECTION ANESTHETIC AXILLARY NERVE,33700000,CDM,64417,CPT,360,RC,inpatient,,1749,1749,,1484.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1318.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1486.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1539.12,88,,percent of total billed charges,,,,,,,,,1336.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1591.59,91,,percent of total billed charges,,,1661.55,95,,percent of total billed charges,,,1451.67,83,,percent of total billed charges,,,1451.67,83,,percent of total billed charges,,,,,,,,,,,,,,,1451.67,83,,percent of total billed charges,,,1661.55,95,,percent of total billed charges,,,1574.1,90,,percent of total billed charges,,,1574.1,90,,percent of total billed charges,,,1434.18,82,,percent of total billed charges,,,1574.1,90,,percent of total billed charges,,,1486.65,85,,percent of total billed charges,,1318.75,1661.55, LABOR EPIDURAL/ITN,33700015,CDM,1967,CPT,964,RC,inpatient,QZ,2270,2270,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, "ARTERIAL CATHETERIZATION TRANSF, SAMPLE",33700020,CDM,36620,CPT,360,RC,inpatient,,530,530,,449.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466.4,88,,percent of total billed charges,,,,,,,,,404.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,482.3,91,,percent of total billed charges,,,503.5,95,,percent of total billed charges,,,439.9,83,,percent of total billed charges,,,439.9,83,,percent of total billed charges,,,,,,,,,,,,,,,439.9,83,,percent of total billed charges,,,503.5,95,,percent of total billed charges,,,477,90,,percent of total billed charges,,,477,90,,percent of total billed charges,,,434.6,82,,percent of total billed charges,,,477,90,,percent of total billed charges,,,450.5,85,,percent of total billed charges,,399.62,503.5, ANESTHESIA CHG UNIT CPT 00100,33700100,CDM,100,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00102,33700102,CDM,102,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00103,33700103,CDM,103,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00104,33700104,CDM,104,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00120,33700120,CDM,120,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00124,33700124,CDM,124,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00126,33700126,CDM,126,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00140,33700140,CDM,140,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00142,33700142,CDM,142,CPT,964,RC,inpatient,QZ,384,384,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00144,33700144,CDM,144,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00145,33700145,CDM,145,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00160,33700160,CDM,160,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00162,33700162,CDM,162,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00164,33700164,CDM,164,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00170,33700170,CDM,170,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00172,33700172,CDM,172,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00174,33700174,CDM,174,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00176,33700176,CDM,176,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00190,33700190,CDM,190,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00192,33700192,CDM,192,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00210,33700210,CDM,210,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00212,33700212,CDM,212,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00214,33700214,CDM,214,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00215,33700215,CDM,215,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00216,33700216,CDM,216,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00218,33700218,CDM,218,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00220,33700220,CDM,220,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00222,33700222,CDM,222,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00300,33700300,CDM,300,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00320QZ,33700320,CDM,320,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00322,33700322,CDM,322,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00350,33700350,CDM,350,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00352,33700352,CDM,352,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00400,33700400,CDM,400,CPT,964,RC,inpatient,QZ,431,431,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00402,33700402,CDM,402,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00404,33700404,CDM,404,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00406,33700406,CDM,406,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00410,33700410,CDM,410,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00450,33700450,CDM,450,CPT,964,RC,inpatient,,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00452,33700452,CDM,452,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00454,33700454,CDM,454,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00470,33700470,CDM,470,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00472,33700472,CDM,472,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00474,33700474,CDM,474,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00500,33700500,CDM,500,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00520,33700520,CDM,520,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00522,33700522,CDM,522,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00524,33700524,CDM,524,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00528,33700528,CDM,528,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00530,33700530,CDM,530,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00532,33700532,CDM,532,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00537,33700537,CDM,537,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00540,33700540,CDM,540,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00542,33700542,CDM,542,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00546,33700546,CDM,546,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00548,33700548,CDM,548,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00600,33700600,CDM,600,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00604,33700604,CDM,604,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00620,33700620,CDM,620,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00622,33700622,CDM,622,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00630,33700630,CDM,630,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00632,33700632,CDM,632,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00634,33700634,CDM,634,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, DX LUMBAR PUNCTURE,33700635,CDM,635,CPT,964,RC,inpatient,QZ,636,636,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, "ANESTH, MANIPULATION CHG UNIT CPT 00640",33700640,CDM,640,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00670,33700670,CDM,670,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00700,33700700,CDM,700,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00702,33700702,CDM,702,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00730,33700730,CDM,730,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00740,33700740,CDM,731,CPT,964,RC,inpatient,QZ,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00750,33700750,CDM,750,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00752,33700752,CDM,752,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00754,33700754,CDM,754,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00756,33700756,CDM,756,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00770,33700770,CDM,770,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00790,33700790,CDM,790,CPT,964,RC,inpatient,QZ,498,498,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00792,33700792,CDM,792,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00794,33700794,CDM,794,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00800,33700800,CDM,800,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00802,33700802,CDM,802,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00810,33700810,CDM,811,CPT,964,RC,inpatient,QZ,498,498,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00820,33700820,CDM,820,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00830,33700830,CDM,830,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00832,33700832,CDM,832,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00840,33700840,CDM,840,CPT,964,RC,inpatient,QZ,459,459,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00842,33700842,CDM,842,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00844,33700844,CDM,844,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00846,33700846,CDM,846,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00848,33700848,CDM,848,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00851,33700851,CDM,851,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00860,33700860,CDM,860,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00862,33700862,CDM,862,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00864,33700864,CDM,864,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00866,33700866,CDM,866,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00870,33700870,CDM,870,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00872,33700872,CDM,872,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00873,33700873,CDM,873,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00880,33700880,CDM,880,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00882,33700882,CDM,882,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00902,33700902,CDM,902,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00904,33700904,CDM,904,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00906,33700906,CDM,906,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00908,33700908,CDM,908,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00910,33700910,CDM,910,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00912,33700912,CDM,912,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00914,33700914,CDM,914,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00916,33700916,CDM,916,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00918,33700918,CDM,918,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00920,33700920,CDM,920,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00921,33700921,CDM,921,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00922,33700922,CDM,922,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00924,33700924,CDM,924,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00926,33700926,CDM,926,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00928,33700928,CDM,928,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00930,33700930,CDM,930,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00932,33700932,CDM,932,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00934,33700934,CDM,934,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00936,33700936,CDM,936,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00938,33700938,CDM,938,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00940,33700940,CDM,940,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00942,33700942,CDM,942,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00944,33700944,CDM,944,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00948,33700948,CDM,948,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00950,33700950,CDM,950,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00952,33700952,CDM,952,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00100,33701100,CDM,100,CPT,964,RC,inpatient,,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01112,33701110,CDM,1112,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01120,33701120,CDM,1120,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01130,33701130,CDM,1130,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01140,33701140,CDM,1140,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01150,33701150,CDM,1150,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01160,33701160,CDM,1160,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01170,33701170,CDM,1170,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01180,33701180,CDM,1180,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01190,33701190,CDM,1190,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01200,33701200,CDM,1200,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01202,33701202,CDM,1202,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01210,33701210,CDM,1210,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01212,33701212,CDM,1212,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01214,33701214,CDM,1214,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01215,33701215,CDM,1215,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01220,33701220,CDM,1220,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01230,33701230,CDM,1230,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01232,33701232,CDM,1232,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01234,33701234,CDM,1234,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01250,33701250,CDM,1250,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01260,33701260,CDM,1260,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01270,33701270,CDM,1270,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01272,33701272,CDM,1272,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01274,33701274,CDM,1274,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01320,33701320,CDM,1320,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01340,33701340,CDM,1340,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01360,33701360,CDM,1360,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01380,33701380,CDM,1380,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01382,33701382,CDM,1382,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01390,33701390,CDM,1390,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01392,33701392,CDM,1392,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01400,33701400,CDM,1400,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01402,33701402,CDM,1402,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01404,33701404,CDM,1404,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01420,33701420,CDM,1420,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01430,33701430,CDM,1430,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01432,33701432,CDM,1432,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01440,33701440,CDM,1440,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01442,33701442,CDM,1442,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01444,33701444,CDM,1444,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01462,33701462,CDM,1462,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01464,33701464,CDM,1464,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01470,33701470,CDM,1470,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01472,33701472,CDM,1472,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01474,33701474,CDM,1474,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01480,33701480,CDM,1480,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01482,33701482,CDM,1482,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01484,33701484,CDM,1484,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01486,33701486,CDM,1486,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01490,33701490,CDM,1490,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01500,33701500,CDM,1500,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01502,33701502,CDM,1502,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01520,33701520,CDM,1520,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01522,33701522,CDM,1522,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01610,33701610,CDM,1610,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01620,33701620,CDM,1620,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01622,33701622,CDM,1622,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01630,33701630,CDM,1630,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01634,33701634,CDM,1634,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01636,33701636,CDM,1636,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01638,33701638,CDM,1638,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01650,33701650,CDM,1650,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01652,33701652,CDM,1652,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01654,33701654,CDM,1654,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01656,33701656,CDM,1656,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01670,33701670,CDM,1670,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01680,33701680,CDM,1680,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01682,33701682,CDM,1682,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01710,33701710,CDM,1710,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01712,33701712,CDM,1712,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01714,33701714,CDM,1714,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01716,33701716,CDM,1716,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01730,33701730,CDM,1730,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01732,33701732,CDM,1732,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01740,33701740,CDM,1740,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01742,33701742,CDM,1742,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01744,33701744,CDM,1744,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01756,33701756,CDM,1756,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01758,33701758,CDM,1758,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01760,33701760,CDM,1760,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01770,33701770,CDM,1770,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01772,33701772,CDM,1772,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01780,33701780,CDM,1780,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01782,33701782,CDM,1782,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01810,33701810,CDM,1810,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01820,33701820,CDM,1820,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01830,33701830,CDM,1830,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01832,33701832,CDM,1832,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01840,33701840,CDM,1840,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01842,33701842,CDM,1842,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01844,33701844,CDM,1844,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01850,33701850,CDM,1850,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01852,33701852,CDM,1852,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01860,33701860,CDM,1860,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01916,33701916,CDM,1916,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01920,33701920,CDM,1920,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01922,33701922,CDM,1922,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01924,33701924,CDM,1924,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01926,33701926,CDM,1926,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01930,33701930,CDM,1930,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01935 DIAGNOSTIC,33701935,CDM,1937,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01936 THERAPUTIC,33701936,CDM,1938,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT 01958,33701958,CDM,1958,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01961,33701961,CDM,1961,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01963,33701963,CDM,1963,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA MISSED OR INCOMPLETE AB,33701965,CDM,1965,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHARGE UNIT 01966,33701966,CDM,1966,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA LABOR EPIDURAL UNIT 01967,33701967,CDM,1967,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHARGE UNIT 01968,33701968,CDM,1968,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01990,33701990,CDM,1990,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA NERVE BLK OTHER THAN PRONE,33701991,CDM,1991,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA NERVE BLOCK PRONE,33701992,CDM,1992,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01992,33701994,CDM,1992,CPT,964,RC,inpatient,QZ,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHARGE UNIT 01996,33701996,CDM,1996,CPT,964,RC,inpatient,QZ,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, CATH UMBILICAL ARTERYNEWB DIAG THER,33736660,CDM,36660,CPT,361,RC,inpatient,,590,590,,500.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,444.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,501.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,519.2,88,,percent of total billed charges,,,,,,,,,450.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,536.9,91,,percent of total billed charges,,,560.5,95,,percent of total billed charges,,,489.7,83,,percent of total billed charges,,,489.7,83,,percent of total billed charges,,,,,,,,,,,,,,,489.7,83,,percent of total billed charges,,,560.5,95,,percent of total billed charges,,,531,90,,percent of total billed charges,,,531,90,,percent of total billed charges,,,483.8,82,,percent of total billed charges,,,531,90,,percent of total billed charges,,,501.5,85,,percent of total billed charges,,444.86,560.5, EPIDURAL BLOOD PATCH,33762273,CDM,62273,CPT,360,RC,inpatient,,2398,2398,,2035.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1808.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2038.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2110.24,88,,percent of total billed charges,,,,,,,,,1832.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2182.18,91,,percent of total billed charges,,,2278.1,95,,percent of total billed charges,,,1990.34,83,,percent of total billed charges,,,1990.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1990.34,83,,percent of total billed charges,,,2278.1,95,,percent of total billed charges,,,2158.2,90,,percent of total billed charges,,,2158.2,90,,percent of total billed charges,,,1966.36,82,,percent of total billed charges,,,2158.2,90,,percent of total billed charges,,,2038.3,85,,percent of total billed charges,,1808.09,2278.1, ESI LUMBAR EPIDURAL,33762311,CDM,62322,CPT,360,RC,inpatient,TC,7269,7269,,6171.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5480.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6178.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6396.72,88,,percent of total billed charges,,,,,,,,,5553.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6614.79,91,,percent of total billed charges,,,6905.55,95,,percent of total billed charges,,,6033.27,83,,percent of total billed charges,,,6033.27,83,,percent of total billed charges,,,,,,,,,,,,,,,6033.27,83,,percent of total billed charges,,,6905.55,95,,percent of total billed charges,,,6542.1,90,,percent of total billed charges,,,6542.1,90,,percent of total billed charges,,,5960.58,82,,percent of total billed charges,,,6542.1,90,,percent of total billed charges,,,6178.65,85,,percent of total billed charges,,5480.83,6905.55, LUMBAR SURGICAL EPIDURAL,33762319,CDM,62326,CPT,360,RC,inpatient,,5334,5334,,4528.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4021.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4533.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4693.92,88,,percent of total billed charges,,,,,,,,,4075.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4853.94,91,,percent of total billed charges,,,5067.3,95,,percent of total billed charges,,,4427.22,83,,percent of total billed charges,,,4427.22,83,,percent of total billed charges,,,,,,,,,,,,,,,4427.22,83,,percent of total billed charges,,,5067.3,95,,percent of total billed charges,,,4800.6,90,,percent of total billed charges,,,4800.6,90,,percent of total billed charges,,,4373.88,82,,percent of total billed charges,,,4800.6,90,,percent of total billed charges,,,4533.9,85,,percent of total billed charges,,4021.84,5067.3, INTERCOSTAL NERVE BLOCK,33764421,CDM,64421,CPT,360,RC,inpatient,,2924,2924,,2482.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2204.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2485.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2573.12,88,,percent of total billed charges,,,,,,,,,2233.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2660.84,91,,percent of total billed charges,,,2777.8,95,,percent of total billed charges,,,2426.92,83,,percent of total billed charges,,,2426.92,83,,percent of total billed charges,,,,,,,,,,,,,,,2426.92,83,,percent of total billed charges,,,2777.8,95,,percent of total billed charges,,,2631.6,90,,percent of total billed charges,,,2631.6,90,,percent of total billed charges,,,2397.68,82,,percent of total billed charges,,,2631.6,90,,percent of total billed charges,,,2485.4,85,,percent of total billed charges,,2204.7,2777.8, ANESTHESIA PREP SET UP,33771234,CDM,,,370,RC,inpatient,,523,523,,444.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,394.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,444.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,460.24,88,,percent of total billed charges,,,,,,,,,399.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,475.93,91,,percent of total billed charges,,,496.85,95,,percent of total billed charges,,,434.09,83,,percent of total billed charges,,,434.09,83,,percent of total billed charges,,,,,,,,,,,,,,,434.09,83,,percent of total billed charges,,,496.85,95,,percent of total billed charges,,,470.7,90,,percent of total billed charges,,,470.7,90,,percent of total billed charges,,,428.86,82,,percent of total billed charges,,,470.7,90,,percent of total billed charges,,,444.55,85,,percent of total billed charges,,394.34,496.85, ANESTHESIA CHG UNIT CPT 93312,33793312,CDM,1922,CPT,964,RC,inpatient,QZ,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00103,33800103,CDM,103,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00126,33800126,CDM,126,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00142,33800142,CDM,142,CPT,963,RC,inpatient,AA,384,384,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00160,33800160,CDM,160,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00170,33800170,CDM,170,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00300,33800300,CDM,300,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00322,33800322,CDM,322,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00400,33800400,CDM,400,CPT,963,RC,inpatient,AA,431,431,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00402,33800402,CDM,402,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00404,33800404,CDM,404,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00410,33800410,CDM,410,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00450,33800450,CDM,450,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00520,33800520,CDM,520,CPT,964,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00524,33800524,CDM,524,CPT,964,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00530,33800530,CDM,530,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00532,33800532,CDM,532,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00600,33800600,CDM,600,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00620,33800620,CDM,620,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00630,33800630,CDM,630,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00670,33800670,CDM,670,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00702,33800702,CDM,702,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00740,33800740,CDM,731,CPT,963,RC,inpatient,AA,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00752,33800752,CDM,752,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00790,33800790,CDM,790,CPT,963,RC,inpatient,AA,416,416,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00800,33800800,CDM,800,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00810,33800810,CDM,811,CPT,963,RC,inpatient,AA,498,498,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00830,33800830,CDM,830,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00832,33800832,CDM,832,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00840,33800840,CDM,840,CPT,963,RC,inpatient,AA,459,459,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00851,33800851,CDM,851,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00860,33800860,CDM,860,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00873,33800873,CDM,873,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00902,33800902,CDM,902,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00910,33800910,CDM,910,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00912,33800912,CDM,912,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00914,33800914,CDM,914,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00918,33800918,CDM,918,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00920,33800920,CDM,920,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00942,33800942,CDM,942,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00944,33800944,CDM,944,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 00952,33800952,CDM,952,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01112,33801110,CDM,1112,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01200,33801200,CDM,1200,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01210,33801210,CDM,1210,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01214,33801214,CDM,1214,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01215,33801215,CDM,1215,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01232,33801232,CDM,1232,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01320,33801320,CDM,1320,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01360,33801360,CDM,1360,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01380,33801380,CDM,1380,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01382,33801382,CDM,1382,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01390,33801390,CDM,1390,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01392,33801392,CDM,1392,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01400,33801400,CDM,1400,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01402,33801402,CDM,1402,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01462,33801462,CDM,1462,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01470,33801470,CDM,1470,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01472,33801472,CDM,1472,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01480,33801480,CDM,1480,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01610,33801610,CDM,1610,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01620,33801620,CDM,1620,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01630,33801630,CDM,1630,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01638,33801638,CDM,1638,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01710,33801710,CDM,1710,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01730,33801730,CDM,1730,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01740,33801740,CDM,1740,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01770,33801770,CDM,1770,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01810,33801810,CDM,1810,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01820,33801820,CDM,1820,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01830,33801830,CDM,1830,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01916,33801916,CDM,1916,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01922,33801922,CDM,1922,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01924,33801924,CDM,1924,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01930,33801930,CDM,1930,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01935 DIAGNOSTIC,33801935,CDM,1937,CPT,964,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01936 THERAPUTIC,33801936,CDM,1938,CPT,964,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 01961,33801961,CDM,1961,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA MISSED OR INCOMPLETE AB,33801965,CDM,1965,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA LABOR EPIDURAL UNIT 01967,33801967,CDM,1967,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHARGE UNIT 01968,33801968,CDM,1968,CPT,963,RC,inpatient,AA,345,345,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA NERVE BLK OTHER THAN PRONE,33801991,CDM,1991,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA NERVE BLOCK PRONE,33801992,CDM,1992,CPT,963,RC,inpatient,AA,414,414,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, ANESTHESIA CHG UNIT CPT 93312,33893312,CDM,1922,CPT,963,RC,inpatient,AA,466,466,,45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,,,,,,,,,,,,,,,,,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,45,58, BB AUTOLOGOUS UNIT PROCESSING ONLY,25201822,CDM,86890,CPT,300,RC,inpatient,,569,569,,483.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,429.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,483.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,500.72,88,,percent of total billed charges,,,,,,,,,434.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,517.79,91,,percent of total billed charges,,,540.55,95,,percent of total billed charges,,,472.27,83,,percent of total billed charges,,,472.27,83,,percent of total billed charges,,,,,,,,,,,,,,,472.27,83,,percent of total billed charges,,,540.55,95,,percent of total billed charges,,,512.1,90,,percent of total billed charges,,,512.1,90,,percent of total billed charges,,,466.58,82,,percent of total billed charges,,,512.1,90,,percent of total billed charges,,,483.65,85,,percent of total billed charges,,429.03,540.55, BB AUTOLOGOUS UNIT TRANSFUSED,25201823,CDM,P9016,HCPCS,300,RC,inpatient,,2098,2098,,1781.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1581.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1783.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1846.24,88,,percent of total billed charges,,,,,,,,,1602.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1909.18,91,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1741.34,83,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1720.36,82,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1783.3,85,,percent of total billed charges,,1581.89,1993.1, BB FRESH FROZEN PLASMA,25202374,CDM,P9017,HCPCS,390,RC,inpatient,,393,393,,333.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,334.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.84,88,,percent of total billed charges,,,,,,,,,300.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.63,91,,percent of total billed charges,,,373.35,95,,percent of total billed charges,,,326.19,83,,percent of total billed charges,,,326.19,83,,percent of total billed charges,,,,,,,,,,,,,,,326.19,83,,percent of total billed charges,,,373.35,95,,percent of total billed charges,,,353.7,90,,percent of total billed charges,,,353.7,90,,percent of total billed charges,,,322.26,82,,percent of total billed charges,,,353.7,90,,percent of total billed charges,,,334.05,85,,percent of total billed charges,,296.32,373.35, BB RED BLOOD CELLS EACH UNIT,25203018,CDM,P9016,HCPCS,390,RC,inpatient,,2098,2098,,1781.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1581.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1783.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1846.24,88,,percent of total billed charges,,,,,,,,,1602.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1909.18,91,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,1741.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1741.34,83,,percent of total billed charges,,,1993.1,95,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1720.36,82,,percent of total billed charges,,,1888.2,90,,percent of total billed charges,,,1783.3,85,,percent of total billed charges,,1581.89,1993.1, BB CRYOPRECIPITATE,25203019,CDM,P9012,HCPCS,390,RC,inpatient,,148,148,,125.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,111.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,125.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,130.24,88,,percent of total billed charges,,,,,,,,,113.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,134.68,91,,percent of total billed charges,,,140.6,95,,percent of total billed charges,,,122.84,83,,percent of total billed charges,,,122.84,83,,percent of total billed charges,,,,,,,,,,,,,,,122.84,83,,percent of total billed charges,,,140.6,95,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,121.36,82,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,125.8,85,,percent of total billed charges,,111.59,140.6, "CARDIAC REHAB, PHASE II",15802090,CDM,93798,CPT,943,RC,inpatient,,596,596,,506,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,449.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,506.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,524.48,88,,percent of total billed charges,,,,,,,,,455.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,542.36,91,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,,,,,,,,,,,,,494.68,83,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,488.72,82,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,506.6,85,,percent of total billed charges,,449.38,566.2, "CARDIAC REHAB, PHASE I(V-5-17)",15802091,CDM,93798,CPT,943,RC,inpatient,,264,264,,224.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,199.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,224.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,232.32,88,,percent of total billed charges,,,,,,,,,201.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,240.24,91,,percent of total billed charges,,,250.8,95,,percent of total billed charges,,,219.12,83,,percent of total billed charges,,,219.12,83,,percent of total billed charges,,,,,,,,,,,,,,,219.12,83,,percent of total billed charges,,,250.8,95,,percent of total billed charges,,,237.6,90,,percent of total billed charges,,,237.6,90,,percent of total billed charges,,,216.48,82,,percent of total billed charges,,,237.6,90,,percent of total billed charges,,,224.4,85,,percent of total billed charges,,199.06,250.8, CARDIAC REHAB NON ECG MONITOR,15802092,CDM,93797,CPT,943,RC,inpatient,,596,596,,506,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,449.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,506.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,524.48,88,,percent of total billed charges,,,,,,,,,455.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,542.36,91,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,,,,,,,,,,,,,494.68,83,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,488.72,82,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,506.6,85,,percent of total billed charges,,449.38,566.2, "CARDIAC REHAB, PHASE III",15802093,CDM,93798,CPT,943,RC,inpatient,,5,5,,4.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.4,88,,percent of total billed charges,,,,,,,,,3.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.55,91,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4.15,83,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.1,82,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.25,85,,percent of total billed charges,,3.77,4.75, "CARDIAC REHAB, PHASE II WITH MODIFIER",15802094,CDM,93798,CPT,943,RC,inpatient,KX,596,596,,506,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,449.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,506.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,524.48,88,,percent of total billed charges,,,,,,,,,455.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,542.36,91,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,494.68,83,,percent of total billed charges,,,,,,,,,,,,,,,494.68,83,,percent of total billed charges,,,566.2,95,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,488.72,82,,percent of total billed charges,,,536.4,90,,percent of total billed charges,,,506.6,85,,percent of total billed charges,,449.38,566.2, EDUCATION TRAINING PATIENT SELF MGT,15802095,CDM,98960,CPT,942,RC,inpatient,,50,50,,42.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,42.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44,88,,percent of total billed charges,,,,,,,,,38.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,45.5,91,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,,,,,,,,,,,,,41.5,83,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,45,90,,percent of total billed charges,,,45,90,,percent of total billed charges,,,41,82,,percent of total billed charges,,,45,90,,percent of total billed charges,,,42.5,85,,percent of total billed charges,,37.7,47.5, PULMONARY EXERCISE SESSION GROUP(V-5-17),16000065,CDM,G0239,HCPCS,410,RC,inpatient,,310,310,,263.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,233.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,263.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,272.8,88,,percent of total billed charges,,,,,,,,,236.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,282.1,91,,percent of total billed charges,,,294.5,95,,percent of total billed charges,,,257.3,83,,percent of total billed charges,,,257.3,83,,percent of total billed charges,,,,,,,,,,,,,,,257.3,83,,percent of total billed charges,,,294.5,95,,percent of total billed charges,,,279,90,,percent of total billed charges,,,279,90,,percent of total billed charges,,,254.2,82,,percent of total billed charges,,,279,90,,percent of total billed charges,,,263.5,85,,percent of total billed charges,,233.74,294.5, PULMONARY REHAB PER HOUR PER SESSION,16000067,CDM,94625,CPT,948,RC,inpatient,,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55, PULMONARY REHAB PHASE III,16000068,CDM,94625,CPT,948,RC,inpatient,,5,5,,4.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.4,88,,percent of total billed charges,,,,,,,,,3.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.55,91,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4.15,83,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.1,82,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.25,85,,percent of total billed charges,,3.77,4.75, *DO NOT USE PULM REHAB MULTIPLE PULSE OX,16000070,CDM,94761,CPT,410,RC,inpatient,,143,143,,121.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,107.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,121.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,125.84,88,,percent of total billed charges,,,,,,,,,109.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,130.13,91,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,,,,,,,,,,,,,118.69,83,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,117.26,82,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,121.55,85,,percent of total billed charges,,107.82,135.85, PULMONARY REHAB PER HOUR PER SESSION MOD,16000071,CDM,94625,CPT,948,RC,inpatient,KX,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55, MINI HEART NEB FIRST HOUR,12800003,CDM,94644,CPT,410,RC,inpatient,,489,489,,415.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,368.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,415.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,430.32,88,,percent of total billed charges,,,,,,,,,373.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,444.99,91,,percent of total billed charges,,,464.55,95,,percent of total billed charges,,,405.87,83,,percent of total billed charges,,,405.87,83,,percent of total billed charges,,,,,,,,,,,,,,,405.87,83,,percent of total billed charges,,,464.55,95,,percent of total billed charges,,,440.1,90,,percent of total billed charges,,,440.1,90,,percent of total billed charges,,,400.98,82,,percent of total billed charges,,,440.1,90,,percent of total billed charges,,,415.65,85,,percent of total billed charges,,368.71,464.55, HEART NEB 2 24 HOUR,12800005,CDM,94645,CPT,410,RC,inpatient,,689,689,,584.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,519.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,585.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,606.32,88,,percent of total billed charges,,,,,,,,,526.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,626.99,91,,percent of total billed charges,,,654.55,95,,percent of total billed charges,,,571.87,83,,percent of total billed charges,,,571.87,83,,percent of total billed charges,,,,,,,,,,,,,,,571.87,83,,percent of total billed charges,,,654.55,95,,percent of total billed charges,,,620.1,90,,percent of total billed charges,,,620.1,90,,percent of total billed charges,,,564.98,82,,percent of total billed charges,,,620.1,90,,percent of total billed charges,,,585.65,85,,percent of total billed charges,,519.51,654.55, PULSE OXIMETRY CONTINUOUS,12800010,CDM,94762,CPT,410,RC,inpatient,,654,654,,555.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,493.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,555.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,575.52,88,,percent of total billed charges,,,,,,,,,499.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,595.14,91,,percent of total billed charges,,,621.3,95,,percent of total billed charges,,,542.82,83,,percent of total billed charges,,,542.82,83,,percent of total billed charges,,,,,,,,,,,,,,,542.82,83,,percent of total billed charges,,,621.3,95,,percent of total billed charges,,,588.6,90,,percent of total billed charges,,,588.6,90,,percent of total billed charges,,,536.28,82,,percent of total billed charges,,,588.6,90,,percent of total billed charges,,,555.9,85,,percent of total billed charges,,493.12,621.3, VENT VISION INITIAL,12800014,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698, VENT VISION SUBSEQUENT,12800015,CDM,94003,CPT,410,RC,inpatient,,2499,2499,,2121.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1884.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2124.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2199.12,88,,percent of total billed charges,,,,,,,,,1909.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2274.09,91,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2074.17,83,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2049.18,82,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2124.15,85,,percent of total billed charges,,1884.25,2374.05, VPAP INITIAL,12800020,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698, VPAP SUBSEQUENT,12800021,CDM,94003,CPT,410,RC,inpatient,,2499,2499,,2121.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1884.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2124.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2199.12,88,,percent of total billed charges,,,,,,,,,1909.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2274.09,91,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2074.17,83,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2049.18,82,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2124.15,85,,percent of total billed charges,,1884.25,2374.05, CPT SUBSEQUENT,12800037,CDM,94668,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65, VENT ASTRAL INITIAL,12800046,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698, VPAP VENTILATOR SUBSEQUENT,12800050,CDM,94002,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698, VENT CROSSVENT INITIAL,12800051,CDM,94002,CPT,410,RC,inpatient,,2679,2679,,2274.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2019.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2277.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2357.52,88,,percent of total billed charges,,,,,,,,,2046.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2437.89,91,,percent of total billed charges,,,2545.05,95,,percent of total billed charges,,,2223.57,83,,percent of total billed charges,,,2223.57,83,,percent of total billed charges,,,,,,,,,,,,,,,2223.57,83,,percent of total billed charges,,,2545.05,95,,percent of total billed charges,,,2411.1,90,,percent of total billed charges,,,2411.1,90,,percent of total billed charges,,,2196.78,82,,percent of total billed charges,,,2411.1,90,,percent of total billed charges,,,2277.15,85,,percent of total billed charges,,2019.97,2545.05, VENT ASTRAL SUBSEQUENT,12800053,CDM,94003,CPT,410,RC,inpatient,,2499,2499,,2121.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1884.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2124.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2199.12,88,,percent of total billed charges,,,,,,,,,1909.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2274.09,91,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,2074.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2074.17,83,,percent of total billed charges,,,2374.05,95,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2049.18,82,,percent of total billed charges,,,2249.1,90,,percent of total billed charges,,,2124.15,85,,percent of total billed charges,,1884.25,2374.05, VENT CROSSVENT SUBSEQUENT,12800055,CDM,94003,CPT,410,RC,inpatient,,2840,2840,,2411.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2141.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2414,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2499.2,88,,percent of total billed charges,,,,,,,,,2169.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2584.4,91,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,2357.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2357.2,83,,percent of total billed charges,,,2698,95,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2328.8,82,,percent of total billed charges,,,2556,90,,percent of total billed charges,,,2414,85,,percent of total billed charges,,2141.36,2698, CROUP TENT DAILY CHARGE,12800078,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85, CPAP PER 16 HOURS,12800095,CDM,94660,CPT,410,RC,inpatient,,544,544,,461.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,410.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,462.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,478.72,88,,percent of total billed charges,,,,,,,,,415.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,495.04,91,,percent of total billed charges,,,516.8,95,,percent of total billed charges,,,451.52,83,,percent of total billed charges,,,451.52,83,,percent of total billed charges,,,,,,,,,,,,,,,451.52,83,,percent of total billed charges,,,516.8,95,,percent of total billed charges,,,489.6,90,,percent of total billed charges,,,489.6,90,,percent of total billed charges,,,446.08,82,,percent of total billed charges,,,489.6,90,,percent of total billed charges,,,462.4,85,,percent of total billed charges,,410.18,516.8, CPAP PER 24 HOURS,12800096,CDM,94660,CPT,410,RC,inpatient,,680,680,,577.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,512.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,578,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,598.4,88,,percent of total billed charges,,,,,,,,,519.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,618.8,91,,percent of total billed charges,,,646,95,,percent of total billed charges,,,564.4,83,,percent of total billed charges,,,564.4,83,,percent of total billed charges,,,,,,,,,,,,,,,564.4,83,,percent of total billed charges,,,646,95,,percent of total billed charges,,,612,90,,percent of total billed charges,,,612,90,,percent of total billed charges,,,557.6,82,,percent of total billed charges,,,612,90,,percent of total billed charges,,,578,85,,percent of total billed charges,,512.72,646, CPAP PER 8 HOURS,12800102,CDM,94660,CPT,410,RC,inpatient,,438,438,,371.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,330.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,372.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,385.44,88,,percent of total billed charges,,,,,,,,,334.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,398.58,91,,percent of total billed charges,,,416.1,95,,percent of total billed charges,,,363.54,83,,percent of total billed charges,,,363.54,83,,percent of total billed charges,,,,,,,,,,,,,,,363.54,83,,percent of total billed charges,,,416.1,95,,percent of total billed charges,,,394.2,90,,percent of total billed charges,,,394.2,90,,percent of total billed charges,,,359.16,82,,percent of total billed charges,,,394.2,90,,percent of total billed charges,,,372.3,85,,percent of total billed charges,,330.25,416.1, ACAPELLA SUBSEQUENT,12800105,CDM,94668,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65, IS SUBSEQUENT,12800115,CDM,,,410,RC,inpatient,,113,113,,95.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,85.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,96.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,99.44,88,,percent of total billed charges,,,,,,,,,86.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,102.83,91,,percent of total billed charges,,,107.35,95,,percent of total billed charges,,,93.79,83,,percent of total billed charges,,,93.79,83,,percent of total billed charges,,,,,,,,,,,,,,,93.79,83,,percent of total billed charges,,,107.35,95,,percent of total billed charges,,,101.7,90,,percent of total billed charges,,,101.7,90,,percent of total billed charges,,,92.66,82,,percent of total billed charges,,,101.7,90,,percent of total billed charges,,,96.05,85,,percent of total billed charges,,85.2,107.35, EZ PAP TREATMENT,12800200,CDM,94640,CPT,410,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2, NEBULIZER SUBSEQUENT,12800219,CDM,94640,CPT,410,RC,inpatient,76,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85, NEBULIZER PRN,12800220,CDM,94640,CPT,410,RC,inpatient,,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85, CPR UP TO 1 HOUR,12801001,CDM,92950,CPT,480,RC,inpatient,,1580,1580,,1341.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1191.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1343,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1390.4,88,,percent of total billed charges,,,,,,,,,1207.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1437.8,91,,percent of total billed charges,,,1501,95,,percent of total billed charges,,,1311.4,83,,percent of total billed charges,,,1311.4,83,,percent of total billed charges,,,,,,,,,,,,,,,1311.4,83,,percent of total billed charges,,,1501,95,,percent of total billed charges,,,1422,90,,percent of total billed charges,,,1422,90,,percent of total billed charges,,,1295.6,82,,percent of total billed charges,,,1422,90,,percent of total billed charges,,,1343,85,,percent of total billed charges,,1191.32,1501, CPR UP TO 2 HOURS,12801010,CDM,92950,CPT,480,RC,inpatient,,775,775,,657.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,584.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,658.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,682,88,,percent of total billed charges,,,,,,,,,592.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,705.25,91,,percent of total billed charges,,,736.25,95,,percent of total billed charges,,,643.25,83,,percent of total billed charges,,,643.25,83,,percent of total billed charges,,,,,,,,,,,,,,,643.25,83,,percent of total billed charges,,,736.25,95,,percent of total billed charges,,,697.5,90,,percent of total billed charges,,,697.5,90,,percent of total billed charges,,,635.5,82,,percent of total billed charges,,,697.5,90,,percent of total billed charges,,,658.75,85,,percent of total billed charges,,584.35,736.25, CPR UP TO 3 HOURS,12801011,CDM,92950,CPT,480,RC,inpatient,,967,967,,820.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,729.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,821.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,850.96,88,,percent of total billed charges,,,,,,,,,738.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,879.97,91,,percent of total billed charges,,,918.65,95,,percent of total billed charges,,,802.61,83,,percent of total billed charges,,,802.61,83,,percent of total billed charges,,,,,,,,,,,,,,,802.61,83,,percent of total billed charges,,,918.65,95,,percent of total billed charges,,,870.3,90,,percent of total billed charges,,,870.3,90,,percent of total billed charges,,,792.94,82,,percent of total billed charges,,,870.3,90,,percent of total billed charges,,,821.95,85,,percent of total billed charges,,729.12,918.65, SUCTIONING,12801019,CDM,31720,CPT,410,RC,inpatient,,263,263,,223.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,198.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231.44,88,,percent of total billed charges,,,,,,,,,200.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,239.33,91,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,,,,,,,,,,,,,218.29,83,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,215.66,82,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,223.55,85,,percent of total billed charges,,198.3,249.85, CROUP TENT SET UP,12801068,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85, INITIAL PERCUSSIVE NEBULIZER,12801070,CDM,94664,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65, SUBSEQUENT PERCUSSIVE NEBULIZER,12801071,CDM,94640,CPT,410,RC,inpatient,76,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85, NEBULIZER INITIAL,12801092,CDM,94664,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65, EZ PAP INITIAL,12801093,CDM,94640,CPT,410,RC,inpatient,,295,295,,250.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,222.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,250.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,259.6,88,,percent of total billed charges,,,,,,,,,225.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,268.45,91,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,244.85,83,,percent of total billed charges,,,,,,,,,,,,,,,244.85,83,,percent of total billed charges,,,280.25,95,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,241.9,82,,percent of total billed charges,,,265.5,90,,percent of total billed charges,,,250.75,85,,percent of total billed charges,,222.43,280.25, CPT INITIAL,12801126,CDM,94667,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65, TREATMENT ROOM,12801500,CDM,G0463,HCPCS,510,RC,inpatient,,155,155,,131.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,116.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,131.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,136.4,88,,percent of total billed charges,,,,,,,,,118.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,141.05,91,,percent of total billed charges,,,147.25,95,,percent of total billed charges,,,128.65,83,,percent of total billed charges,,,128.65,83,,percent of total billed charges,,,,,,,,,,,,,,,128.65,83,,percent of total billed charges,,,147.25,95,,percent of total billed charges,,,139.5,90,,percent of total billed charges,,,139.5,90,,percent of total billed charges,,,127.1,82,,percent of total billed charges,,,139.5,90,,percent of total billed charges,,,131.75,85,,percent of total billed charges,,116.87,147.25, PULSE OX CHECK,12801506,CDM,94760,CPT,460,RC,inpatient,,180,180,,152.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,135.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,153,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,158.4,88,,percent of total billed charges,,,,,,,,,137.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,163.8,91,,percent of total billed charges,,,171,95,,percent of total billed charges,,,149.4,83,,percent of total billed charges,,,149.4,83,,percent of total billed charges,,,,,,,,,,,,,,,149.4,83,,percent of total billed charges,,,171,95,,percent of total billed charges,,,162,90,,percent of total billed charges,,,162,90,,percent of total billed charges,,,147.6,82,,percent of total billed charges,,,162,90,,percent of total billed charges,,,153,85,,percent of total billed charges,,135.72,171, PULSE OX MULTIPLE FOR HOME O2 QUALIFY,12801507,CDM,94761,CPT,460,RC,inpatient,,211,211,,179.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,159.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,179.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,185.68,88,,percent of total billed charges,,,,,,,,,161.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,192.01,91,,percent of total billed charges,,,200.45,95,,percent of total billed charges,,,175.13,83,,percent of total billed charges,,,175.13,83,,percent of total billed charges,,,,,,,,,,,,,,,175.13,83,,percent of total billed charges,,,200.45,95,,percent of total billed charges,,,189.9,90,,percent of total billed charges,,,189.9,90,,percent of total billed charges,,,173.02,82,,percent of total billed charges,,,189.9,90,,percent of total billed charges,,,179.35,85,,percent of total billed charges,,159.09,200.45, PFT-SCREENING,12801522,CDM,94010,CPT,460,RC,inpatient,,461,461,,391.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,347.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,391.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,405.68,88,,percent of total billed charges,,,,,,,,,352.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,419.51,91,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,,,,,,,,,,,,,382.63,83,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,378.02,82,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,391.85,85,,percent of total billed charges,,347.59,437.95, PFT-COMPLETE,12801530,CDM,94060,CPT,460,RC,inpatient,,992,992,,842.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,747.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,843.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,872.96,88,,percent of total billed charges,,,,,,,,,757.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,902.72,91,,percent of total billed charges,,,942.4,95,,percent of total billed charges,,,823.36,83,,percent of total billed charges,,,823.36,83,,percent of total billed charges,,,,,,,,,,,,,,,823.36,83,,percent of total billed charges,,,942.4,95,,percent of total billed charges,,,892.8,90,,percent of total billed charges,,,892.8,90,,percent of total billed charges,,,813.44,82,,percent of total billed charges,,,892.8,90,,percent of total billed charges,,,843.2,85,,percent of total billed charges,,747.97,942.4, ABG(V-4-19),12801563,CDM,82803,CPT,300,RC,inpatient,,722,722,,612.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,544.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,613.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,635.36,88,,percent of total billed charges,,,,,,,,,551.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,657.02,91,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,,,,,,,,,,,,,599.26,83,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,592.04,82,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,613.7,85,,percent of total billed charges,,544.39,685.9, ARTERIAL PUNCTURE,12801564,CDM,36600,CPT,361,RC,inpatient,,146,146,,123.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,110.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,124.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,128.48,88,,percent of total billed charges,,,,,,,,,111.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,132.86,91,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,,,,,,,,,,,,,121.18,83,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,119.72,82,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,124.1,85,,percent of total billed charges,,110.08,138.7, CORD VEIN GAS(V-12-20),12801565,CDM,82803,CPT,300,RC,inpatient,,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55, CORD ARTERY GAS(V-12-20),12801566,CDM,82803,CPT,300,RC,inpatient,,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55, ABG WITH LACTIC,12801567,CDM,83605,CPT,300,RC,inpatient,TC,978,978,,830.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,737.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,831.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,860.64,88,,percent of total billed charges,,,,,,,,,747.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,889.98,91,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,,,,,,,,,,,,,811.74,83,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,801.96,82,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,831.3,85,,percent of total billed charges,,737.41,929.1, CAPILLARY BLOOD GAS,12801568,CDM,82803,CPT,300,RC,inpatient,,463,463,,393.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,349.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,393.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,407.44,88,,percent of total billed charges,,,,,,,,,353.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,421.33,91,,percent of total billed charges,,,439.85,95,,percent of total billed charges,,,384.29,83,,percent of total billed charges,,,384.29,83,,percent of total billed charges,,,,,,,,,,,,,,,384.29,83,,percent of total billed charges,,,439.85,95,,percent of total billed charges,,,416.7,90,,percent of total billed charges,,,416.7,90,,percent of total billed charges,,,379.66,82,,percent of total billed charges,,,416.7,90,,percent of total billed charges,,,393.55,85,,percent of total billed charges,,349.1,439.85, CARBON MONOXIDE,12801576,CDM,82375,CPT,300,RC,inpatient,,212,212,,179.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,159.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,180.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,186.56,88,,percent of total billed charges,,,,,,,,,161.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,192.92,91,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,,,,,,,,,,,,,175.96,83,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,173.84,82,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,180.2,85,,percent of total billed charges,,159.85,201.4, ABG-ISTAT(V-6-20),12801580,CDM,82803,CPT,300,RC,inpatient,TC,722,722,,612.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,544.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,613.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,635.36,88,,percent of total billed charges,,,,,,,,,551.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,657.02,91,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,599.26,83,,percent of total billed charges,,,,,,,,,,,,,,,599.26,83,,percent of total billed charges,,,685.9,95,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,592.04,82,,percent of total billed charges,,,649.8,90,,percent of total billed charges,,,613.7,85,,percent of total billed charges,,544.39,685.9, CORD VEIN GAS-ISTAT,12801581,CDM,82803,CPT,300,RC,inpatient,TC,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55, CORD ARTERY GAS-ISTAT,12801582,CDM,82803,CPT,300,RC,inpatient,TC,349,349,,296.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.12,88,,percent of total billed charges,,,,,,,,,266.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.59,91,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,289.67,83,,percent of total billed charges,,,,,,,,,,,,,,,289.67,83,,percent of total billed charges,,,331.55,95,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,286.18,82,,percent of total billed charges,,,314.1,90,,percent of total billed charges,,,296.65,85,,percent of total billed charges,,263.15,331.55, ABG WITH LACTIC-ISTAT,12801583,CDM,83605,CPT,300,RC,inpatient,TC,978,978,,830.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,737.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,831.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,860.64,88,,percent of total billed charges,,,,,,,,,747.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,889.98,91,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,811.74,83,,percent of total billed charges,,,,,,,,,,,,,,,811.74,83,,percent of total billed charges,,,929.1,95,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,801.96,82,,percent of total billed charges,,,880.2,90,,percent of total billed charges,,,831.3,85,,percent of total billed charges,,737.41,929.1, ACAPELLA INITIAL,12801600,CDM,94667,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65, PEAK FLOW CHECK,12801605,CDM,94010,CPT,460,RC,inpatient,,461,461,,391.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,347.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,391.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,405.68,88,,percent of total billed charges,,,,,,,,,352.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,419.51,91,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,382.63,83,,percent of total billed charges,,,,,,,,,,,,,,,382.63,83,,percent of total billed charges,,,437.95,95,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,378.02,82,,percent of total billed charges,,,414.9,90,,percent of total billed charges,,,391.85,85,,percent of total billed charges,,347.59,437.95, * AEROSOL MASK (V1004),12802009,CDM,,,270,RC,inpatient,,50,50,,42.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,42.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44,88,,percent of total billed charges,,,,,,,,,38.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,45.5,91,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,41.5,83,,percent of total billed charges,,,,,,,,,,,,,,,41.5,83,,percent of total billed charges,,,47.5,95,,percent of total billed charges,,,45,90,,percent of total billed charges,,,45,90,,percent of total billed charges,,,41,82,,percent of total billed charges,,,45,90,,percent of total billed charges,,,42.5,85,,percent of total billed charges,,37.7,47.5, MDI SUBSEQUENT,12802223,CDM,94640,CPT,410,RC,inpatient,76,303,303,,257.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,228.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,257.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,266.64,88,,percent of total billed charges,,,,,,,,,231.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,275.73,91,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,251.49,83,,percent of total billed charges,,,,,,,,,,,,,,,251.49,83,,percent of total billed charges,,,287.85,95,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,248.46,82,,percent of total billed charges,,,272.7,90,,percent of total billed charges,,,257.55,85,,percent of total billed charges,,228.46,287.85, MDI INITIAL,12802224,CDM,94664,CPT,410,RC,inpatient,,347,347,,294.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,261.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,294.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,305.36,88,,percent of total billed charges,,,,,,,,,265.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,315.77,91,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,288.01,83,,percent of total billed charges,,,,,,,,,,,,,,,288.01,83,,percent of total billed charges,,,329.65,95,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,284.54,82,,percent of total billed charges,,,312.3,90,,percent of total billed charges,,,294.95,85,,percent of total billed charges,,261.64,329.65, PH GAS ONLY,12802400,CDM,82800,CPT,410,RC,inpatient,,163,163,,138.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,122.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,138.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,143.44,88,,percent of total billed charges,,,,,,,,,124.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,148.33,91,,percent of total billed charges,,,154.85,95,,percent of total billed charges,,,135.29,83,,percent of total billed charges,,,135.29,83,,percent of total billed charges,,,,,,,,,,,,,,,135.29,83,,percent of total billed charges,,,154.85,95,,percent of total billed charges,,,146.7,90,,percent of total billed charges,,,146.7,90,,percent of total billed charges,,,133.66,82,,percent of total billed charges,,,146.7,90,,percent of total billed charges,,,138.55,85,,percent of total billed charges,,122.9,154.85, NITROGEN WASHOUT,12803000,CDM,94727,CPT,460,RC,inpatient,,575,575,,488.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,433.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,488.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,506,88,,percent of total billed charges,,,,,,,,,439.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,523.25,91,,percent of total billed charges,,,546.25,95,,percent of total billed charges,,,477.25,83,,percent of total billed charges,,,477.25,83,,percent of total billed charges,,,,,,,,,,,,,,,477.25,83,,percent of total billed charges,,,546.25,95,,percent of total billed charges,,,517.5,90,,percent of total billed charges,,,517.5,90,,percent of total billed charges,,,471.5,82,,percent of total billed charges,,,517.5,90,,percent of total billed charges,,,488.75,85,,percent of total billed charges,,433.55,546.25, DLCO,12803001,CDM,94729,CPT,460,RC,inpatient,,589,589,,500.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,444.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,500.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,518.32,88,,percent of total billed charges,,,,,,,,,450,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,535.99,91,,percent of total billed charges,,,559.55,95,,percent of total billed charges,,,488.87,83,,percent of total billed charges,,,488.87,83,,percent of total billed charges,,,,,,,,,,,,,,,488.87,83,,percent of total billed charges,,,559.55,95,,percent of total billed charges,,,530.1,90,,percent of total billed charges,,,530.1,90,,percent of total billed charges,,,482.98,82,,percent of total billed charges,,,530.1,90,,percent of total billed charges,,,500.65,85,,percent of total billed charges,,444.11,559.55, VITAL CAPACITY TEST,12803002,CDM,94150,CPT,460,RC,inpatient,,263,263,,223.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,198.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231.44,88,,percent of total billed charges,,,,,,,,,200.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,239.33,91,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,,,,,,,,,,,,,218.29,83,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,215.66,82,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,223.55,85,,percent of total billed charges,,198.3,249.85, PFT WITH BODY BOX,12803003,CDM,94726,CPT,460,RC,inpatient,,1498,1498,,1271.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1129.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1273.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1318.24,88,,percent of total billed charges,,,,,,,,,1144.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1363.18,91,,percent of total billed charges,,,1423.1,95,,percent of total billed charges,,,1243.34,83,,percent of total billed charges,,,1243.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1243.34,83,,percent of total billed charges,,,1423.1,95,,percent of total billed charges,,,1348.2,90,,percent of total billed charges,,,1348.2,90,,percent of total billed charges,,,1228.36,82,,percent of total billed charges,,,1348.2,90,,percent of total billed charges,,,1273.3,85,,percent of total billed charges,,1129.49,1423.1, METHACHOLINE CHALLENGE,12803004,CDM,94070,CPT,460,RC,inpatient,,1454,1454,,1234.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1096.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1235.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1279.52,88,,percent of total billed charges,,,,,,,,,1110.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1323.14,91,,percent of total billed charges,,,1381.3,95,,percent of total billed charges,,,1206.82,83,,percent of total billed charges,,,1206.82,83,,percent of total billed charges,,,,,,,,,,,,,,,1206.82,83,,percent of total billed charges,,,1381.3,95,,percent of total billed charges,,,1308.6,90,,percent of total billed charges,,,1308.6,90,,percent of total billed charges,,,1192.28,82,,percent of total billed charges,,,1308.6,90,,percent of total billed charges,,,1235.9,85,,percent of total billed charges,,1096.32,1381.3, NEBULIZER WITH PEAK FLOW,12803005,CDM,94640,CPT,410,RC,inpatient,,541,541,,459.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,407.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,459.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,476.08,88,,percent of total billed charges,,,,,,,,,413.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,492.31,91,,percent of total billed charges,,,513.95,95,,percent of total billed charges,,,449.03,83,,percent of total billed charges,,,449.03,83,,percent of total billed charges,,,,,,,,,,,,,,,449.03,83,,percent of total billed charges,,,513.95,95,,percent of total billed charges,,,486.9,90,,percent of total billed charges,,,486.9,90,,percent of total billed charges,,,443.62,82,,percent of total billed charges,,,486.9,90,,percent of total billed charges,,,459.85,85,,percent of total billed charges,,407.91,513.95, CT BONE MARROW ASPIRATION,29100080,CDM,38220,CPT,352,RC,inpatient,TC,4766,4766,,4046.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3593.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4051.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4194.08,88,,percent of total billed charges,,,,,,,,,3641.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4337.06,91,,percent of total billed charges,,,4527.7,95,,percent of total billed charges,,,3955.78,83,,percent of total billed charges,,,3955.78,83,,percent of total billed charges,,,,,,,,,,,,,,,3955.78,83,,percent of total billed charges,,,4527.7,95,,percent of total billed charges,,,4289.4,90,,percent of total billed charges,,,4289.4,90,,percent of total billed charges,,,3908.12,82,,percent of total billed charges,,,4289.4,90,,percent of total billed charges,,,4051.1,85,,percent of total billed charges,,3593.56,4527.7, CT BONE MARROW BIOPSY,29100081,CDM,38221,CPT,352,RC,inpatient,TC,3852,3852,,3270.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2904.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3274.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3389.76,88,,percent of total billed charges,,,,,,,,,2942.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3505.32,91,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,3197.16,83,,percent of total billed charges,,,,,,,,,,,,,,,3197.16,83,,percent of total billed charges,,,3659.4,95,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3158.64,82,,percent of total billed charges,,,3466.8,90,,percent of total billed charges,,,3274.2,85,,percent of total billed charges,,2904.41,3659.4, CT BONE MARROW ASPIRATION/BIOPSY,29100082,CDM,38222,CPT,352,RC,inpatient,TC,4939,4939,,4193.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3724.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4198.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4346.32,88,,percent of total billed charges,,,,,,,,,3773.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4494.49,91,,percent of total billed charges,,,4692.05,95,,percent of total billed charges,,,4099.37,83,,percent of total billed charges,,,4099.37,83,,percent of total billed charges,,,,,,,,,,,,,,,4099.37,83,,percent of total billed charges,,,4692.05,95,,percent of total billed charges,,,4445.1,90,,percent of total billed charges,,,4445.1,90,,percent of total billed charges,,,4049.98,82,,percent of total billed charges,,,4445.1,90,,percent of total billed charges,,,4198.15,85,,percent of total billed charges,,3724.01,4692.05, CT BONE MINERL DENSITY STUDY 1/> SITS AX,29100090,CDM,77078,CPT,352,RC,inpatient,TC,950,950,,806.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,716.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,807.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,836,88,,percent of total billed charges,,,,,,,,,725.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,864.5,91,,percent of total billed charges,,,902.5,95,,percent of total billed charges,,,788.5,83,,percent of total billed charges,,,788.5,83,,percent of total billed charges,,,,,,,,,,,,,,,788.5,83,,percent of total billed charges,,,902.5,95,,percent of total billed charges,,,855,90,,percent of total billed charges,,,855,90,,percent of total billed charges,,,779,82,,percent of total billed charges,,,855,90,,percent of total billed charges,,,807.5,85,,percent of total billed charges,,716.3,902.5, CT BONE (DEEP) BIOPSY TROCAR/NEEDLE,29100100,CDM,20225,CPT,352,RC,inpatient,TC,4424,4424,,3755.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3335.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3760.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3893.12,88,,percent of total billed charges,,,,,,,,,3379.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4025.84,91,,percent of total billed charges,,,4202.8,95,,percent of total billed charges,,,3671.92,83,,percent of total billed charges,,,3671.92,83,,percent of total billed charges,,,,,,,,,,,,,,,3671.92,83,,percent of total billed charges,,,4202.8,95,,percent of total billed charges,,,3981.6,90,,percent of total billed charges,,,3981.6,90,,percent of total billed charges,,,3627.68,82,,percent of total billed charges,,,3981.6,90,,percent of total billed charges,,,3760.4,85,,percent of total billed charges,,3335.7,4202.8, CT BONE (SUPERFICI) BIOPSY TROCAR/NEEDLE,29100101,CDM,20220,CPT,352,RC,inpatient,TC,2947,2947,,2502,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2222.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2504.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2593.36,88,,percent of total billed charges,,,,,,,,,2251.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2681.77,91,,percent of total billed charges,,,2799.65,95,,percent of total billed charges,,,2446.01,83,,percent of total billed charges,,,2446.01,83,,percent of total billed charges,,,,,,,,,,,,,,,2446.01,83,,percent of total billed charges,,,2799.65,95,,percent of total billed charges,,,2652.3,90,,percent of total billed charges,,,2652.3,90,,percent of total billed charges,,,2416.54,82,,percent of total billed charges,,,2652.3,90,,percent of total billed charges,,,2504.95,85,,percent of total billed charges,,2222.04,2799.65, CT LUNG PERCUT BX/MEDIASTINUM,29100102,CDM,32408,CPT,360,RC,inpatient,TC,3199,3199,,2715.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2412.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2719.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2815.12,88,,percent of total billed charges,,,,,,,,,2444.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2911.09,91,,percent of total billed charges,,,3039.05,95,,percent of total billed charges,,,2655.17,83,,percent of total billed charges,,,2655.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2655.17,83,,percent of total billed charges,,,3039.05,95,,percent of total billed charges,,,2879.1,90,,percent of total billed charges,,,2879.1,90,,percent of total billed charges,,,2623.18,82,,percent of total billed charges,,,2879.1,90,,percent of total billed charges,,,2719.15,85,,percent of total billed charges,,2412.05,3039.05, CT LIVER NEEDLE BIOPSY,29100103,CDM,47000,CPT,352,RC,inpatient,TC,3257,3257,,2765.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2455.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2768.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2866.16,88,,percent of total billed charges,,,,,,,,,2488.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2963.87,91,,percent of total billed charges,,,3094.15,95,,percent of total billed charges,,,2703.31,83,,percent of total billed charges,,,2703.31,83,,percent of total billed charges,,,,,,,,,,,,,,,2703.31,83,,percent of total billed charges,,,3094.15,95,,percent of total billed charges,,,2931.3,90,,percent of total billed charges,,,2931.3,90,,percent of total billed charges,,,2670.74,82,,percent of total billed charges,,,2931.3,90,,percent of total billed charges,,,2768.45,85,,percent of total billed charges,,2455.78,3094.15, CT ABDOMINAL BIOPSY,29100104,CDM,49180,CPT,361,RC,inpatient,TC,3040,3040,,2580.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2292.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2584,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2675.2,88,,percent of total billed charges,,,,,,,,,2322.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2766.4,91,,percent of total billed charges,,,2888,95,,percent of total billed charges,,,2523.2,83,,percent of total billed charges,,,2523.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2523.2,83,,percent of total billed charges,,,2888,95,,percent of total billed charges,,,2736,90,,percent of total billed charges,,,2736,90,,percent of total billed charges,,,2492.8,82,,percent of total billed charges,,,2736,90,,percent of total billed charges,,,2584,85,,percent of total billed charges,,2292.16,2888, CT RENAL BIOPSY PERQ,29100105,CDM,50200,CPT,352,RC,inpatient,TC,3440,3440,,2920.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2593.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2924,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3027.2,88,,percent of total billed charges,,,,,,,,,2628.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3130.4,91,,percent of total billed charges,,,3268,95,,percent of total billed charges,,,2855.2,83,,percent of total billed charges,,,2855.2,83,,percent of total billed charges,,,,,,,,,,,,,,,2855.2,83,,percent of total billed charges,,,3268,95,,percent of total billed charges,,,3096,90,,percent of total billed charges,,,3096,90,,percent of total billed charges,,,2820.8,82,,percent of total billed charges,,,3096,90,,percent of total billed charges,,,2924,85,,percent of total billed charges,,2593.76,3268, CT SOFT TISSUE (DEEP) BIOPSY,29100106,CDM,27041,CPT,352,RC,inpatient,TC,4531,4531,,3846.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3416.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3851.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3987.28,88,,percent of total billed charges,,,,,,,,,3461.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4123.21,91,,percent of total billed charges,,,4304.45,95,,percent of total billed charges,,,3760.73,83,,percent of total billed charges,,,3760.73,83,,percent of total billed charges,,,,,,,,,,,,,,,3760.73,83,,percent of total billed charges,,,4304.45,95,,percent of total billed charges,,,4077.9,90,,percent of total billed charges,,,4077.9,90,,percent of total billed charges,,,3715.42,82,,percent of total billed charges,,,4077.9,90,,percent of total billed charges,,,3851.35,85,,percent of total billed charges,,3416.37,4304.45, CT THORAX W/DYE,29100199,CDM,71260,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05, CT THORAX W/DYE PE,29100200,CDM,71260,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05, CT STONE (ABD/PELV W/O),29100201,CDM,74176,CPT,352,RC,inpatient,TC,6170,6170,,5238.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4652.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5244.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5429.6,88,,percent of total billed charges,,,,,,,,,4713.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5614.7,91,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,,,,,,,,,,,,,5121.1,83,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5059.4,82,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5244.5,85,,percent of total billed charges,,4652.18,5861.5, CT ABD/PELV W/WO,29100203,CDM,74178,CPT,352,RC,inpatient,TC,8550,8550,,7258.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6446.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7267.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7524,88,,percent of total billed charges,,,,,,,,,6532.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7780.5,91,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7096.5,83,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7011,82,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7267.5,85,,percent of total billed charges,,6446.7,8122.5, CT ABD/PELV WITH,29100205,CDM,74177,CPT,352,RC,inpatient,TC,7335,7335,,6227.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5530.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6234.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6454.8,88,,percent of total billed charges,,,,,,,,,5603.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6674.85,91,,percent of total billed charges,,,6968.25,95,,percent of total billed charges,,,6088.05,83,,percent of total billed charges,,,6088.05,83,,percent of total billed charges,,,,,,,,,,,,,,,6088.05,83,,percent of total billed charges,,,6968.25,95,,percent of total billed charges,,,6601.5,90,,percent of total billed charges,,,6601.5,90,,percent of total billed charges,,,6014.7,82,,percent of total billed charges,,,6601.5,90,,percent of total billed charges,,,6234.75,85,,percent of total billed charges,,5530.59,6968.25, CT ABD/PELV W/O,29100206,CDM,74176,CPT,352,RC,inpatient,TC,6170,6170,,5238.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4652.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5244.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5429.6,88,,percent of total billed charges,,,,,,,,,4713.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5614.7,91,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,5121.1,83,,percent of total billed charges,,,,,,,,,,,,,,,5121.1,83,,percent of total billed charges,,,5861.5,95,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5059.4,82,,percent of total billed charges,,,5553,90,,percent of total billed charges,,,5244.5,85,,percent of total billed charges,,4652.18,5861.5, CT UROGRAM,29100207,CDM,74178,CPT,352,RC,inpatient,TC,8550,8550,,7258.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6446.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7267.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7524,88,,percent of total billed charges,,,,,,,,,6532.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7780.5,91,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,7096.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7096.5,83,,percent of total billed charges,,,8122.5,95,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7011,82,,percent of total billed charges,,,7695,90,,percent of total billed charges,,,7267.5,85,,percent of total billed charges,,6446.7,8122.5, CT SELLA W/,29100300,CDM,70481,CPT,350,RC,inpatient,,3751,3751,,3184.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2828.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3188.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3300.88,88,,percent of total billed charges,,,,,,,,,2865.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3413.41,91,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,,,,,,,,,,,,,3113.33,83,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3075.82,82,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3188.35,85,,percent of total billed charges,,2828.25,3563.45, CT SELLA W/WO,29100301,CDM,70482,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT SELLA W/O,29100302,CDM,70480,CPT,350,RC,inpatient,TC,3397,3397,,2884.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2561.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2887.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2989.36,88,,percent of total billed charges,,,,,,,,,2595.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3091.27,91,,percent of total billed charges,,,3227.15,95,,percent of total billed charges,,,2819.51,83,,percent of total billed charges,,,2819.51,83,,percent of total billed charges,,,,,,,,,,,,,,,2819.51,83,,percent of total billed charges,,,3227.15,95,,percent of total billed charges,,,3057.3,90,,percent of total billed charges,,,3057.3,90,,percent of total billed charges,,,2785.54,82,,percent of total billed charges,,,3057.3,90,,percent of total billed charges,,,2887.45,85,,percent of total billed charges,,2561.34,3227.15, CT C SPINE W/,29100479,CDM,72126,CPT,352,RC,inpatient,,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05, CT LOW EXT W LT,29100495,CDM,73701,CPT,350,RC,inpatient,,3869,3869,,3284.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2917.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3288.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3404.72,88,,percent of total billed charges,,,,,,,,,2955.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3520.79,91,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,,,,,,,,,,,,,3211.27,83,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3172.58,82,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3288.65,85,,percent of total billed charges,,2917.23,3675.55, CT LOW EXT W RT,29100496,CDM,73701,CPT,350,RC,inpatient,,3869,3869,,3284.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2917.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3288.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3404.72,88,,percent of total billed charges,,,,,,,,,2955.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3520.79,91,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,3211.27,83,,percent of total billed charges,,,,,,,,,,,,,,,3211.27,83,,percent of total billed charges,,,3675.55,95,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3172.58,82,,percent of total billed charges,,,3482.1,90,,percent of total billed charges,,,3288.65,85,,percent of total billed charges,,2917.23,3675.55, CT LOW EXT W/WO LEFT,29100511,CDM,73702,CPT,350,RC,inpatient,LT,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT LOW EXT W/WO RIGHT,29100512,CDM,73702,CPT,350,RC,inpatient,RT,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CTA LOW EXT RT W/WO/REPROC,29100513,CDM,73706,CPT,350,RC,inpatient,RT,5225,5225,,4436.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3939.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4441.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4598,88,,percent of total billed charges,,,,,,,,,3991.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4754.75,91,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,,,,,,,,,,,,,4336.75,83,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4284.5,82,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4441.25,85,,percent of total billed charges,,3939.65,4963.75, CTA LOW EXT LT W/WO/REPROC,29100514,CDM,73706,CPT,350,RC,inpatient,LT,5225,5225,,4436.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3939.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4441.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4598,88,,percent of total billed charges,,,,,,,,,3991.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4754.75,91,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,4336.75,83,,percent of total billed charges,,,,,,,,,,,,,,,4336.75,83,,percent of total billed charges,,,4963.75,95,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4284.5,82,,percent of total billed charges,,,4702.5,90,,percent of total billed charges,,,4441.25,85,,percent of total billed charges,,3939.65,4963.75, CTA LOW EXTBILATW/WO/REPRC,29100515,CDM,73706,CPT,350,RC,inpatient,50,10449,10449,,8871.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7878.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8881.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9195.12,88,,percent of total billed charges,,,,,,,,,7983.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9508.59,91,,percent of total billed charges,,,9926.55,95,,percent of total billed charges,,,8672.67,83,,percent of total billed charges,,,8672.67,83,,percent of total billed charges,,,,,,,,,,,,,,,8672.67,83,,percent of total billed charges,,,9926.55,95,,percent of total billed charges,,,9404.1,90,,percent of total billed charges,,,9404.1,90,,percent of total billed charges,,,8568.18,82,,percent of total billed charges,,,9404.1,90,,percent of total billed charges,,,8881.65,85,,percent of total billed charges,,7878.55,9926.55, CTA ABD (W OR W/O),29100516,CDM,74175,CPT,350,RC,inpatient,TC,6339,6339,,5381.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4779.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5388.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5578.32,88,,percent of total billed charges,,,,,,,,,4843,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5768.49,91,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,,,,,,,,,,,,,5261.37,83,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5197.98,82,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5388.15,85,,percent of total billed charges,,4779.61,6022.05, CTA CHEST W/WO/REPROC,29100517,CDM,71275,CPT,350,RC,inpatient,TC,6339,6339,,5381.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4779.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5388.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5578.32,88,,percent of total billed charges,,,,,,,,,4843,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5768.49,91,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,,,,,,,,,,,,,5261.37,83,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5197.98,82,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5388.15,85,,percent of total billed charges,,4779.61,6022.05, CTA RUNOFAORTA/LEGSW/WOREP,29100518,CDM,75635,CPT,350,RC,inpatient,TC,6339,6339,,5381.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4779.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5388.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5578.32,88,,percent of total billed charges,,,,,,,,,4843,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5768.49,91,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,5261.37,83,,percent of total billed charges,,,,,,,,,,,,,,,5261.37,83,,percent of total billed charges,,,6022.05,95,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5197.98,82,,percent of total billed charges,,,5705.1,90,,percent of total billed charges,,,5388.15,85,,percent of total billed charges,,4779.61,6022.05, CTA PELV W/WO/REPROC,29100519,CDM,72191,CPT,350,RC,inpatient,TC,6354,6354,,5394.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4790.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5400.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5591.52,88,,percent of total billed charges,,,,,,,,,4854.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5782.14,91,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,,,,,,,,,,,,,5273.82,83,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5210.28,82,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5400.9,85,,percent of total billed charges,,4790.92,6036.3, CTA UP EXT BIL W/WO/REPROC,29100520,CDM,73206,CPT,350,RC,inpatient,TC,6354,6354,,5394.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4790.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5400.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5591.52,88,,percent of total billed charges,,,,,,,,,4854.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5782.14,91,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,5273.82,83,,percent of total billed charges,,,,,,,,,,,,,,,5273.82,83,,percent of total billed charges,,,6036.3,95,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5210.28,82,,percent of total billed charges,,,5718.6,90,,percent of total billed charges,,,5400.9,85,,percent of total billed charges,,4790.92,6036.3, *DNU CTA NECK/CAROTID W/WO/REPROC PFA),29100522,CDM,70498,CPT,351,RC,inpatient,TC,3736,3736,,3171.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2816.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3175.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3287.68,88,,percent of total billed charges,,,,,,,,,2854.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3399.76,91,,percent of total billed charges,,,3549.2,95,,percent of total billed charges,,,3100.88,83,,percent of total billed charges,,,3100.88,83,,percent of total billed charges,,,,,,,,,,,,,,,3100.88,83,,percent of total billed charges,,,3549.2,95,,percent of total billed charges,,,3362.4,90,,percent of total billed charges,,,3362.4,90,,percent of total billed charges,,,3063.52,82,,percent of total billed charges,,,3362.4,90,,percent of total billed charges,,,3175.6,85,,percent of total billed charges,,2816.94,3549.2, CTA ABD&PELV W/O&W/DYE,29100523,CDM,74174,CPT,350,RC,inpatient,TC,7012,7012,,5953.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5287.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5960.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6170.56,88,,percent of total billed charges,,,,,,,,,5357.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6380.92,91,,percent of total billed charges,,,6661.4,95,,percent of total billed charges,,,5819.96,83,,percent of total billed charges,,,5819.96,83,,percent of total billed charges,,,,,,,,,,,,,,,5819.96,83,,percent of total billed charges,,,6661.4,95,,percent of total billed charges,,,6310.8,90,,percent of total billed charges,,,6310.8,90,,percent of total billed charges,,,5749.84,82,,percent of total billed charges,,,6310.8,90,,percent of total billed charges,,,5960.2,85,,percent of total billed charges,,5287.05,6661.4, CTA NECK/CAROTIDW/WO/REPRC,29100600,CDM,70498,CPT,351,RC,inpatient,TC,5789,5789,,4914.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4364.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4920.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5094.32,88,,percent of total billed charges,,,,,,,,,4422.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5267.99,91,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,,,,,,,,,,,,,4804.87,83,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4746.98,82,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4920.65,85,,percent of total billed charges,,4364.91,5499.55, CTA HEAD(COW)W/WO/REPROC,29100601,CDM,70496,CPT,351,RC,inpatient,TC,5789,5789,,4914.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4364.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4920.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5094.32,88,,percent of total billed charges,,,,,,,,,4422.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5267.99,91,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,,,,,,,,,,,,,4804.87,83,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4746.98,82,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4920.65,85,,percent of total billed charges,,4364.91,5499.55, CTA HEAD/NECK/CAROTID W W/O REPROCESSING,29100602,CDM,70498,CPT,351,RC,inpatient,TC,5789,5789,,4914.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4364.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4920.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5094.32,88,,percent of total billed charges,,,,,,,,,4422.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5267.99,91,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,4804.87,83,,percent of total billed charges,,,,,,,,,,,,,,,4804.87,83,,percent of total billed charges,,,5499.55,95,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4746.98,82,,percent of total billed charges,,,5210.1,90,,percent of total billed charges,,,4920.65,85,,percent of total billed charges,,4364.91,5499.55, CT UP EXT LT W/WO,29100644,CDM,73202,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT UP EXT RT W/WO,29100645,CDM,73202,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT HEAD W/WO,29100909,CDM,70470,CPT,351,RC,inpatient,TC,4437,4437,,3767.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3345.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3771.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3904.56,88,,percent of total billed charges,,,,,,,,,3389.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4037.67,91,,percent of total billed charges,,,4215.15,95,,percent of total billed charges,,,3682.71,83,,percent of total billed charges,,,3682.71,83,,percent of total billed charges,,,,,,,,,,,,,,,3682.71,83,,percent of total billed charges,,,4215.15,95,,percent of total billed charges,,,3993.3,90,,percent of total billed charges,,,3993.3,90,,percent of total billed charges,,,3638.34,82,,percent of total billed charges,,,3993.3,90,,percent of total billed charges,,,3771.45,85,,percent of total billed charges,,3345.5,4215.15, CT C SPINE W/O,29100990,CDM,72125,CPT,352,RC,inpatient,TC,3830,3830,,3251.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2887.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3255.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3370.4,88,,percent of total billed charges,,,,,,,,,2926.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3485.3,91,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,,,,,,,,,,,,,3178.9,83,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3140.6,82,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3255.5,85,,percent of total billed charges,,2887.82,3638.5, CT FACIAL BONES W/O,29101121,CDM,70486,CPT,351,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2, CT FACIAL BONES W/,29101122,CDM,70487,CPT,350,RC,inpatient,TC,3751,3751,,3184.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2828.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3188.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3300.88,88,,percent of total billed charges,,,,,,,,,2865.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3413.41,91,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,,,,,,,,,,,,,3113.33,83,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3075.82,82,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3188.35,85,,percent of total billed charges,,2828.25,3563.45, CT FACIAL BONES W/WO,29101123,CDM,70488,CPT,350,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT T SPINE W/O,29101220,CDM,72128,CPT,352,RC,inpatient,TC,3655,3655,,3103.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2755.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3106.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3216.4,88,,percent of total billed charges,,,,,,,,,2792.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3326.05,91,,percent of total billed charges,,,3472.25,95,,percent of total billed charges,,,3033.65,83,,percent of total billed charges,,,3033.65,83,,percent of total billed charges,,,,,,,,,,,,,,,3033.65,83,,percent of total billed charges,,,3472.25,95,,percent of total billed charges,,,3289.5,90,,percent of total billed charges,,,3289.5,90,,percent of total billed charges,,,2997.1,82,,percent of total billed charges,,,3289.5,90,,percent of total billed charges,,,3106.75,85,,percent of total billed charges,,2755.87,3472.25, CT LTD OR FOLLOW-UP,29101386,CDM,76380,CPT,350,RC,inpatient,TC,2427,2427,,2060.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1829.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2062.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2135.76,88,,percent of total billed charges,,,,,,,,,1854.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2208.57,91,,percent of total billed charges,,,2305.65,95,,percent of total billed charges,,,2014.41,83,,percent of total billed charges,,,2014.41,83,,percent of total billed charges,,,,,,,,,,,,,,,2014.41,83,,percent of total billed charges,,,2305.65,95,,percent of total billed charges,,,2184.3,90,,percent of total billed charges,,,2184.3,90,,percent of total billed charges,,,1990.14,82,,percent of total billed charges,,,2184.3,90,,percent of total billed charges,,,2062.95,85,,percent of total billed charges,,1829.96,2305.65, CT 3D RENDERING,29101395,CDM,76376,CPT,350,RC,inpatient,TC,1339,1339,,1136.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1009.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1138.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1178.32,88,,percent of total billed charges,,,,,,,,,1023,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1218.49,91,,percent of total billed charges,,,1272.05,95,,percent of total billed charges,,,1111.37,83,,percent of total billed charges,,,1111.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1111.37,83,,percent of total billed charges,,,1272.05,95,,percent of total billed charges,,,1205.1,90,,percent of total billed charges,,,1205.1,90,,percent of total billed charges,,,1097.98,82,,percent of total billed charges,,,1205.1,90,,percent of total billed charges,,,1138.15,85,,percent of total billed charges,,1009.61,1272.05, CT IAC W/WO,29101428,CDM,70482,CPT,351,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT IAC W/,29101436,CDM,70481,CPT,351,RC,inpatient,,3857,3857,,3274.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2908.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3278.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3394.16,88,,percent of total billed charges,,,,,,,,,2946.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3509.87,91,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3201.31,83,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3162.74,82,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3278.45,85,,percent of total billed charges,,2908.18,3664.15, CT TEMPORAL BONES W/,29101437,CDM,70481,CPT,351,RC,inpatient,,3751,3751,,3184.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2828.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3188.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3300.88,88,,percent of total billed charges,,,,,,,,,2865.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3413.41,91,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,3113.33,83,,percent of total billed charges,,,,,,,,,,,,,,,3113.33,83,,percent of total billed charges,,,3563.45,95,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3075.82,82,,percent of total billed charges,,,3375.9,90,,percent of total billed charges,,,3188.35,85,,percent of total billed charges,,2828.25,3563.45, CT TEMPORAL BONES W/WO,29101438,CDM,70482,CPT,351,RC,inpatient,,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05, CT TEMPORAL BONES W/O,29101439,CDM,70480,CPT,351,RC,inpatient,TC,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6, CT INJ TRANSFORAMINAL EPIDURAL C/T SINGL,29101950,CDM,64479,CPT,360,RC,inpatient,TC,3928,3928,,3334.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2961.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3338.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3456.64,88,,percent of total billed charges,,,,,,,,,3000.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3574.48,91,,percent of total billed charges,,,3731.6,95,,percent of total billed charges,,,3260.24,83,,percent of total billed charges,,,3260.24,83,,percent of total billed charges,,,,,,,,,,,,,,,3260.24,83,,percent of total billed charges,,,3731.6,95,,percent of total billed charges,,,3535.2,90,,percent of total billed charges,,,3535.2,90,,percent of total billed charges,,,3220.96,82,,percent of total billed charges,,,3535.2,90,,percent of total billed charges,,,3338.8,85,,percent of total billed charges,,2961.71,3731.6, CT INJ TRANSFORAMINAL EPIDURAL C/T EACH,29101951,CDM,64480,CPT,360,RC,inpatient,TC,2387,2387,,2026.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1799.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2028.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2100.56,88,,percent of total billed charges,,,,,,,,,1823.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2172.17,91,,percent of total billed charges,,,2267.65,95,,percent of total billed charges,,,1981.21,83,,percent of total billed charges,,,1981.21,83,,percent of total billed charges,,,,,,,,,,,,,,,1981.21,83,,percent of total billed charges,,,2267.65,95,,percent of total billed charges,,,2148.3,90,,percent of total billed charges,,,2148.3,90,,percent of total billed charges,,,1957.34,82,,percent of total billed charges,,,2148.3,90,,percent of total billed charges,,,2028.95,85,,percent of total billed charges,,1799.8,2267.65, CT ASPIRATION & INJECTION KIDNEY CYST,29101980,CDM,50390,CPT,360,RC,inpatient,TC,3212,3212,,2726.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2421.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2730.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2826.56,88,,percent of total billed charges,,,,,,,,,2453.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2922.92,91,,percent of total billed charges,,,3051.4,95,,percent of total billed charges,,,2665.96,83,,percent of total billed charges,,,2665.96,83,,percent of total billed charges,,,,,,,,,,,,,,,2665.96,83,,percent of total billed charges,,,3051.4,95,,percent of total billed charges,,,2890.8,90,,percent of total billed charges,,,2890.8,90,,percent of total billed charges,,,2633.84,82,,percent of total billed charges,,,2890.8,90,,percent of total billed charges,,,2730.2,85,,percent of total billed charges,,2421.85,3051.4, CT GUIDED ASPIRATION/INJ BONE CYST,29101981,CDM,20615,CPT,360,RC,inpatient,TC,4261,4261,,3617.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3212.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3621.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3749.68,88,,percent of total billed charges,,,,,,,,,3255.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3877.51,91,,percent of total billed charges,,,4047.95,95,,percent of total billed charges,,,3536.63,83,,percent of total billed charges,,,3536.63,83,,percent of total billed charges,,,,,,,,,,,,,,,3536.63,83,,percent of total billed charges,,,4047.95,95,,percent of total billed charges,,,3834.9,90,,percent of total billed charges,,,3834.9,90,,percent of total billed charges,,,3494.02,82,,percent of total billed charges,,,3834.9,90,,percent of total billed charges,,,3621.85,85,,percent of total billed charges,,3212.79,4047.95, CT FACET INJ C/T,29101982,CDM,64490,CPT,360,RC,inpatient,TC,3545,3545,,3009.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2672.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3013.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3119.6,88,,percent of total billed charges,,,,,,,,,2708.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3225.95,91,,percent of total billed charges,,,3367.75,95,,percent of total billed charges,,,2942.35,83,,percent of total billed charges,,,2942.35,83,,percent of total billed charges,,,,,,,,,,,,,,,2942.35,83,,percent of total billed charges,,,3367.75,95,,percent of total billed charges,,,3190.5,90,,percent of total billed charges,,,3190.5,90,,percent of total billed charges,,,2906.9,82,,percent of total billed charges,,,3190.5,90,,percent of total billed charges,,,3013.25,85,,percent of total billed charges,,2672.93,3367.75, CT PUDENDAL NERVE BLOCK,29101983,CDM,64430,CPT,360,RC,inpatient,TC,4178,4178,,3547.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3150.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3551.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3676.64,88,,percent of total billed charges,,,,,,,,,3191.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3801.98,91,,percent of total billed charges,,,3969.1,95,,percent of total billed charges,,,3467.74,83,,percent of total billed charges,,,3467.74,83,,percent of total billed charges,,,,,,,,,,,,,,,3467.74,83,,percent of total billed charges,,,3969.1,95,,percent of total billed charges,,,3760.2,90,,percent of total billed charges,,,3760.2,90,,percent of total billed charges,,,3425.96,82,,percent of total billed charges,,,3760.2,90,,percent of total billed charges,,,3551.3,85,,percent of total billed charges,,3150.21,3969.1, CT OCCIPITAL NERVE INJECTION,29101984,CDM,64405,CPT,360,RC,inpatient,TC,2116,2116,,1796.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1595.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1798.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1862.08,88,,percent of total billed charges,,,,,,,,,1616.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1925.56,91,,percent of total billed charges,,,2010.2,95,,percent of total billed charges,,,1756.28,83,,percent of total billed charges,,,1756.28,83,,percent of total billed charges,,,,,,,,,,,,,,,1756.28,83,,percent of total billed charges,,,2010.2,95,,percent of total billed charges,,,1904.4,90,,percent of total billed charges,,,1904.4,90,,percent of total billed charges,,,1735.12,82,,percent of total billed charges,,,1904.4,90,,percent of total billed charges,,,1798.6,85,,percent of total billed charges,,1595.46,2010.2, CT PARACERVICAL NERVE BLOCK,29101985,CDM,64435,CPT,360,RC,inpatient,TC,4249,4249,,3607.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3203.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3611.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3739.12,88,,percent of total billed charges,,,,,,,,,3246.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3866.59,91,,percent of total billed charges,,,4036.55,95,,percent of total billed charges,,,3526.67,83,,percent of total billed charges,,,3526.67,83,,percent of total billed charges,,,,,,,,,,,,,,,3526.67,83,,percent of total billed charges,,,4036.55,95,,percent of total billed charges,,,3824.1,90,,percent of total billed charges,,,3824.1,90,,percent of total billed charges,,,3484.18,82,,percent of total billed charges,,,3824.1,90,,percent of total billed charges,,,3611.65,85,,percent of total billed charges,,3203.75,4036.55, CT CRYO ABLATION RENAL TUMOR,29101990,CDM,50593,CPT,359,RC,inpatient,TC,17488,17488,,14847.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13185.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14864.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15389.44,88,,percent of total billed charges,,,,,,,,,13360.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15914.08,91,,percent of total billed charges,,,16613.6,95,,percent of total billed charges,,,14515.04,83,,percent of total billed charges,,,14515.04,83,,percent of total billed charges,,,,,,,,,,,,,,,14515.04,83,,percent of total billed charges,,,16613.6,95,,percent of total billed charges,,,15739.2,90,,percent of total billed charges,,,15739.2,90,,percent of total billed charges,,,14340.16,82,,percent of total billed charges,,,15739.2,90,,percent of total billed charges,,,14864.8,85,,percent of total billed charges,,13185.95,16613.6, CT CHANGE OF PERC DRAIN CATH,29101993,CDM,75984,CPT,359,RC,inpatient,TC,4405,4405,,3739.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3321.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3744.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3876.4,88,,percent of total billed charges,,,,,,,,,3365.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4008.55,91,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,,,,,,,,,,,,,3656.15,83,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3612.1,82,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3744.25,85,,percent of total billed charges,,3321.37,4184.75, CT ESI C/T SPINE,29101994,CDM,62321,CPT,360,RC,inpatient,TC,4678,4678,,3971.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3527.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3976.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4116.64,88,,percent of total billed charges,,,,,,,,,3573.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4256.98,91,,percent of total billed charges,,,4444.1,95,,percent of total billed charges,,,3882.74,83,,percent of total billed charges,,,3882.74,83,,percent of total billed charges,,,,,,,,,,,,,,,3882.74,83,,percent of total billed charges,,,4444.1,95,,percent of total billed charges,,,4210.2,90,,percent of total billed charges,,,4210.2,90,,percent of total billed charges,,,3835.96,82,,percent of total billed charges,,,4210.2,90,,percent of total billed charges,,,3976.3,85,,percent of total billed charges,,3527.21,4444.1, CT NEEDLE PLACEMENT CT GUIDANCE,29101995,CDM,77012,CPT,359,RC,inpatient,TC,4527,4527,,3843.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3413.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3847.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3983.76,88,,percent of total billed charges,,,,,,,,,3458.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4119.57,91,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,,,,,,,,,,,,,3757.41,83,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3712.14,82,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3847.95,85,,percent of total billed charges,,3413.36,4300.65, CT GUIDE PERC DRAIN W/CATH,29101996,CDM,75989,CPT,359,RC,inpatient,TC,4405,4405,,3739.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3321.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3744.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3876.4,88,,percent of total billed charges,,,,,,,,,3365.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4008.55,91,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,,,,,,,,,,,,,3656.15,83,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3612.1,82,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3744.25,85,,percent of total billed charges,,3321.37,4184.75, * DNU CT GUIDE NEEDLE BX(V0107),29101998,CDM,76360,CPT,359,RC,inpatient,,4405,4405,,3739.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3321.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3744.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3876.4,88,,percent of total billed charges,,,,,,,,,3365.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4008.55,91,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,3656.15,83,,percent of total billed charges,,,,,,,,,,,,,,,3656.15,83,,percent of total billed charges,,,4184.75,95,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3612.1,82,,percent of total billed charges,,,3964.5,90,,percent of total billed charges,,,3744.25,85,,percent of total billed charges,,3321.37,4184.75, CT DRAINAGE OF OVARIAN CYST,29102000,CDM,49407,CPT,360,RC,inpatient,TC,6924,6924,,5878.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5220.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5885.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6093.12,88,,percent of total billed charges,,,,,,,,,5289.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6300.84,91,,percent of total billed charges,,,6577.8,95,,percent of total billed charges,,,5746.92,83,,percent of total billed charges,,,5746.92,83,,percent of total billed charges,,,,,,,,,,,,,,,5746.92,83,,percent of total billed charges,,,6577.8,95,,percent of total billed charges,,,6231.6,90,,percent of total billed charges,,,6231.6,90,,percent of total billed charges,,,5677.68,82,,percent of total billed charges,,,6231.6,90,,percent of total billed charges,,,5885.4,85,,percent of total billed charges,,5220.7,6577.8, CT HEAD W/O,29102004,CDM,70450,CPT,351,RC,inpatient,TC,3784,3784,,3212.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2853.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3216.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3329.92,88,,percent of total billed charges,,,,,,,,,2890.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3443.44,91,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,,,,,,,,,,,,,3140.72,83,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3102.88,82,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3216.4,85,,percent of total billed charges,,2853.14,3594.8, CT HEAD W/,29102020,CDM,70460,CPT,351,RC,inpatient,TC,3908,3908,,3317.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2946.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3321.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3439.04,88,,percent of total billed charges,,,,,,,,,2985.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3556.28,91,,percent of total billed charges,,,3712.6,95,,percent of total billed charges,,,3243.64,83,,percent of total billed charges,,,3243.64,83,,percent of total billed charges,,,,,,,,,,,,,,,3243.64,83,,percent of total billed charges,,,3712.6,95,,percent of total billed charges,,,3517.2,90,,percent of total billed charges,,,3517.2,90,,percent of total billed charges,,,3204.56,82,,percent of total billed charges,,,3517.2,90,,percent of total billed charges,,,3321.8,85,,percent of total billed charges,,2946.63,3712.6, CT ORBIT W/O,29102038,CDM,70480,CPT,351,RC,inpatient,TC,3358,3358,,2850.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2531.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2854.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2955.04,88,,percent of total billed charges,,,,,,,,,2565.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3055.78,91,,percent of total billed charges,,,3190.1,95,,percent of total billed charges,,,2787.14,83,,percent of total billed charges,,,2787.14,83,,percent of total billed charges,,,,,,,,,,,,,,,2787.14,83,,percent of total billed charges,,,3190.1,95,,percent of total billed charges,,,3022.2,90,,percent of total billed charges,,,3022.2,90,,percent of total billed charges,,,2753.56,82,,percent of total billed charges,,,3022.2,90,,percent of total billed charges,,,2854.3,85,,percent of total billed charges,,2531.93,3190.1, CT ORBIT W/WO,29102046,CDM,70482,CPT,351,RC,inpatient,,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT ORBIT W/,29102053,CDM,70481,CPT,351,RC,inpatient,,3857,3857,,3274.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2908.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3278.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3394.16,88,,percent of total billed charges,,,,,,,,,2946.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3509.87,91,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,3201.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3201.31,83,,percent of total billed charges,,,3664.15,95,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3162.74,82,,percent of total billed charges,,,3471.3,90,,percent of total billed charges,,,3278.45,85,,percent of total billed charges,,2908.18,3664.15, CT NECK W/O (SOFT TISSUE),29102061,CDM,70490,CPT,351,RC,inpatient,TC,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6, CT NECK W/WO(SOFTTISSUE),29102079,CDM,70492,CPT,351,RC,inpatient,TC,4527,4527,,3843.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3413.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3847.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3983.76,88,,percent of total billed charges,,,,,,,,,3458.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4119.57,91,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,3757.41,83,,percent of total billed charges,,,,,,,,,,,,,,,3757.41,83,,percent of total billed charges,,,4300.65,95,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3712.14,82,,percent of total billed charges,,,4074.3,90,,percent of total billed charges,,,3847.95,85,,percent of total billed charges,,3413.36,4300.65, CT NECK W/(SOFT TISSUE),29102087,CDM,70491,CPT,351,RC,inpatient,TC,3920,3920,,3328.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2955.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3332,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3449.6,88,,percent of total billed charges,,,,,,,,,2994.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3567.2,91,,percent of total billed charges,,,3724,95,,percent of total billed charges,,,3253.6,83,,percent of total billed charges,,,3253.6,83,,percent of total billed charges,,,,,,,,,,,,,,,3253.6,83,,percent of total billed charges,,,3724,95,,percent of total billed charges,,,3528,90,,percent of total billed charges,,,3528,90,,percent of total billed charges,,,3214.4,82,,percent of total billed charges,,,3528,90,,percent of total billed charges,,,3332,85,,percent of total billed charges,,2955.68,3724, CT THORAX W/O DYE,29102095,CDM,71250,CPT,352,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2, CT LOW DOSE LUNG SCREENING,29102096,CDM,71271,CPT,352,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2, CT THORAX W/O & W/DYE,29102103,CDM,71270,CPT,352,RC,inpatient,TC,4849,4849,,4116.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3656.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4121.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4267.12,88,,percent of total billed charges,,,,,,,,,3704.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4412.59,91,,percent of total billed charges,,,4606.55,95,,percent of total billed charges,,,4024.67,83,,percent of total billed charges,,,4024.67,83,,percent of total billed charges,,,,,,,,,,,,,,,4024.67,83,,percent of total billed charges,,,4606.55,95,,percent of total billed charges,,,4364.1,90,,percent of total billed charges,,,4364.1,90,,percent of total billed charges,,,3976.18,82,,percent of total billed charges,,,4364.1,90,,percent of total billed charges,,,4121.65,85,,percent of total billed charges,,3656.15,4606.55, CT THORAX W/DYE,29102111,CDM,71260,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05, CT PELVIS W/O,29102129,CDM,72192,CPT,352,RC,inpatient,TC,3784,3784,,3212.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2853.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3216.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3329.92,88,,percent of total billed charges,,,,,,,,,2890.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3443.44,91,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,,,,,,,,,,,,,3140.72,83,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3102.88,82,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3216.4,85,,percent of total billed charges,,2853.14,3594.8, CT PELVIS W/WO,29102137,CDM,72194,CPT,352,RC,inpatient,TC,5573,5573,,4731.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4202.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4737.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4904.24,88,,percent of total billed charges,,,,,,,,,4257.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5071.43,91,,percent of total billed charges,,,5294.35,95,,percent of total billed charges,,,4625.59,83,,percent of total billed charges,,,4625.59,83,,percent of total billed charges,,,,,,,,,,,,,,,4625.59,83,,percent of total billed charges,,,5294.35,95,,percent of total billed charges,,,5015.7,90,,percent of total billed charges,,,5015.7,90,,percent of total billed charges,,,4569.86,82,,percent of total billed charges,,,5015.7,90,,percent of total billed charges,,,4737.05,85,,percent of total billed charges,,4202.04,5294.35, CT PELVIS W/,29102145,CDM,72193,CPT,352,RC,inpatient,TC,4379,4379,,3717.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3301.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3722.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3853.52,88,,percent of total billed charges,,,,,,,,,3345.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3984.89,91,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,3634.57,83,,percent of total billed charges,,,,,,,,,,,,,,,3634.57,83,,percent of total billed charges,,,4160.05,95,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3590.78,82,,percent of total billed charges,,,3941.1,90,,percent of total billed charges,,,3722.15,85,,percent of total billed charges,,3301.77,4160.05, CT ABDOMEN W/O,29102152,CDM,74150,CPT,352,RC,inpatient,TC,3784,3784,,3212.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2853.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3216.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3329.92,88,,percent of total billed charges,,,,,,,,,2890.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3443.44,91,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,3140.72,83,,percent of total billed charges,,,,,,,,,,,,,,,3140.72,83,,percent of total billed charges,,,3594.8,95,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3102.88,82,,percent of total billed charges,,,3405.6,90,,percent of total billed charges,,,3216.4,85,,percent of total billed charges,,2853.14,3594.8, CT ABDOMEN W/WO,29102160,CDM,74170,CPT,352,RC,inpatient,TC,5093,5093,,4323.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3840.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4329.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4481.84,88,,percent of total billed charges,,,,,,,,,3891.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4634.63,91,,percent of total billed charges,,,4838.35,95,,percent of total billed charges,,,4227.19,83,,percent of total billed charges,,,4227.19,83,,percent of total billed charges,,,,,,,,,,,,,,,4227.19,83,,percent of total billed charges,,,4838.35,95,,percent of total billed charges,,,4583.7,90,,percent of total billed charges,,,4583.7,90,,percent of total billed charges,,,4176.26,82,,percent of total billed charges,,,4583.7,90,,percent of total billed charges,,,4329.05,85,,percent of total billed charges,,3840.12,4838.35, CT ABDOMEN W/,29102178,CDM,74160,CPT,352,RC,inpatient,TC,4404,4404,,3739,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3320.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3743.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3875.52,88,,percent of total billed charges,,,,,,,,,3364.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4007.64,91,,percent of total billed charges,,,4183.8,95,,percent of total billed charges,,,3655.32,83,,percent of total billed charges,,,3655.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3655.32,83,,percent of total billed charges,,,4183.8,95,,percent of total billed charges,,,3963.6,90,,percent of total billed charges,,,3963.6,90,,percent of total billed charges,,,3611.28,82,,percent of total billed charges,,,3963.6,90,,percent of total billed charges,,,3743.4,85,,percent of total billed charges,,3320.62,4183.8, CT L SPINE W/O,29102186,CDM,72131,CPT,352,RC,inpatient,TC,3830,3830,,3251.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2887.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3255.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3370.4,88,,percent of total billed charges,,,,,,,,,2926.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3485.3,91,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,3178.9,83,,percent of total billed charges,,,,,,,,,,,,,,,3178.9,83,,percent of total billed charges,,,3638.5,95,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3140.6,82,,percent of total billed charges,,,3447,90,,percent of total billed charges,,,3255.5,85,,percent of total billed charges,,2887.82,3638.5, CT L SPINE W/WO,29102194,CDM,72133,CPT,352,RC,inpatient,,4967,4967,,4216.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3745.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4221.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4370.96,88,,percent of total billed charges,,,,,,,,,3794.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4519.97,91,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,,,,,,,,,,,,,4122.61,83,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4072.94,82,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4221.95,85,,percent of total billed charges,,3745.12,4718.65, CT L SPINE W,29102202,CDM,72132,CPT,352,RC,inpatient,,4470,4470,,3795.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3370.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3799.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3933.6,88,,percent of total billed charges,,,,,,,,,3415.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4067.7,91,,percent of total billed charges,,,4246.5,95,,percent of total billed charges,,,3710.1,83,,percent of total billed charges,,,3710.1,83,,percent of total billed charges,,,,,,,,,,,,,,,3710.1,83,,percent of total billed charges,,,4246.5,95,,percent of total billed charges,,,4023,90,,percent of total billed charges,,,4023,90,,percent of total billed charges,,,3665.4,82,,percent of total billed charges,,,4023,90,,percent of total billed charges,,,3799.5,85,,percent of total billed charges,,3370.38,4246.5, CT IAC W/O,29102228,CDM,70480,CPT,351,RC,inpatient,TC,3405,3405,,2890.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2567.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2894.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2996.4,88,,percent of total billed charges,,,,,,,,,2601.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3098.55,91,,percent of total billed charges,,,3234.75,95,,percent of total billed charges,,,2826.15,83,,percent of total billed charges,,,2826.15,83,,percent of total billed charges,,,,,,,,,,,,,,,2826.15,83,,percent of total billed charges,,,3234.75,95,,percent of total billed charges,,,3064.5,90,,percent of total billed charges,,,3064.5,90,,percent of total billed charges,,,2792.1,82,,percent of total billed charges,,,3064.5,90,,percent of total billed charges,,,2894.25,85,,percent of total billed charges,,2567.37,3234.75, CT C SPINE W/WO,29102251,CDM,72127,CPT,352,RC,inpatient,,4967,4967,,4216.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3745.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4221.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4370.96,88,,percent of total billed charges,,,,,,,,,3794.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4519.97,91,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,,,,,,,,,,,,,4122.61,83,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4072.94,82,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4221.95,85,,percent of total billed charges,,3745.12,4718.65, CT UP EXT LT W,29102269,CDM,73201,CPT,350,RC,inpatient,,4016,4016,,3409.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3028.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3413.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3534.08,88,,percent of total billed charges,,,,,,,,,3068.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3654.56,91,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3333.28,83,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3293.12,82,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3413.6,85,,percent of total billed charges,,3028.06,3815.2, CT UP EXT RT W,29102270,CDM,73201,CPT,350,RC,inpatient,TC,4016,4016,,3409.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3028.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3413.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3534.08,88,,percent of total billed charges,,,,,,,,,3068.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3654.56,91,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,3333.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3333.28,83,,percent of total billed charges,,,3815.2,95,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3293.12,82,,percent of total billed charges,,,3614.4,90,,percent of total billed charges,,,3413.6,85,,percent of total billed charges,,3028.06,3815.2, CT T SPINE W/WO,29102277,CDM,72130,CPT,352,RC,inpatient,,4967,4967,,4216.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3745.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4221.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4370.96,88,,percent of total billed charges,,,,,,,,,3794.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4519.97,91,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,4122.61,83,,percent of total billed charges,,,,,,,,,,,,,,,4122.61,83,,percent of total billed charges,,,4718.65,95,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4072.94,82,,percent of total billed charges,,,4470.3,90,,percent of total billed charges,,,4221.95,85,,percent of total billed charges,,3745.12,4718.65, CT UP EXT LEFT W/O,29102285,CDM,73200,CPT,350,RC,inpatient,LT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6, CT UP EXT RIGHT W/O,29102286,CDM,73200,CPT,350,RC,inpatient,RT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6, CT T SPINE W,29102293,CDM,72129,CPT,352,RC,inpatient,TC,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT SINUSES W/O,29102301,CDM,70486,CPT,351,RC,inpatient,TC,3616,3616,,3069.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2726.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3073.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3182.08,88,,percent of total billed charges,,,,,,,,,2762.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3290.56,91,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,3001.28,83,,percent of total billed charges,,,,,,,,,,,,,,,3001.28,83,,percent of total billed charges,,,3435.2,95,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,2965.12,82,,percent of total billed charges,,,3254.4,90,,percent of total billed charges,,,3073.6,85,,percent of total billed charges,,2726.46,3435.2, CT SINUSES W/,29102302,CDM,70487,CPT,350,RC,inpatient,,3842,3842,,3261.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2896.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3265.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3380.96,88,,percent of total billed charges,,,,,,,,,2935.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3496.22,91,,percent of total billed charges,,,3649.9,95,,percent of total billed charges,,,3188.86,83,,percent of total billed charges,,,3188.86,83,,percent of total billed charges,,,,,,,,,,,,,,,3188.86,83,,percent of total billed charges,,,3649.9,95,,percent of total billed charges,,,3457.8,90,,percent of total billed charges,,,3457.8,90,,percent of total billed charges,,,3150.44,82,,percent of total billed charges,,,3457.8,90,,percent of total billed charges,,,3265.7,85,,percent of total billed charges,,2896.87,3649.9, CT SINUSES W/WO,29102303,CDM,70488,CPT,350,RC,inpatient,TC,4391,4391,,3727.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3310.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3732.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3864.08,88,,percent of total billed charges,,,,,,,,,3354.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3995.81,91,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,3644.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3644.53,83,,percent of total billed charges,,,4171.45,95,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3600.62,82,,percent of total billed charges,,,3951.9,90,,percent of total billed charges,,,3732.35,85,,percent of total billed charges,,3310.81,4171.45, CT PARACENTESIS W/IMAGING,29102349,CDM,49083,CPT,360,RC,inpatient,TC,2973,2973,,2524.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2241.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2527.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2616.24,88,,percent of total billed charges,,,,,,,,,2271.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2705.43,91,,percent of total billed charges,,,2824.35,95,,percent of total billed charges,,,2467.59,83,,percent of total billed charges,,,2467.59,83,,percent of total billed charges,,,,,,,,,,,,,,,2467.59,83,,percent of total billed charges,,,2824.35,95,,percent of total billed charges,,,2675.7,90,,percent of total billed charges,,,2675.7,90,,percent of total billed charges,,,2437.86,82,,percent of total billed charges,,,2675.7,90,,percent of total billed charges,,,2527.05,85,,percent of total billed charges,,2241.64,2824.35, CT PANCREAS BX,29102350,CDM,48102,CPT,360,RC,inpatient,TC,3989,3989,,3386.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3007.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3390.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3510.32,88,,percent of total billed charges,,,,,,,,,3047.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3629.99,91,,percent of total billed charges,,,3789.55,95,,percent of total billed charges,,,3310.87,83,,percent of total billed charges,,,3310.87,83,,percent of total billed charges,,,,,,,,,,,,,,,3310.87,83,,percent of total billed charges,,,3789.55,95,,percent of total billed charges,,,3590.1,90,,percent of total billed charges,,,3590.1,90,,percent of total billed charges,,,3270.98,82,,percent of total billed charges,,,3590.1,90,,percent of total billed charges,,,3390.65,85,,percent of total billed charges,,3007.71,3789.55, CT LOW EXT LEFT W/O,29104166,CDM,73700,CPT,350,RC,inpatient,LT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6, CT LOW EXT RIGHT W/O,29104167,CDM,73700,CPT,350,RC,inpatient,RT,3388,3388,,2876.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2554.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2879.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2981.44,88,,percent of total billed charges,,,,,,,,,2588.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3083.08,91,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,2812.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2812.04,83,,percent of total billed charges,,,3218.6,95,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2778.16,82,,percent of total billed charges,,,3049.2,90,,percent of total billed charges,,,2879.8,85,,percent of total billed charges,,2554.55,3218.6, CT GUIDED THORACENTESIS,29104170,CDM,,,352,RC,inpatient,,2965,2965,,2517.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2235.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2520.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2609.2,88,,percent of total billed charges,,,,,,,,,2265.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2698.15,91,,percent of total billed charges,,,2816.75,95,,percent of total billed charges,,,2460.95,83,,percent of total billed charges,,,2460.95,83,,percent of total billed charges,,,,,,,,,,,,,,,2460.95,83,,percent of total billed charges,,,2816.75,95,,percent of total billed charges,,,2668.5,90,,percent of total billed charges,,,2668.5,90,,percent of total billed charges,,,2431.3,82,,percent of total billed charges,,,2668.5,90,,percent of total billed charges,,,2520.25,85,,percent of total billed charges,,2235.61,2816.75, CT SCLEROTHERAPY FLUID COLLECTION W/IMG,29104171,CDM,49185,CPT,360,RC,inpatient,,3574,3574,,3034.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2694.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3037.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3145.12,88,,percent of total billed charges,,,,,,,,,2730.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3252.34,91,,percent of total billed charges,,,3395.3,95,,percent of total billed charges,,,2966.42,83,,percent of total billed charges,,,2966.42,83,,percent of total billed charges,,,,,,,,,,,,,,,2966.42,83,,percent of total billed charges,,,3395.3,95,,percent of total billed charges,,,3216.6,90,,percent of total billed charges,,,3216.6,90,,percent of total billed charges,,,2930.68,82,,percent of total billed charges,,,3216.6,90,,percent of total billed charges,,,3037.9,85,,percent of total billed charges,,2694.8,3395.3, CT SI JTARTHOSTEROIDINJRT,29104180,CDM,27096,CPT,350,RC,inpatient,RT,1757,1757,,1491.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1324.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1493.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1546.16,88,,percent of total billed charges,,,,,,,,,1342.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1598.87,91,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1458.31,83,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1440.74,82,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1493.45,85,,percent of total billed charges,,1324.78,1669.15, CT SI JTARTHOSTEROIDINJLT,29104181,CDM,27096,CPT,350,RC,inpatient,LT,1757,1757,,1491.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1324.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1493.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1546.16,88,,percent of total billed charges,,,,,,,,,1342.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1598.87,91,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,1458.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1458.31,83,,percent of total billed charges,,,1669.15,95,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1440.74,82,,percent of total billed charges,,,1581.3,90,,percent of total billed charges,,,1493.45,85,,percent of total billed charges,,1324.78,1669.15, CT SI JTARTHOSTEROIDINJBIL,29104182,CDM,27096,CPT,350,RC,inpatient,50,3513,3513,,2982.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2648.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2986.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3091.44,88,,percent of total billed charges,,,,,,,,,2683.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3196.83,91,,percent of total billed charges,,,3337.35,95,,percent of total billed charges,,,2915.79,83,,percent of total billed charges,,,2915.79,83,,percent of total billed charges,,,,,,,,,,,,,,,2915.79,83,,percent of total billed charges,,,3337.35,95,,percent of total billed charges,,,3161.7,90,,percent of total billed charges,,,3161.7,90,,percent of total billed charges,,,2880.66,82,,percent of total billed charges,,,3161.7,90,,percent of total billed charges,,,2986.05,85,,percent of total billed charges,,2648.8,3337.35, CT LOW EXT BILATERAL W/O,29104199,CDM,73700,CPT,350,RC,inpatient,50,6647,6647,,5643.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5011.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5649.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5849.36,88,,percent of total billed charges,,,,,,,,,5078.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6048.77,91,,percent of total billed charges,,,6314.65,95,,percent of total billed charges,,,5517.01,83,,percent of total billed charges,,,5517.01,83,,percent of total billed charges,,,,,,,,,,,,,,,5517.01,83,,percent of total billed charges,,,6314.65,95,,percent of total billed charges,,,5982.3,90,,percent of total billed charges,,,5982.3,90,,percent of total billed charges,,,5450.54,82,,percent of total billed charges,,,5982.3,90,,percent of total billed charges,,,5649.95,85,,percent of total billed charges,,5011.84,6314.65, CT INSERTION OF SUPRAPUBIC CATH,29104200,CDM,51102,CPT,360,RC,inpatient,TC,8003,8003,,6794.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6034.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6802.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7042.64,88,,percent of total billed charges,,,,,,,,,6114.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7282.73,91,,percent of total billed charges,,,7602.85,95,,percent of total billed charges,,,6642.49,83,,percent of total billed charges,,,6642.49,83,,percent of total billed charges,,,,,,,,,,,,,,,6642.49,83,,percent of total billed charges,,,7602.85,95,,percent of total billed charges,,,7202.7,90,,percent of total billed charges,,,7202.7,90,,percent of total billed charges,,,6562.46,82,,percent of total billed charges,,,7202.7,90,,percent of total billed charges,,,6802.55,85,,percent of total billed charges,,6034.26,7602.85, CT CARDIAC SCORING,29523668,CDM,75571,CPT,352,RC,inpatient,TC,101,101,,85.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,76.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,85.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,88.88,88,,percent of total billed charges,,,,,,,,,77.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,91.91,91,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,,,,,,,,,,,,,83.83,83,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,82.82,82,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,85.85,85,,percent of total billed charges,,76.15,95.95, PROCEDURE TRAY,932510,CDM,,,270,RC,inpatient,,118,118,,100.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,88.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,100.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,103.84,88,,percent of total billed charges,,,,,,,,,90.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,107.38,91,,percent of total billed charges,,,112.1,95,,percent of total billed charges,,,97.94,83,,percent of total billed charges,,,97.94,83,,percent of total billed charges,,,,,,,,,,,,,,,97.94,83,,percent of total billed charges,,,112.1,95,,percent of total billed charges,,,106.2,90,,percent of total billed charges,,,106.2,90,,percent of total billed charges,,,96.76,82,,percent of total billed charges,,,106.2,90,,percent of total billed charges,,,100.3,85,,percent of total billed charges,,88.97,112.1, DELIVERY INSTRUMENTS,2332600,CDM,,,270,RC,inpatient,,240,240,,203.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,180.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,204,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,211.2,88,,percent of total billed charges,,,,,,,,,183.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,218.4,91,,percent of total billed charges,,,228,95,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,,,,,,,,,,,,,199.2,83,,percent of total billed charges,,,228,95,,percent of total billed charges,,,216,90,,percent of total billed charges,,,216,90,,percent of total billed charges,,,196.8,82,,percent of total billed charges,,,216,90,,percent of total billed charges,,,204,85,,percent of total billed charges,,180.96,228, PEEP VALVE,2382047,CDM,,,270,RC,inpatient,,51,51,,43.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44.88,88,,percent of total billed charges,,,,,,,,,38.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.41,91,,percent of total billed charges,,,48.45,95,,percent of total billed charges,,,42.33,83,,percent of total billed charges,,,42.33,83,,percent of total billed charges,,,,,,,,,,,,,,,42.33,83,,percent of total billed charges,,,48.45,95,,percent of total billed charges,,,45.9,90,,percent of total billed charges,,,45.9,90,,percent of total billed charges,,,41.82,82,,percent of total billed charges,,,45.9,90,,percent of total billed charges,,,43.35,85,,percent of total billed charges,,38.45,48.45, PUMP BREAST HAND HELD,8300001,CDM,,,270,RC,inpatient,,215,215,,182.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,162.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,182.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,189.2,88,,percent of total billed charges,,,,,,,,,164.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,195.65,91,,percent of total billed charges,,,204.25,95,,percent of total billed charges,,,178.45,83,,percent of total billed charges,,,178.45,83,,percent of total billed charges,,,,,,,,,,,,,,,178.45,83,,percent of total billed charges,,,204.25,95,,percent of total billed charges,,,193.5,90,,percent of total billed charges,,,193.5,90,,percent of total billed charges,,,176.3,82,,percent of total billed charges,,,193.5,90,,percent of total billed charges,,,182.75,85,,percent of total billed charges,,162.11,204.25, CPAP MASK,12801191,CDM,,,270,RC,inpatient,,78,78,,66.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,66.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.64,88,,percent of total billed charges,,,,,,,,,59.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.98,91,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,,,,,,,,,,,,,64.74,83,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,63.96,82,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,66.3,85,,percent of total billed charges,,58.81,74.1, MDI SPACER,12801670,CDM,,,270,RC,inpatient,,120,120,,101.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,90.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,102,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,105.6,88,,percent of total billed charges,,,,,,,,,91.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,109.2,91,,percent of total billed charges,,,114,95,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,,,,,,,,,,,,,99.6,83,,percent of total billed charges,,,114,95,,percent of total billed charges,,,108,90,,percent of total billed charges,,,108,90,,percent of total billed charges,,,98.4,82,,percent of total billed charges,,,108,90,,percent of total billed charges,,,102,85,,percent of total billed charges,,90.48,114, DISPOSABLE OXYHOOD,12802210,CDM,,,270,RC,inpatient,,56,56,,47.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.28,88,,percent of total billed charges,,,,,,,,,42.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.96,91,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,,,,,,,,,,,,,46.48,83,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,45.92,82,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,47.6,85,,percent of total billed charges,,42.22,53.2, POSTOP EYE KIT,18300271,CDM,,,270,RC,inpatient,,55,55,,46.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,41.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,46.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,48.4,88,,percent of total billed charges,,,,,,,,,42.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.05,91,,percent of total billed charges,,,52.25,95,,percent of total billed charges,,,45.65,83,,percent of total billed charges,,,45.65,83,,percent of total billed charges,,,,,,,,,,,,,,,45.65,83,,percent of total billed charges,,,52.25,95,,percent of total billed charges,,,49.5,90,,percent of total billed charges,,,49.5,90,,percent of total billed charges,,,45.1,82,,percent of total billed charges,,,49.5,90,,percent of total billed charges,,,46.75,85,,percent of total billed charges,,41.47,52.25, S&N CONQUEST FX FEM COMP SZ13,18300285,CDM,,,278,RC,inpatient,,9315.28,9315.28,,7908.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7023.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7917.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8197.45,88,,percent of total billed charges,,,,,,,,,7116.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8476.9,91,,percent of total billed charges,,,8849.52,95,,percent of total billed charges,,,7731.68,83,,percent of total billed charges,,,7731.68,83,,percent of total billed charges,,,,,,,,,,,,,,,7731.68,83,,percent of total billed charges,,,8849.52,95,,percent of total billed charges,,,8383.75,90,,percent of total billed charges,,,8383.75,90,,percent of total billed charges,,,7638.53,82,,percent of total billed charges,,,8383.75,90,,percent of total billed charges,,,7917.99,85,,percent of total billed charges,,7023.72,8849.52, RETRACTOR C-SECTION LGE 9 x 14,18300287,CDM,,,270,RC,inpatient,,602,602,,511.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,453.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,511.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,529.76,88,,percent of total billed charges,,,,,,,,,459.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,547.82,91,,percent of total billed charges,,,571.9,95,,percent of total billed charges,,,499.66,83,,percent of total billed charges,,,499.66,83,,percent of total billed charges,,,,,,,,,,,,,,,499.66,83,,percent of total billed charges,,,571.9,95,,percent of total billed charges,,,541.8,90,,percent of total billed charges,,,541.8,90,,percent of total billed charges,,,493.64,82,,percent of total billed charges,,,541.8,90,,percent of total billed charges,,,511.7,85,,percent of total billed charges,,453.91,571.9, RETRACTOR C-SECTION XLG 11 x 17,18300288,CDM,,,270,RC,inpatient,,623,623,,528.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,469.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,529.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,548.24,88,,percent of total billed charges,,,,,,,,,475.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,566.93,91,,percent of total billed charges,,,591.85,95,,percent of total billed charges,,,517.09,83,,percent of total billed charges,,,517.09,83,,percent of total billed charges,,,,,,,,,,,,,,,517.09,83,,percent of total billed charges,,,591.85,95,,percent of total billed charges,,,560.7,90,,percent of total billed charges,,,560.7,90,,percent of total billed charges,,,510.86,82,,percent of total billed charges,,,560.7,90,,percent of total billed charges,,,529.55,85,,percent of total billed charges,,469.74,591.85, LEEP SQUARE ELECTRODE,18300289,CDM,,,270,RC,inpatient,,189.6,189.6,,160.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,142.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,161.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.85,88,,percent of total billed charges,,,,,,,,,144.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,172.54,91,,percent of total billed charges,,,180.12,95,,percent of total billed charges,,,157.37,83,,percent of total billed charges,,,157.37,83,,percent of total billed charges,,,,,,,,,,,,,,,157.37,83,,percent of total billed charges,,,180.12,95,,percent of total billed charges,,,170.64,90,,percent of total billed charges,,,170.64,90,,percent of total billed charges,,,155.47,82,,percent of total billed charges,,,170.64,90,,percent of total billed charges,,,161.16,85,,percent of total billed charges,,142.96,180.12, LEEP BALL ELECTRODE,18300290,CDM,,,270,RC,inpatient,,189.68,189.68,,161.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,143.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,161.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.92,88,,percent of total billed charges,,,,,,,,,144.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,172.61,91,,percent of total billed charges,,,180.2,95,,percent of total billed charges,,,157.43,83,,percent of total billed charges,,,157.43,83,,percent of total billed charges,,,,,,,,,,,,,,,157.43,83,,percent of total billed charges,,,180.2,95,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,155.54,82,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,161.23,85,,percent of total billed charges,,143.02,180.2, LEEP RADIUS ELECTRODE 20 X 10,18300291,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81, NEEDLE BIOPSY TRU CUT 18G X 6,18300295,CDM,,,270,RC,inpatient,,124.08,124.08,,105.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,93.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,105.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,109.19,88,,percent of total billed charges,,,,,,,,,94.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,112.91,91,,percent of total billed charges,,,117.88,95,,percent of total billed charges,,,102.99,83,,percent of total billed charges,,,102.99,83,,percent of total billed charges,,,,,,,,,,,,,,,102.99,83,,percent of total billed charges,,,117.88,95,,percent of total billed charges,,,111.67,90,,percent of total billed charges,,,111.67,90,,percent of total billed charges,,,101.75,82,,percent of total billed charges,,,111.67,90,,percent of total billed charges,,,105.47,85,,percent of total billed charges,,93.56,117.88, LEEP RADIUS ELECTRODE 2.0 X 0.8,18300296,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81, LEEP RADIUS ELECTRODE 1.5 X .5CM,18300297,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81, VIGILON WOUND DRESSING,18304053,CDM,,,270,RC,inpatient,,59,59,,50.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.92,88,,percent of total billed charges,,,,,,,,,45.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.69,91,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,,,,,,,,,,,,,48.97,83,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,48.38,82,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,50.15,85,,percent of total billed charges,,44.49,56.05, ENDO TROCAR GRIP 0,18307744,CDM,,,270,RC,inpatient,,30,30,,25.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26.4,88,,percent of total billed charges,,,,,,,,,22.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27.3,91,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,,,,,,,,,,,,,24.9,83,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,27,90,,percent of total billed charges,,,27,90,,percent of total billed charges,,,24.6,82,,percent of total billed charges,,,27,90,,percent of total billed charges,,,25.5,85,,percent of total billed charges,,22.62,28.5, Q HIP REFLECTION LINER (REG),18307928,CDM,,,270,RC,inpatient,,2209,2209,,1875.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1665.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1877.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1943.92,88,,percent of total billed charges,,,,,,,,,1687.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2010.19,91,,percent of total billed charges,,,2098.55,95,,percent of total billed charges,,,1833.47,83,,percent of total billed charges,,,1833.47,83,,percent of total billed charges,,,,,,,,,,,,,,,1833.47,83,,percent of total billed charges,,,2098.55,95,,percent of total billed charges,,,1988.1,90,,percent of total billed charges,,,1988.1,90,,percent of total billed charges,,,1811.38,82,,percent of total billed charges,,,1988.1,90,,percent of total billed charges,,,1877.65,85,,percent of total billed charges,,1665.59,2098.55, Q HIP REFLECTION CUP,18307929,CDM,,,270,RC,inpatient,,5099,5099,,4329.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3844.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4334.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4487.12,88,,percent of total billed charges,,,,,,,,,3895.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4640.09,91,,percent of total billed charges,,,4844.05,95,,percent of total billed charges,,,4232.17,83,,percent of total billed charges,,,4232.17,83,,percent of total billed charges,,,,,,,,,,,,,,,4232.17,83,,percent of total billed charges,,,4844.05,95,,percent of total billed charges,,,4589.1,90,,percent of total billed charges,,,4589.1,90,,percent of total billed charges,,,4181.18,82,,percent of total billed charges,,,4589.1,90,,percent of total billed charges,,,4334.15,85,,percent of total billed charges,,3844.65,4844.05, Q UNIVERSAL BI-POLAR 45 MM OD,18307932,CDM,,,270,RC,inpatient,,263,263,,223.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,198.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231.44,88,,percent of total billed charges,,,,,,,,,200.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,239.33,91,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,218.29,83,,percent of total billed charges,,,,,,,,,,,,,,,218.29,83,,percent of total billed charges,,,249.85,95,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,215.66,82,,percent of total billed charges,,,236.7,90,,percent of total billed charges,,,223.55,85,,percent of total billed charges,,198.3,249.85, Q HIP BIPOLAR UNIV. SHELL,18307933,CDM,,,270,RC,inpatient,,4565,4565,,3875.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3442.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3880.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4017.2,88,,percent of total billed charges,,,,,,,,,3487.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4154.15,91,,percent of total billed charges,,,4336.75,95,,percent of total billed charges,,,3788.95,83,,percent of total billed charges,,,3788.95,83,,percent of total billed charges,,,,,,,,,,,,,,,3788.95,83,,percent of total billed charges,,,4336.75,95,,percent of total billed charges,,,4108.5,90,,percent of total billed charges,,,4108.5,90,,percent of total billed charges,,,3743.3,82,,percent of total billed charges,,,4108.5,90,,percent of total billed charges,,,3880.25,85,,percent of total billed charges,,3442.01,4336.75, SHELL,18307934,CDM,,,270,RC,inpatient,,1646,1646,,1397.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1241.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1399.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1448.48,88,,percent of total billed charges,,,,,,,,,1257.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1497.86,91,,percent of total billed charges,,,1563.7,95,,percent of total billed charges,,,1366.18,83,,percent of total billed charges,,,1366.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1366.18,83,,percent of total billed charges,,,1563.7,95,,percent of total billed charges,,,1481.4,90,,percent of total billed charges,,,1481.4,90,,percent of total billed charges,,,1349.72,82,,percent of total billed charges,,,1481.4,90,,percent of total billed charges,,,1399.1,85,,percent of total billed charges,,1241.08,1563.7, Q HIP DISTAL CENTRALIZER,18307942,CDM,,,270,RC,inpatient,,555,555,,471.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,418.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,471.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,488.4,88,,percent of total billed charges,,,,,,,,,424.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,505.05,91,,percent of total billed charges,,,527.25,95,,percent of total billed charges,,,460.65,83,,percent of total billed charges,,,460.65,83,,percent of total billed charges,,,,,,,,,,,,,,,460.65,83,,percent of total billed charges,,,527.25,95,,percent of total billed charges,,,499.5,90,,percent of total billed charges,,,499.5,90,,percent of total billed charges,,,455.1,82,,percent of total billed charges,,,499.5,90,,percent of total billed charges,,,471.75,85,,percent of total billed charges,,418.47,527.25, Q PREP IM TOTAL,18307975,CDM,,,270,RC,inpatient,,837,837,,710.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,631.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,711.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,736.56,88,,percent of total billed charges,,,,,,,,,639.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,761.67,91,,percent of total billed charges,,,795.15,95,,percent of total billed charges,,,694.71,83,,percent of total billed charges,,,694.71,83,,percent of total billed charges,,,,,,,,,,,,,,,694.71,83,,percent of total billed charges,,,795.15,95,,percent of total billed charges,,,753.3,90,,percent of total billed charges,,,753.3,90,,percent of total billed charges,,,686.34,82,,percent of total billed charges,,,753.3,90,,percent of total billed charges,,,711.45,85,,percent of total billed charges,,631.1,795.15, MIXING BOWL,18307983,CDM,,,270,RC,inpatient,,298,298,,253,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,224.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,253.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,262.24,88,,percent of total billed charges,,,,,,,,,227.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,271.18,91,,percent of total billed charges,,,283.1,95,,percent of total billed charges,,,247.34,83,,percent of total billed charges,,,247.34,83,,percent of total billed charges,,,,,,,,,,,,,,,247.34,83,,percent of total billed charges,,,283.1,95,,percent of total billed charges,,,268.2,90,,percent of total billed charges,,,268.2,90,,percent of total billed charges,,,244.36,82,,percent of total billed charges,,,268.2,90,,percent of total billed charges,,,253.3,85,,percent of total billed charges,,224.69,283.1, ARTHROTOME,18601088,CDM,,,360,RC,inpatient,,441,441,,374.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,332.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,374.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.08,88,,percent of total billed charges,,,,,,,,,336.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,401.31,91,,percent of total billed charges,,,418.95,95,,percent of total billed charges,,,366.03,83,,percent of total billed charges,,,366.03,83,,percent of total billed charges,,,,,,,,,,,,,,,366.03,83,,percent of total billed charges,,,418.95,95,,percent of total billed charges,,,396.9,90,,percent of total billed charges,,,396.9,90,,percent of total billed charges,,,361.62,82,,percent of total billed charges,,,396.9,90,,percent of total billed charges,,,374.85,85,,percent of total billed charges,,332.51,418.95, LEEP ACCESSORY,18602005,CDM,,,360,RC,inpatient,,77,77,,65.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.76,88,,percent of total billed charges,,,,,,,,,58.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.07,91,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,,,,,,,,,,,,,63.91,83,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,63.14,82,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,65.45,85,,percent of total billed charges,,58.06,73.15, HYPERTHERMIA BLANKET,19604033,CDM,,,270,RC,inpatient,,35,35,,29.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.8,88,,percent of total billed charges,,,,,,,,,26.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31.85,91,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,,,,,,,,,,,,,29.05,83,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,28.7,82,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,29.75,85,,percent of total billed charges,,26.39,33.25, NIPPLE SHIELD,23150017,CDM,,,270,RC,inpatient,,31.05,31.05,,26.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27.32,88,,percent of total billed charges,,,,,,,,,23.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28.26,91,,percent of total billed charges,,,29.5,95,,percent of total billed charges,,,25.77,83,,percent of total billed charges,,,25.77,83,,percent of total billed charges,,,,,,,,,,,,,,,25.77,83,,percent of total billed charges,,,29.5,95,,percent of total billed charges,,,27.95,90,,percent of total billed charges,,,27.95,90,,percent of total billed charges,,,25.46,82,,percent of total billed charges,,,27.95,90,,percent of total billed charges,,,26.39,85,,percent of total billed charges,,23.41,29.5, *DUO DERM GRANULES,23300038,CDM,,,270,RC,inpatient,,34,34,,28.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.92,88,,percent of total billed charges,,,,,,,,,25.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.94,91,,percent of total billed charges,,,32.3,95,,percent of total billed charges,,,28.22,83,,percent of total billed charges,,,28.22,83,,percent of total billed charges,,,,,,,,,,,,,,,28.22,83,,percent of total billed charges,,,32.3,95,,percent of total billed charges,,,30.6,90,,percent of total billed charges,,,30.6,90,,percent of total billed charges,,,27.88,82,,percent of total billed charges,,,30.6,90,,percent of total billed charges,,,28.9,85,,percent of total billed charges,,25.64,32.3, CAPNOGRAPHY MICROSTREAM TUBING H,23300093,CDM,,,270,RC,inpatient,,111.31,111.31,,94.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,83.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,97.95,88,,percent of total billed charges,,,,,,,,,85.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.29,91,,percent of total billed charges,,,105.74,95,,percent of total billed charges,,,92.39,83,,percent of total billed charges,,,92.39,83,,percent of total billed charges,,,,,,,,,,,,,,,92.39,83,,percent of total billed charges,,,105.74,95,,percent of total billed charges,,,100.18,90,,percent of total billed charges,,,100.18,90,,percent of total billed charges,,,91.27,82,,percent of total billed charges,,,100.18,90,,percent of total billed charges,,,94.61,85,,percent of total billed charges,,83.93,105.74, RESQPOD CIRCULATORY ENHANCER,23300200,CDM,,,270,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, BARD UROLOGIST'S TRAY HEYMAN,23300315,CDM,,,270,RC,inpatient,,1498.19,1498.19,,1271.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1129.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1273.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1318.41,88,,percent of total billed charges,,,,,,,,,1144.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1363.35,91,,percent of total billed charges,,,1423.28,95,,percent of total billed charges,,,1243.5,83,,percent of total billed charges,,,1243.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1243.5,83,,percent of total billed charges,,,1423.28,95,,percent of total billed charges,,,1348.37,90,,percent of total billed charges,,,1348.37,90,,percent of total billed charges,,,1228.52,82,,percent of total billed charges,,,1348.37,90,,percent of total billed charges,,,1273.46,85,,percent of total billed charges,,1129.64,1423.28, TRAY ARTHOGRAM,23300376,CDM,,,270,RC,inpatient,,75.17,75.17,,63.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,66.15,88,,percent of total billed charges,,,,,,,,,57.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,68.4,91,,percent of total billed charges,,,71.41,95,,percent of total billed charges,,,62.39,83,,percent of total billed charges,,,62.39,83,,percent of total billed charges,,,,,,,,,,,,,,,62.39,83,,percent of total billed charges,,,71.41,95,,percent of total billed charges,,,67.65,90,,percent of total billed charges,,,67.65,90,,percent of total billed charges,,,61.64,82,,percent of total billed charges,,,67.65,90,,percent of total billed charges,,,63.89,85,,percent of total billed charges,,56.68,71.41, *BRIEFS PROTECTIVE LG,23300422,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7, BRACE ANKLE REG UNIVERSAL,23300566,CDM,,,270,RC,inpatient,,81.18,81.18,,68.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.44,88,,percent of total billed charges,,,,,,,,,62.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.87,91,,percent of total billed charges,,,77.12,95,,percent of total billed charges,,,67.38,83,,percent of total billed charges,,,67.38,83,,percent of total billed charges,,,,,,,,,,,,,,,67.38,83,,percent of total billed charges,,,77.12,95,,percent of total billed charges,,,73.06,90,,percent of total billed charges,,,73.06,90,,percent of total billed charges,,,66.57,82,,percent of total billed charges,,,73.06,90,,percent of total billed charges,,,69,85,,percent of total billed charges,,61.21,77.12, *RETROGRADE CAPS,23300574,CDM,,,270,RC,inpatient,,2,2,,1.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1.76,88,,percent of total billed charges,,,,,,,,,1.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1.82,91,,percent of total billed charges,,,1.9,95,,percent of total billed charges,,,1.66,83,,percent of total billed charges,,,1.66,83,,percent of total billed charges,,,,,,,,,,,,,,,1.66,83,,percent of total billed charges,,,1.9,95,,percent of total billed charges,,,1.8,90,,percent of total billed charges,,,1.8,90,,percent of total billed charges,,,1.64,82,,percent of total billed charges,,,1.8,90,,percent of total billed charges,,,1.7,85,,percent of total billed charges,,1.51,1.9, AMS SPARC SLING SYSTEM,23300575,CDM,,,270,RC,inpatient,,4810,4810,,4083.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3626.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4088.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4232.8,88,,percent of total billed charges,,,,,,,,,3674.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4377.1,91,,percent of total billed charges,,,4569.5,95,,percent of total billed charges,,,3992.3,83,,percent of total billed charges,,,3992.3,83,,percent of total billed charges,,,,,,,,,,,,,,,3992.3,83,,percent of total billed charges,,,4569.5,95,,percent of total billed charges,,,4329,90,,percent of total billed charges,,,4329,90,,percent of total billed charges,,,3944.2,82,,percent of total billed charges,,,4329,90,,percent of total billed charges,,,4088.5,85,,percent of total billed charges,,3626.74,4569.5, AMS STRAIGHT-IN SYSTEM,23300576,CDM,,,270,RC,inpatient,,9717.5,9717.5,,8250.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7327,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8259.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8551.4,88,,percent of total billed charges,,,,,,,,,7424.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8842.93,91,,percent of total billed charges,,,9231.63,95,,percent of total billed charges,,,8065.53,83,,percent of total billed charges,,,8065.53,83,,percent of total billed charges,,,,,,,,,,,,,,,8065.53,83,,percent of total billed charges,,,9231.63,95,,percent of total billed charges,,,8745.75,90,,percent of total billed charges,,,8745.75,90,,percent of total billed charges,,,7968.35,82,,percent of total billed charges,,,8745.75,90,,percent of total billed charges,,,8259.88,85,,percent of total billed charges,,7327,9231.63, FEEDING TUBE KANGAROO,23300673,CDM,,,270,RC,inpatient,,40.39,40.39,,34.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.54,88,,percent of total billed charges,,,,,,,,,30.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36.75,91,,percent of total billed charges,,,38.37,95,,percent of total billed charges,,,33.52,83,,percent of total billed charges,,,33.52,83,,percent of total billed charges,,,,,,,,,,,,,,,33.52,83,,percent of total billed charges,,,38.37,95,,percent of total billed charges,,,36.35,90,,percent of total billed charges,,,36.35,90,,percent of total billed charges,,,33.12,82,,percent of total billed charges,,,36.35,90,,percent of total billed charges,,,34.33,85,,percent of total billed charges,,30.45,38.37, FEEDING TUBE 8 FR,23300674,CDM,,,270,RC,inpatient,,38.25,38.25,,32.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.66,88,,percent of total billed charges,,,,,,,,,29.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34.81,91,,percent of total billed charges,,,36.34,95,,percent of total billed charges,,,31.75,83,,percent of total billed charges,,,31.75,83,,percent of total billed charges,,,,,,,,,,,,,,,31.75,83,,percent of total billed charges,,,36.34,95,,percent of total billed charges,,,34.43,90,,percent of total billed charges,,,34.43,90,,percent of total billed charges,,,31.37,82,,percent of total billed charges,,,34.43,90,,percent of total billed charges,,,32.51,85,,percent of total billed charges,,28.84,36.34, FEEDING TUBE 5 FR,23300676,CDM,,,270,RC,inpatient,,8.01,8.01,,6.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.05,88,,percent of total billed charges,,,,,,,,,6.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.29,91,,percent of total billed charges,,,7.61,95,,percent of total billed charges,,,6.65,83,,percent of total billed charges,,,6.65,83,,percent of total billed charges,,,,,,,,,,,,,,,6.65,83,,percent of total billed charges,,,7.61,95,,percent of total billed charges,,,7.21,90,,percent of total billed charges,,,7.21,90,,percent of total billed charges,,,6.57,82,,percent of total billed charges,,,7.21,90,,percent of total billed charges,,,6.81,85,,percent of total billed charges,,6.04,7.61, FEEDING TUBE KANGAROO 12FR X 43,23300680,CDM,,,270,RC,inpatient,,66.73,66.73,,56.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58.72,88,,percent of total billed charges,,,,,,,,,50.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60.72,91,,percent of total billed charges,,,63.39,95,,percent of total billed charges,,,55.39,83,,percent of total billed charges,,,55.39,83,,percent of total billed charges,,,,,,,,,,,,,,,55.39,83,,percent of total billed charges,,,63.39,95,,percent of total billed charges,,,60.06,90,,percent of total billed charges,,,60.06,90,,percent of total billed charges,,,54.72,82,,percent of total billed charges,,,60.06,90,,percent of total billed charges,,,56.72,85,,percent of total billed charges,,50.31,63.39, FEEDING TUBE ATTACHMENT (FTAD),23300685,CDM,,,270,RC,inpatient,,24.93,24.93,,21.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.94,88,,percent of total billed charges,,,,,,,,,19.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.69,91,,percent of total billed charges,,,23.68,95,,percent of total billed charges,,,20.69,83,,percent of total billed charges,,,20.69,83,,percent of total billed charges,,,,,,,,,,,,,,,20.69,83,,percent of total billed charges,,,23.68,95,,percent of total billed charges,,,22.44,90,,percent of total billed charges,,,22.44,90,,percent of total billed charges,,,20.44,82,,percent of total billed charges,,,22.44,90,,percent of total billed charges,,,21.19,85,,percent of total billed charges,,18.8,23.68, HEEL ELEVATOR UNIVERSAL,23300731,CDM,,,270,RC,inpatient,,218.23,218.23,,185.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,164.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,185.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,192.04,88,,percent of total billed charges,,,,,,,,,166.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,198.59,91,,percent of total billed charges,,,207.32,95,,percent of total billed charges,,,181.13,83,,percent of total billed charges,,,181.13,83,,percent of total billed charges,,,,,,,,,,,,,,,181.13,83,,percent of total billed charges,,,207.32,95,,percent of total billed charges,,,196.41,90,,percent of total billed charges,,,196.41,90,,percent of total billed charges,,,178.95,82,,percent of total billed charges,,,196.41,90,,percent of total billed charges,,,185.5,85,,percent of total billed charges,,164.55,207.32, TRAY IRRIGATION,23300806,CDM,,,270,RC,inpatient,,14.58,14.58,,12.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12.83,88,,percent of total billed charges,,,,,,,,,11.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.27,91,,percent of total billed charges,,,13.85,95,,percent of total billed charges,,,12.1,83,,percent of total billed charges,,,12.1,83,,percent of total billed charges,,,,,,,,,,,,,,,12.1,83,,percent of total billed charges,,,13.85,95,,percent of total billed charges,,,13.12,90,,percent of total billed charges,,,13.12,90,,percent of total billed charges,,,11.96,82,,percent of total billed charges,,,13.12,90,,percent of total billed charges,,,12.39,85,,percent of total billed charges,,10.99,13.85, STOMA PASTE ADAPT 2OZ,23300822,CDM,,,270,RC,inpatient,,13.41,13.41,,11.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.8,88,,percent of total billed charges,,,,,,,,,10.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12.2,91,,percent of total billed charges,,,12.74,95,,percent of total billed charges,,,11.13,83,,percent of total billed charges,,,11.13,83,,percent of total billed charges,,,,,,,,,,,,,,,11.13,83,,percent of total billed charges,,,12.74,95,,percent of total billed charges,,,12.07,90,,percent of total billed charges,,,12.07,90,,percent of total billed charges,,,11,82,,percent of total billed charges,,,12.07,90,,percent of total billed charges,,,11.4,85,,percent of total billed charges,,10.11,12.74, *PAIN SOAKER,23300832,CDM,,,270,RC,inpatient,,1093,1093,,927.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,824.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,929.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,961.84,88,,percent of total billed charges,,,,,,,,,835.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,994.63,91,,percent of total billed charges,,,1038.35,95,,percent of total billed charges,,,907.19,83,,percent of total billed charges,,,907.19,83,,percent of total billed charges,,,,,,,,,,,,,,,907.19,83,,percent of total billed charges,,,1038.35,95,,percent of total billed charges,,,983.7,90,,percent of total billed charges,,,983.7,90,,percent of total billed charges,,,896.26,82,,percent of total billed charges,,,983.7,90,,percent of total billed charges,,,929.05,85,,percent of total billed charges,,824.12,1038.35, NASO-GASTRIC TUBE HOLDER DALE,23301040,CDM,,,270,RC,inpatient,,32.67,32.67,,27.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28.75,88,,percent of total billed charges,,,,,,,,,24.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29.73,91,,percent of total billed charges,,,31.04,95,,percent of total billed charges,,,27.12,83,,percent of total billed charges,,,27.12,83,,percent of total billed charges,,,,,,,,,,,,,,,27.12,83,,percent of total billed charges,,,31.04,95,,percent of total billed charges,,,29.4,90,,percent of total billed charges,,,29.4,90,,percent of total billed charges,,,26.79,82,,percent of total billed charges,,,29.4,90,,percent of total billed charges,,,27.77,85,,percent of total billed charges,,24.63,31.04, SLING ARM UNIVERSAL,23301177,CDM,,,270,RC,inpatient,,31.95,31.95,,27.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28.12,88,,percent of total billed charges,,,,,,,,,24.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29.07,91,,percent of total billed charges,,,30.35,95,,percent of total billed charges,,,26.52,83,,percent of total billed charges,,,26.52,83,,percent of total billed charges,,,,,,,,,,,,,,,26.52,83,,percent of total billed charges,,,30.35,95,,percent of total billed charges,,,28.76,90,,percent of total billed charges,,,28.76,90,,percent of total billed charges,,,26.2,82,,percent of total billed charges,,,28.76,90,,percent of total billed charges,,,27.16,85,,percent of total billed charges,,24.09,30.35, SLING ARM PEDIATRIC,23301180,CDM,,,270,RC,inpatient,,36.63,36.63,,31.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32.23,88,,percent of total billed charges,,,,,,,,,27.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33.33,91,,percent of total billed charges,,,34.8,95,,percent of total billed charges,,,30.4,83,,percent of total billed charges,,,30.4,83,,percent of total billed charges,,,,,,,,,,,,,,,30.4,83,,percent of total billed charges,,,34.8,95,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,30.04,82,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,31.14,85,,percent of total billed charges,,27.62,34.8, CLIPVAC TUBING DISP.,23301205,CDM,,,270,RC,inpatient,,74.38,74.38,,63.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,65.45,88,,percent of total billed charges,,,,,,,,,56.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,67.69,91,,percent of total billed charges,,,70.66,95,,percent of total billed charges,,,61.74,83,,percent of total billed charges,,,61.74,83,,percent of total billed charges,,,,,,,,,,,,,,,61.74,83,,percent of total billed charges,,,70.66,95,,percent of total billed charges,,,66.94,90,,percent of total billed charges,,,66.94,90,,percent of total billed charges,,,60.99,82,,percent of total billed charges,,,66.94,90,,percent of total billed charges,,,63.22,85,,percent of total billed charges,,56.08,70.66, *TRAY SPINAL - LIDOCAINE,23301219,CDM,,,270,RC,inpatient,,87,87,,73.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,65.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,73.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,76.56,88,,percent of total billed charges,,,,,,,,,66.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,79.17,91,,percent of total billed charges,,,82.65,95,,percent of total billed charges,,,72.21,83,,percent of total billed charges,,,72.21,83,,percent of total billed charges,,,,,,,,,,,,,,,72.21,83,,percent of total billed charges,,,82.65,95,,percent of total billed charges,,,78.3,90,,percent of total billed charges,,,78.3,90,,percent of total billed charges,,,71.34,82,,percent of total billed charges,,,78.3,90,,percent of total billed charges,,,73.95,85,,percent of total billed charges,,65.6,82.65, TRAY SPINAL - PENCAN,23301220,CDM,,,270,RC,inpatient,,174.61,174.61,,148.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,131.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,148.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,153.66,88,,percent of total billed charges,,,,,,,,,133.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,158.9,91,,percent of total billed charges,,,165.88,95,,percent of total billed charges,,,144.93,83,,percent of total billed charges,,,144.93,83,,percent of total billed charges,,,,,,,,,,,,,,,144.93,83,,percent of total billed charges,,,165.88,95,,percent of total billed charges,,,157.15,90,,percent of total billed charges,,,157.15,90,,percent of total billed charges,,,143.18,82,,percent of total billed charges,,,157.15,90,,percent of total billed charges,,,148.42,85,,percent of total billed charges,,131.66,165.88, SPLINT WRIST COLLES ADULT LF,23301237,CDM,,,270,RC,inpatient,,38.7,38.7,,32.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34.06,88,,percent of total billed charges,,,,,,,,,29.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35.22,91,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,,,,,,,,,,,,,32.12,83,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,31.73,82,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,32.9,85,,percent of total billed charges,,29.18,36.77, SPLINT WRIST COLLES ADULT RT,23301238,CDM,,,270,RC,inpatient,,38.7,38.7,,32.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34.06,88,,percent of total billed charges,,,,,,,,,29.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35.22,91,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,32.12,83,,percent of total billed charges,,,,,,,,,,,,,,,32.12,83,,percent of total billed charges,,,36.77,95,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,31.73,82,,percent of total billed charges,,,34.83,90,,percent of total billed charges,,,32.9,85,,percent of total billed charges,,29.18,36.77, *SPLINT WRIST COLLES YOUTH R,23301239,CDM,,,270,RC,inpatient,,42,42,,35.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,35.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36.96,88,,percent of total billed charges,,,,,,,,,32.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,38.22,91,,percent of total billed charges,,,39.9,95,,percent of total billed charges,,,34.86,83,,percent of total billed charges,,,34.86,83,,percent of total billed charges,,,,,,,,,,,,,,,34.86,83,,percent of total billed charges,,,39.9,95,,percent of total billed charges,,,37.8,90,,percent of total billed charges,,,37.8,90,,percent of total billed charges,,,34.44,82,,percent of total billed charges,,,37.8,90,,percent of total billed charges,,,35.7,85,,percent of total billed charges,,31.67,39.9, ENDOSCOPIC CAPS,23301267,CDM,,,270,RC,inpatient,,51.43,51.43,,43.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.26,88,,percent of total billed charges,,,,,,,,,39.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.8,91,,percent of total billed charges,,,48.86,95,,percent of total billed charges,,,42.69,83,,percent of total billed charges,,,42.69,83,,percent of total billed charges,,,,,,,,,,,,,,,42.69,83,,percent of total billed charges,,,48.86,95,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,42.17,82,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,43.72,85,,percent of total billed charges,,38.78,48.86, CAMERA COVER 9 X 96,23301268,CDM,,,270,RC,inpatient,,47.69,47.69,,40.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.97,88,,percent of total billed charges,,,,,,,,,36.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.4,91,,percent of total billed charges,,,45.31,95,,percent of total billed charges,,,39.58,83,,percent of total billed charges,,,39.58,83,,percent of total billed charges,,,,,,,,,,,,,,,39.58,83,,percent of total billed charges,,,45.31,95,,percent of total billed charges,,,42.92,90,,percent of total billed charges,,,42.92,90,,percent of total billed charges,,,39.11,82,,percent of total billed charges,,,42.92,90,,percent of total billed charges,,,40.54,85,,percent of total billed charges,,35.96,45.31, CATH SUCTION INFANT 5/6FR,23301325,CDM,,,270,RC,inpatient,,2.27,2.27,,1.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2,88,,percent of total billed charges,,,,,,,,,1.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.07,91,,percent of total billed charges,,,2.16,95,,percent of total billed charges,,,1.88,83,,percent of total billed charges,,,1.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1.88,83,,percent of total billed charges,,,2.16,95,,percent of total billed charges,,,2.04,90,,percent of total billed charges,,,2.04,90,,percent of total billed charges,,,1.86,82,,percent of total billed charges,,,2.04,90,,percent of total billed charges,,,1.93,85,,percent of total billed charges,,1.71,2.16, * SUTURE K831H (V0605),23301384,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 815H CHROMIC GUT 3 0 (V0205),23301391,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 1744-41 (V0106),23301400,CDM,,,270,RC,inpatient,,20,20,,16.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17.6,88,,percent of total billed charges,,,,,,,,,15.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18.2,91,,percent of total billed charges,,,19,95,,percent of total billed charges,,,16.6,83,,percent of total billed charges,,,16.6,83,,percent of total billed charges,,,,,,,,,,,,,,,16.6,83,,percent of total billed charges,,,19,95,,percent of total billed charges,,,18,90,,percent of total billed charges,,,18,90,,percent of total billed charges,,,16.4,82,,percent of total billed charges,,,18,90,,percent of total billed charges,,,17,85,,percent of total billed charges,,15.08,19, * SUTURE*1741-31 (V0205),23301401,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 1665G (V0205),23301403,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 8661G PROLENE 5 0 (V0205),23301405,CDM,,,270,RC,inpatient,,212,212,,179.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,159.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,180.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,186.56,88,,percent of total billed charges,,,,,,,,,161.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,192.92,91,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,175.96,83,,percent of total billed charges,,,,,,,,,,,,,,,175.96,83,,percent of total billed charges,,,201.4,95,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,173.84,82,,percent of total billed charges,,,190.8,90,,percent of total billed charges,,,180.2,85,,percent of total billed charges,,159.85,201.4, * SUTURE*1744-31 (V0605),23301413,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE VD-871 (V0205),23301414,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, GUIDEWIRE URO PTFE .038,23301424,CDM,,,270,RC,inpatient,,109.76,109.76,,93.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,82.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,93.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,96.59,88,,percent of total billed charges,,,,,,,,,83.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,99.88,91,,percent of total billed charges,,,104.27,95,,percent of total billed charges,,,91.1,83,,percent of total billed charges,,,91.1,83,,percent of total billed charges,,,,,,,,,,,,,,,91.1,83,,percent of total billed charges,,,104.27,95,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,90,82,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,93.3,85,,percent of total billed charges,,82.76,104.27, "* VACUUM EXTRACTION, BODY (V0904)",23301429,CDM,93012,CPT,732,RC,inpatient,,146,146,,123.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,110.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,124.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,128.48,88,,percent of total billed charges,,,,,,,,,111.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,132.86,91,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,,,,,,,,,,,,,121.18,83,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,119.72,82,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,124.1,85,,percent of total billed charges,,110.08,138.7, * VACUUM ATTACHMENT (V0904),23301430,CDM,93012,CPT,732,RC,inpatient,,58,58,,49.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,43.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,49.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.04,88,,percent of total billed charges,,,,,,,,,44.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,52.78,91,,percent of total billed charges,,,55.1,95,,percent of total billed charges,,,48.14,83,,percent of total billed charges,,,48.14,83,,percent of total billed charges,,,,,,,,,,,,,,,48.14,83,,percent of total billed charges,,,55.1,95,,percent of total billed charges,,,52.2,90,,percent of total billed charges,,,52.2,90,,percent of total billed charges,,,47.56,82,,percent of total billed charges,,,52.2,90,,percent of total billed charges,,,49.3,85,,percent of total billed charges,,43.73,55.1, TRAY TRACH CARE,23301499,CDM,,,270,RC,inpatient,,11.97,11.97,,10.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10.53,88,,percent of total billed charges,,,,,,,,,9.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10.89,91,,percent of total billed charges,,,11.37,95,,percent of total billed charges,,,9.94,83,,percent of total billed charges,,,9.94,83,,percent of total billed charges,,,,,,,,,,,,,,,9.94,83,,percent of total billed charges,,,11.37,95,,percent of total billed charges,,,10.77,90,,percent of total billed charges,,,10.77,90,,percent of total billed charges,,,9.82,82,,percent of total billed charges,,,10.77,90,,percent of total billed charges,,,10.17,85,,percent of total billed charges,,9.03,11.37, * CENTRAL VENOUS PRESS MONITOR (V0605),23301600,CDM,,,270,RC,inpatient,,46,46,,39.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.48,88,,percent of total billed charges,,,,,,,,,35.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41.86,91,,percent of total billed charges,,,43.7,95,,percent of total billed charges,,,38.18,83,,percent of total billed charges,,,38.18,83,,percent of total billed charges,,,,,,,,,,,,,,,38.18,83,,percent of total billed charges,,,43.7,95,,percent of total billed charges,,,41.4,90,,percent of total billed charges,,,41.4,90,,percent of total billed charges,,,37.72,82,,percent of total billed charges,,,41.4,90,,percent of total billed charges,,,39.1,85,,percent of total billed charges,,34.68,43.7, FLOSEAL,23301649,CDM,,,270,RC,inpatient,,1192.75,1192.75,,1012.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,899.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1013.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1049.62,88,,percent of total billed charges,,,,,,,,,911.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1085.4,91,,percent of total billed charges,,,1133.11,95,,percent of total billed charges,,,989.98,83,,percent of total billed charges,,,989.98,83,,percent of total billed charges,,,,,,,,,,,,,,,989.98,83,,percent of total billed charges,,,1133.11,95,,percent of total billed charges,,,1073.48,90,,percent of total billed charges,,,1073.48,90,,percent of total billed charges,,,978.06,82,,percent of total billed charges,,,1073.48,90,,percent of total billed charges,,,1013.84,85,,percent of total billed charges,,899.33,1133.11, *TUBE T 18FR,23301673,CDM,,,270,RC,inpatient,,69,69,,58.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60.72,88,,percent of total billed charges,,,,,,,,,52.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62.79,91,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,,,,,,,,,,,,,57.27,83,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,56.58,82,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,58.65,85,,percent of total billed charges,,52.03,65.55, *TUBE T 24FR,23301676,CDM,,,270,RC,inpatient,,69,69,,58.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60.72,88,,percent of total billed charges,,,,,,,,,52.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62.79,91,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,,,,,,,,,,,,,57.27,83,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,56.58,82,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,58.65,85,,percent of total billed charges,,52.03,65.55, *URETERAL CATHETER ADAPTORS,23301718,CDM,,,270,RC,inpatient,,5,5,,4.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.4,88,,percent of total billed charges,,,,,,,,,3.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.55,91,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4.15,83,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.1,82,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.25,85,,percent of total billed charges,,3.77,4.75, *URETERAL CATHETER WHISTLE 4,23301719,CDM,,,270,RC,inpatient,,59,59,,50.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.92,88,,percent of total billed charges,,,,,,,,,45.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.69,91,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,,,,,,,,,,,,,48.97,83,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,48.38,82,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,50.15,85,,percent of total billed charges,,44.49,56.05, IV EXTENSION SET W/3-WAY STOPCOCK,23301741,CDM,,,270,RC,inpatient,,23.76,23.76,,20.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.91,88,,percent of total billed charges,,,,,,,,,18.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.62,91,,percent of total billed charges,,,22.57,95,,percent of total billed charges,,,19.72,83,,percent of total billed charges,,,19.72,83,,percent of total billed charges,,,,,,,,,,,,,,,19.72,83,,percent of total billed charges,,,22.57,95,,percent of total billed charges,,,21.38,90,,percent of total billed charges,,,21.38,90,,percent of total billed charges,,,19.48,82,,percent of total billed charges,,,21.38,90,,percent of total billed charges,,,20.2,85,,percent of total billed charges,,17.92,22.57, * Z/OR (V0405),23301805,CDM,,,270,RC,inpatient,,5476,5476,,4649.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4128.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4654.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4818.88,88,,percent of total billed charges,,,,,,,,,4183.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4983.16,91,,percent of total billed charges,,,5202.2,95,,percent of total billed charges,,,4545.08,83,,percent of total billed charges,,,4545.08,83,,percent of total billed charges,,,,,,,,,,,,,,,4545.08,83,,percent of total billed charges,,,5202.2,95,,percent of total billed charges,,,4928.4,90,,percent of total billed charges,,,4928.4,90,,percent of total billed charges,,,4490.32,82,,percent of total billed charges,,,4928.4,90,,percent of total billed charges,,,4654.6,85,,percent of total billed charges,,4128.9,5202.2, * Z/OR (V0405),23301806,CDM,,,270,RC,inpatient,,1872,1872,,1589.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1411.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1591.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1647.36,88,,percent of total billed charges,,,,,,,,,1430.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1703.52,91,,percent of total billed charges,,,1778.4,95,,percent of total billed charges,,,1553.76,83,,percent of total billed charges,,,1553.76,83,,percent of total billed charges,,,,,,,,,,,,,,,1553.76,83,,percent of total billed charges,,,1778.4,95,,percent of total billed charges,,,1684.8,90,,percent of total billed charges,,,1684.8,90,,percent of total billed charges,,,1535.04,82,,percent of total billed charges,,,1684.8,90,,percent of total billed charges,,,1591.2,85,,percent of total billed charges,,1411.49,1778.4, * Z/OR (V0405),23301807,CDM,,,270,RC,inpatient,,1144,1144,,971.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,862.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,972.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1006.72,88,,percent of total billed charges,,,,,,,,,874.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1041.04,91,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,,,,,,,,,,,,,949.52,83,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,938.08,82,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,972.4,85,,percent of total billed charges,,862.58,1086.8, * Z/OR (V0405),23301808,CDM,,,270,RC,inpatient,,406,406,,344.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,306.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,345.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,357.28,88,,percent of total billed charges,,,,,,,,,310.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,369.46,91,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,,,,,,,,,,,,,336.98,83,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,332.92,82,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,345.1,85,,percent of total billed charges,,306.12,385.7, * Z/OR (V0405),23301836,CDM,,,270,RC,inpatient,,204,204,,173.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,153.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,173.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,179.52,88,,percent of total billed charges,,,,,,,,,155.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,185.64,91,,percent of total billed charges,,,193.8,95,,percent of total billed charges,,,169.32,83,,percent of total billed charges,,,169.32,83,,percent of total billed charges,,,,,,,,,,,,,,,169.32,83,,percent of total billed charges,,,193.8,95,,percent of total billed charges,,,183.6,90,,percent of total billed charges,,,183.6,90,,percent of total billed charges,,,167.28,82,,percent of total billed charges,,,183.6,90,,percent of total billed charges,,,173.4,85,,percent of total billed charges,,153.82,193.8, * Z/OR (V0405),23301839,CDM,,,270,RC,inpatient,,705,705,,598.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,531.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,599.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,620.4,88,,percent of total billed charges,,,,,,,,,538.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,641.55,91,,percent of total billed charges,,,669.75,95,,percent of total billed charges,,,585.15,83,,percent of total billed charges,,,585.15,83,,percent of total billed charges,,,,,,,,,,,,,,,585.15,83,,percent of total billed charges,,,669.75,95,,percent of total billed charges,,,634.5,90,,percent of total billed charges,,,634.5,90,,percent of total billed charges,,,578.1,82,,percent of total billed charges,,,634.5,90,,percent of total billed charges,,,599.25,85,,percent of total billed charges,,531.57,669.75, * Z/OR (V0405),23301840,CDM,,,270,RC,inpatient,,1430,1430,,1214.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1078.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1215.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1258.4,88,,percent of total billed charges,,,,,,,,,1092.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1301.3,91,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,,,,,,,,,,,,,1186.9,83,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1172.6,82,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1215.5,85,,percent of total billed charges,,1078.22,1358.5, * Z/OR (V0405),23301841,CDM,,,270,RC,inpatient,,5605,5605,,4758.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4226.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4764.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4932.4,88,,percent of total billed charges,,,,,,,,,4282.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5100.55,91,,percent of total billed charges,,,5324.75,95,,percent of total billed charges,,,4652.15,83,,percent of total billed charges,,,4652.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4652.15,83,,percent of total billed charges,,,5324.75,95,,percent of total billed charges,,,5044.5,90,,percent of total billed charges,,,5044.5,90,,percent of total billed charges,,,4596.1,82,,percent of total billed charges,,,5044.5,90,,percent of total billed charges,,,4764.25,85,,percent of total billed charges,,4226.17,5324.75, * Z/OR (V0405),23301842,CDM,,,270,RC,inpatient,,749,749,,635.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,564.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,636.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,659.12,88,,percent of total billed charges,,,,,,,,,572.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,681.59,91,,percent of total billed charges,,,711.55,95,,percent of total billed charges,,,621.67,83,,percent of total billed charges,,,621.67,83,,percent of total billed charges,,,,,,,,,,,,,,,621.67,83,,percent of total billed charges,,,711.55,95,,percent of total billed charges,,,674.1,90,,percent of total billed charges,,,674.1,90,,percent of total billed charges,,,614.18,82,,percent of total billed charges,,,674.1,90,,percent of total billed charges,,,636.65,85,,percent of total billed charges,,564.75,711.55, * Z/OR (V0405),23301843,CDM,,,270,RC,inpatient,,116,116,,98.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,87.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,98.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,102.08,88,,percent of total billed charges,,,,,,,,,88.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,105.56,91,,percent of total billed charges,,,110.2,95,,percent of total billed charges,,,96.28,83,,percent of total billed charges,,,96.28,83,,percent of total billed charges,,,,,,,,,,,,,,,96.28,83,,percent of total billed charges,,,110.2,95,,percent of total billed charges,,,104.4,90,,percent of total billed charges,,,104.4,90,,percent of total billed charges,,,95.12,82,,percent of total billed charges,,,104.4,90,,percent of total billed charges,,,98.6,85,,percent of total billed charges,,87.46,110.2, * Z/OR (V0405),23301844,CDM,,,270,RC,inpatient,,1207,1207,,1024.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,910.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1025.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1062.16,88,,percent of total billed charges,,,,,,,,,922.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1098.37,91,,percent of total billed charges,,,1146.65,95,,percent of total billed charges,,,1001.81,83,,percent of total billed charges,,,1001.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1001.81,83,,percent of total billed charges,,,1146.65,95,,percent of total billed charges,,,1086.3,90,,percent of total billed charges,,,1086.3,90,,percent of total billed charges,,,989.74,82,,percent of total billed charges,,,1086.3,90,,percent of total billed charges,,,1025.95,85,,percent of total billed charges,,910.08,1146.65, * Z/OR (V0405),23301845,CDM,,,270,RC,inpatient,,1001,1001,,849.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,754.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,850.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,880.88,88,,percent of total billed charges,,,,,,,,,764.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,910.91,91,,percent of total billed charges,,,950.95,95,,percent of total billed charges,,,830.83,83,,percent of total billed charges,,,830.83,83,,percent of total billed charges,,,,,,,,,,,,,,,830.83,83,,percent of total billed charges,,,950.95,95,,percent of total billed charges,,,900.9,90,,percent of total billed charges,,,900.9,90,,percent of total billed charges,,,820.82,82,,percent of total billed charges,,,900.9,90,,percent of total billed charges,,,850.85,85,,percent of total billed charges,,754.75,950.95, *PENROSE TUBING 5/8,23301945,CDM,,,270,RC,inpatient,,17,17,,14.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.96,88,,percent of total billed charges,,,,,,,,,12.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.47,91,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,,,,,,,,,,,,,14.11,83,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,13.94,82,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,14.45,85,,percent of total billed charges,,12.82,16.15, *PENROSE TUBING 1,23301946,CDM,,,270,RC,inpatient,,7,7,,5.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6.16,88,,percent of total billed charges,,,,,,,,,5.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6.37,91,,percent of total billed charges,,,6.65,95,,percent of total billed charges,,,5.81,83,,percent of total billed charges,,,5.81,83,,percent of total billed charges,,,,,,,,,,,,,,,5.81,83,,percent of total billed charges,,,6.65,95,,percent of total billed charges,,,6.3,90,,percent of total billed charges,,,6.3,90,,percent of total billed charges,,,5.74,82,,percent of total billed charges,,,6.3,90,,percent of total billed charges,,,5.95,85,,percent of total billed charges,,5.28,6.65, DRAIN PENROSE TUBING 1/2,23301947,CDM,,,270,RC,inpatient,,9.27,9.27,,7.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8.16,88,,percent of total billed charges,,,,,,,,,7.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8.44,91,,percent of total billed charges,,,8.81,95,,percent of total billed charges,,,7.69,83,,percent of total billed charges,,,7.69,83,,percent of total billed charges,,,,,,,,,,,,,,,7.69,83,,percent of total billed charges,,,8.81,95,,percent of total billed charges,,,8.34,90,,percent of total billed charges,,,8.34,90,,percent of total billed charges,,,7.6,82,,percent of total billed charges,,,8.34,90,,percent of total billed charges,,,7.88,85,,percent of total billed charges,,6.99,8.81, DRAIN PENROSE TUBING 1,23301949,CDM,,,270,RC,inpatient,,13.86,13.86,,11.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12.2,88,,percent of total billed charges,,,,,,,,,10.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12.61,91,,percent of total billed charges,,,13.17,95,,percent of total billed charges,,,11.5,83,,percent of total billed charges,,,11.5,83,,percent of total billed charges,,,,,,,,,,,,,,,11.5,83,,percent of total billed charges,,,13.17,95,,percent of total billed charges,,,12.47,90,,percent of total billed charges,,,12.47,90,,percent of total billed charges,,,11.37,82,,percent of total billed charges,,,12.47,90,,percent of total billed charges,,,11.78,85,,percent of total billed charges,,10.45,13.17, *SARATOGA SUMP DRAIN 12FR 48,23301965,CDM,,,270,RC,inpatient,,181,181,,153.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,136.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,153.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,159.28,88,,percent of total billed charges,,,,,,,,,138.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,164.71,91,,percent of total billed charges,,,171.95,95,,percent of total billed charges,,,150.23,83,,percent of total billed charges,,,150.23,83,,percent of total billed charges,,,,,,,,,,,,,,,150.23,83,,percent of total billed charges,,,171.95,95,,percent of total billed charges,,,162.9,90,,percent of total billed charges,,,162.9,90,,percent of total billed charges,,,148.42,82,,percent of total billed charges,,,162.9,90,,percent of total billed charges,,,153.85,85,,percent of total billed charges,,136.47,171.95, *SARATOGA SUMP DRAIN 14FR 48,23301966,CDM,,,270,RC,inpatient,,171,171,,145.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,128.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,145.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,150.48,88,,percent of total billed charges,,,,,,,,,130.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,155.61,91,,percent of total billed charges,,,162.45,95,,percent of total billed charges,,,141.93,83,,percent of total billed charges,,,141.93,83,,percent of total billed charges,,,,,,,,,,,,,,,141.93,83,,percent of total billed charges,,,162.45,95,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,140.22,82,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,145.35,85,,percent of total billed charges,,128.93,162.45, *BILE BAG SMALL,23301994,CDM,,,270,RC,inpatient,,85,85,,72.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,64.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,72.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,74.8,88,,percent of total billed charges,,,,,,,,,64.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,77.35,91,,percent of total billed charges,,,80.75,95,,percent of total billed charges,,,70.55,83,,percent of total billed charges,,,70.55,83,,percent of total billed charges,,,,,,,,,,,,,,,70.55,83,,percent of total billed charges,,,80.75,95,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,69.7,82,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,72.25,85,,percent of total billed charges,,64.09,80.75, *TRACH 3.0 CUFFED,23302018,CDM,,,270,RC,inpatient,,13,13,,11.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.44,88,,percent of total billed charges,,,,,,,,,9.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11.83,91,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,,,,,,,,,,,,,10.79,83,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,10.66,82,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.05,85,,percent of total billed charges,,9.8,12.35, TRACH 4.0 CUFFED,23302020,CDM,,,270,RC,inpatient,,15.55,15.55,,13.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13.68,88,,percent of total billed charges,,,,,,,,,11.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.15,91,,percent of total billed charges,,,14.77,95,,percent of total billed charges,,,12.91,83,,percent of total billed charges,,,12.91,83,,percent of total billed charges,,,,,,,,,,,,,,,12.91,83,,percent of total billed charges,,,14.77,95,,percent of total billed charges,,,14,90,,percent of total billed charges,,,14,90,,percent of total billed charges,,,12.75,82,,percent of total billed charges,,,14,90,,percent of total billed charges,,,13.22,85,,percent of total billed charges,,11.72,14.77, TRACH 4.5 CUFFED,23302021,CDM,,,270,RC,inpatient,,16.79,16.79,,14.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.78,88,,percent of total billed charges,,,,,,,,,12.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.28,91,,percent of total billed charges,,,15.95,95,,percent of total billed charges,,,13.94,83,,percent of total billed charges,,,13.94,83,,percent of total billed charges,,,,,,,,,,,,,,,13.94,83,,percent of total billed charges,,,15.95,95,,percent of total billed charges,,,15.11,90,,percent of total billed charges,,,15.11,90,,percent of total billed charges,,,13.77,82,,percent of total billed charges,,,15.11,90,,percent of total billed charges,,,14.27,85,,percent of total billed charges,,12.66,15.95, TRACH 5.0 UNCUFFED,23302022,CDM,,,270,RC,inpatient,,16.2,16.2,,13.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.26,88,,percent of total billed charges,,,,,,,,,12.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.74,91,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,,,,,,,,,,,,,13.45,83,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.28,82,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.77,85,,percent of total billed charges,,12.21,15.39, TRACH 5.5 CUFFED,23302023,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47, TRACH 6.0 CUFFED,23302024,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47, TRACH 7.0 CUFFED,23302027,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47, TRACH 7.5 CUFFED,23302028,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47, TRACH 8.0 CUFFED,23302029,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47, *TRACH 8.5 CUFFED,23302030,CDM,,,270,RC,inpatient,,15,15,,12.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13.2,88,,percent of total billed charges,,,,,,,,,11.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.65,91,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,,,,,,,,,,,,,12.45,83,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.3,82,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.75,85,,percent of total billed charges,,11.31,14.25, *TRACH 2.0 CUFFED,23302032,CDM,,,270,RC,inpatient,,8,8,,6.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.04,88,,percent of total billed charges,,,,,,,,,6.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.28,91,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,,,,,,,,,,,,,6.64,83,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.56,82,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.8,85,,percent of total billed charges,,6.03,7.6, TRACH 3.0 UNCUFFED,23302035,CDM,,,270,RC,inpatient,,8.63,8.63,,7.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.59,88,,percent of total billed charges,,,,,,,,,6.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.85,91,,percent of total billed charges,,,8.2,95,,percent of total billed charges,,,7.16,83,,percent of total billed charges,,,7.16,83,,percent of total billed charges,,,,,,,,,,,,,,,7.16,83,,percent of total billed charges,,,8.2,95,,percent of total billed charges,,,7.77,90,,percent of total billed charges,,,7.77,90,,percent of total billed charges,,,7.08,82,,percent of total billed charges,,,7.77,90,,percent of total billed charges,,,7.34,85,,percent of total billed charges,,6.51,8.2, TRACH 5.0 CUFFED,23302037,CDM,,,270,RC,inpatient,,24.71,24.71,,20.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.74,88,,percent of total billed charges,,,,,,,,,18.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.49,91,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,20.51,83,,percent of total billed charges,,,,,,,,,,,,,,,20.51,83,,percent of total billed charges,,,23.47,95,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,20.26,82,,percent of total billed charges,,,22.24,90,,percent of total billed charges,,,21,85,,percent of total billed charges,,18.63,23.47, TRACH 2.5 UNCUFFED,23302040,CDM,,,270,RC,inpatient,,29.29,29.29,,24.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25.78,88,,percent of total billed charges,,,,,,,,,22.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26.65,91,,percent of total billed charges,,,27.83,95,,percent of total billed charges,,,24.31,83,,percent of total billed charges,,,24.31,83,,percent of total billed charges,,,,,,,,,,,,,,,24.31,83,,percent of total billed charges,,,27.83,95,,percent of total billed charges,,,26.36,90,,percent of total billed charges,,,26.36,90,,percent of total billed charges,,,24.02,82,,percent of total billed charges,,,26.36,90,,percent of total billed charges,,,24.9,85,,percent of total billed charges,,22.08,27.83, TRACH 3.5 UNCUFFED,23302041,CDM,,,270,RC,inpatient,,9.99,9.99,,8.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8.79,88,,percent of total billed charges,,,,,,,,,7.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.09,91,,percent of total billed charges,,,9.49,95,,percent of total billed charges,,,8.29,83,,percent of total billed charges,,,8.29,83,,percent of total billed charges,,,,,,,,,,,,,,,8.29,83,,percent of total billed charges,,,9.49,95,,percent of total billed charges,,,8.99,90,,percent of total billed charges,,,8.99,90,,percent of total billed charges,,,8.19,82,,percent of total billed charges,,,8.99,90,,percent of total billed charges,,,8.49,85,,percent of total billed charges,,7.53,9.49, TRACH 4.5 UNCUFFED,23302043,CDM,,,270,RC,inpatient,,16.2,16.2,,13.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.26,88,,percent of total billed charges,,,,,,,,,12.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.74,91,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,,,,,,,,,,,,,13.45,83,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.28,82,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.77,85,,percent of total billed charges,,12.21,15.39, *U CYSTOFLO URINE DRAIN BAG,23302059,CDM,,,270,RC,inpatient,,26,26,,22.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22.88,88,,percent of total billed charges,,,,,,,,,19.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23.66,91,,percent of total billed charges,,,24.7,95,,percent of total billed charges,,,21.58,83,,percent of total billed charges,,,21.58,83,,percent of total billed charges,,,,,,,,,,,,,,,21.58,83,,percent of total billed charges,,,24.7,95,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,21.32,82,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,22.1,85,,percent of total billed charges,,19.6,24.7, URETERAL DILATATION SET,23302067,CDM,,,270,RC,inpatient,,1605,1605,,1362.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1210.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1364.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1412.4,88,,percent of total billed charges,,,,,,,,,1226.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1460.55,91,,percent of total billed charges,,,1524.75,95,,percent of total billed charges,,,1332.15,83,,percent of total billed charges,,,1332.15,83,,percent of total billed charges,,,,,,,,,,,,,,,1332.15,83,,percent of total billed charges,,,1524.75,95,,percent of total billed charges,,,1444.5,90,,percent of total billed charges,,,1444.5,90,,percent of total billed charges,,,1316.1,82,,percent of total billed charges,,,1444.5,90,,percent of total billed charges,,,1364.25,85,,percent of total billed charges,,1210.17,1524.75, URO DRAIN BAG (CASTLE),23302076,CDM,,,270,RC,inpatient,,77,77,,65.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.76,88,,percent of total billed charges,,,,,,,,,58.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.07,91,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,63.91,83,,percent of total billed charges,,,,,,,,,,,,,,,63.91,83,,percent of total billed charges,,,73.15,95,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,63.14,82,,percent of total billed charges,,,69.3,90,,percent of total billed charges,,,65.45,85,,percent of total billed charges,,58.06,73.15, TAPE UMBILICAL 1/8 X 30,23302117,CDM,,,270,RC,inpatient,,12.98,12.98,,11.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.42,88,,percent of total billed charges,,,,,,,,,9.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11.81,91,,percent of total billed charges,,,12.33,95,,percent of total billed charges,,,10.77,83,,percent of total billed charges,,,10.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10.77,83,,percent of total billed charges,,,12.33,95,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,10.64,82,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,11.03,85,,percent of total billed charges,,9.79,12.33, *TROCAR CATHETER 24FR 16,23302148,CDM,,,270,RC,inpatient,,136,136,,115.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,102.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,115.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,119.68,88,,percent of total billed charges,,,,,,,,,103.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,123.76,91,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,,,,,,,,,,,,,112.88,83,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,111.52,82,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,115.6,85,,percent of total billed charges,,102.54,129.2, MESH PERFIX PLUG LARGE,23302380,CDM,,,270,RC,inpatient,,962,962,,816.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,725.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,817.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,846.56,88,,percent of total billed charges,,,,,,,,,734.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,875.42,91,,percent of total billed charges,,,913.9,95,,percent of total billed charges,,,798.46,83,,percent of total billed charges,,,798.46,83,,percent of total billed charges,,,,,,,,,,,,,,,798.46,83,,percent of total billed charges,,,913.9,95,,percent of total billed charges,,,865.8,90,,percent of total billed charges,,,865.8,90,,percent of total billed charges,,,788.84,82,,percent of total billed charges,,,865.8,90,,percent of total billed charges,,,817.7,85,,percent of total billed charges,,725.35,913.9, MESH PERFIX PLUG SMALL,23302385,CDM,,,270,RC,inpatient,,932.75,932.75,,791.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,703.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,792.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,820.82,88,,percent of total billed charges,,,,,,,,,712.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,848.8,91,,percent of total billed charges,,,886.11,95,,percent of total billed charges,,,774.18,83,,percent of total billed charges,,,774.18,83,,percent of total billed charges,,,,,,,,,,,,,,,774.18,83,,percent of total billed charges,,,886.11,95,,percent of total billed charges,,,839.48,90,,percent of total billed charges,,,839.48,90,,percent of total billed charges,,,764.86,82,,percent of total billed charges,,,839.48,90,,percent of total billed charges,,,792.84,85,,percent of total billed charges,,703.29,886.11, SPLINT NASAL DOYLE II,23302430,CDM,,,270,RC,inpatient,,532,532,,451.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,401.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,452.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,468.16,88,,percent of total billed charges,,,,,,,,,406.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,484.12,91,,percent of total billed charges,,,505.4,95,,percent of total billed charges,,,441.56,83,,percent of total billed charges,,,441.56,83,,percent of total billed charges,,,,,,,,,,,,,,,441.56,83,,percent of total billed charges,,,505.4,95,,percent of total billed charges,,,478.8,90,,percent of total billed charges,,,478.8,90,,percent of total billed charges,,,436.24,82,,percent of total billed charges,,,478.8,90,,percent of total billed charges,,,452.2,85,,percent of total billed charges,,401.13,505.4, TOURNI-COT SIZE LARGE,23302450,CDM,,,270,RC,inpatient,,28.33,28.33,,24.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24.93,88,,percent of total billed charges,,,,,,,,,21.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25.78,91,,percent of total billed charges,,,26.91,95,,percent of total billed charges,,,23.51,83,,percent of total billed charges,,,23.51,83,,percent of total billed charges,,,,,,,,,,,,,,,23.51,83,,percent of total billed charges,,,26.91,95,,percent of total billed charges,,,25.5,90,,percent of total billed charges,,,25.5,90,,percent of total billed charges,,,23.23,82,,percent of total billed charges,,,25.5,90,,percent of total billed charges,,,24.08,85,,percent of total billed charges,,21.36,26.91, *RUBBER BAND STERILE 3,23302497,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8, TRAY THORACENTESIS - ARROW,23302505,CDM,,,270,RC,inpatient,,667.88,667.88,,567.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,503.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,567.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,587.73,88,,percent of total billed charges,,,,,,,,,510.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,607.77,91,,percent of total billed charges,,,634.49,95,,percent of total billed charges,,,554.34,83,,percent of total billed charges,,,554.34,83,,percent of total billed charges,,,,,,,,,,,,,,,554.34,83,,percent of total billed charges,,,634.49,95,,percent of total billed charges,,,601.09,90,,percent of total billed charges,,,601.09,90,,percent of total billed charges,,,547.66,82,,percent of total billed charges,,,601.09,90,,percent of total billed charges,,,567.7,85,,percent of total billed charges,,503.58,634.49, TUBE EAR REUTER BOBBIN BLUE 1.14MM,23302580,CDM,,,270,RC,inpatient,,195.2,195.2,,165.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,165.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,171.78,88,,percent of total billed charges,,,,,,,,,149.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,177.63,91,,percent of total billed charges,,,185.44,95,,percent of total billed charges,,,162.02,83,,percent of total billed charges,,,162.02,83,,percent of total billed charges,,,,,,,,,,,,,,,162.02,83,,percent of total billed charges,,,185.44,95,,percent of total billed charges,,,175.68,90,,percent of total billed charges,,,175.68,90,,percent of total billed charges,,,160.06,82,,percent of total billed charges,,,175.68,90,,percent of total billed charges,,,165.92,85,,percent of total billed charges,,147.18,185.44, TUBE EAR GOODE-T 1.14MM X 6MM,23302596,CDM,,,270,RC,inpatient,,348,348,,295.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,262.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,295.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,306.24,88,,percent of total billed charges,,,,,,,,,265.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,316.68,91,,percent of total billed charges,,,330.6,95,,percent of total billed charges,,,288.84,83,,percent of total billed charges,,,288.84,83,,percent of total billed charges,,,,,,,,,,,,,,,288.84,83,,percent of total billed charges,,,330.6,95,,percent of total billed charges,,,313.2,90,,percent of total billed charges,,,313.2,90,,percent of total billed charges,,,285.36,82,,percent of total billed charges,,,313.2,90,,percent of total billed charges,,,295.8,85,,percent of total billed charges,,262.39,330.6, TUBE EAR RICHARDS 1.32MM,23302598,CDM,,,270,RC,inpatient,,193.12,193.12,,163.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,145.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,164.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,169.95,88,,percent of total billed charges,,,,,,,,,147.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,175.74,91,,percent of total billed charges,,,183.46,95,,percent of total billed charges,,,160.29,83,,percent of total billed charges,,,160.29,83,,percent of total billed charges,,,,,,,,,,,,,,,160.29,83,,percent of total billed charges,,,183.46,95,,percent of total billed charges,,,173.81,90,,percent of total billed charges,,,173.81,90,,percent of total billed charges,,,158.36,82,,percent of total billed charges,,,173.81,90,,percent of total billed charges,,,164.15,85,,percent of total billed charges,,145.61,183.46, TRACTION BOOT UNIVERSAL,23302729,CDM,,,270,RC,inpatient,,104.48,104.48,,88.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,78.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,88.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,91.94,88,,percent of total billed charges,,,,,,,,,79.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,95.08,91,,percent of total billed charges,,,99.26,95,,percent of total billed charges,,,86.72,83,,percent of total billed charges,,,86.72,83,,percent of total billed charges,,,,,,,,,,,,,,,86.72,83,,percent of total billed charges,,,99.26,95,,percent of total billed charges,,,94.03,90,,percent of total billed charges,,,94.03,90,,percent of total billed charges,,,85.67,82,,percent of total billed charges,,,94.03,90,,percent of total billed charges,,,88.81,85,,percent of total billed charges,,78.78,99.26, ABDUCTION PILLOW HIP UNIVERSAL,23302802,CDM,,,270,RC,inpatient,,129.84,129.84,,110.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,97.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,110.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,114.26,88,,percent of total billed charges,,,,,,,,,99.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,118.15,91,,percent of total billed charges,,,123.35,95,,percent of total billed charges,,,107.77,83,,percent of total billed charges,,,107.77,83,,percent of total billed charges,,,,,,,,,,,,,,,107.77,83,,percent of total billed charges,,,123.35,95,,percent of total billed charges,,,116.86,90,,percent of total billed charges,,,116.86,90,,percent of total billed charges,,,106.47,82,,percent of total billed charges,,,116.86,90,,percent of total billed charges,,,110.36,85,,percent of total billed charges,,97.9,123.35, AIRWAY NASO PVC 26FR,23302835,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99, AIRWAY NASO PVC 30FR,23302836,CDM,,,270,RC,inpatient,,24.68,24.68,,20.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.72,88,,percent of total billed charges,,,,,,,,,18.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.46,91,,percent of total billed charges,,,23.45,95,,percent of total billed charges,,,20.48,83,,percent of total billed charges,,,20.48,83,,percent of total billed charges,,,,,,,,,,,,,,,20.48,83,,percent of total billed charges,,,23.45,95,,percent of total billed charges,,,22.21,90,,percent of total billed charges,,,22.21,90,,percent of total billed charges,,,20.24,82,,percent of total billed charges,,,22.21,90,,percent of total billed charges,,,20.98,85,,percent of total billed charges,,18.61,23.45, AIRWAY GUEDEL 50MM,23302838,CDM,,,270,RC,inpatient,,3.56,3.56,,3.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.13,88,,percent of total billed charges,,,,,,,,,2.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.24,91,,percent of total billed charges,,,3.38,95,,percent of total billed charges,,,2.95,83,,percent of total billed charges,,,2.95,83,,percent of total billed charges,,,,,,,,,,,,,,,2.95,83,,percent of total billed charges,,,3.38,95,,percent of total billed charges,,,3.2,90,,percent of total billed charges,,,3.2,90,,percent of total billed charges,,,2.92,82,,percent of total billed charges,,,3.2,90,,percent of total billed charges,,,3.03,85,,percent of total billed charges,,2.68,3.38, AIRWAY NASO PVC 24FR,23302840,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99, AIRWAY NASO PVC 28FR,23302841,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99, AIRWAY NASO PVC 20FR,23302842,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99, AIRWAY NASO PVC 22FR,23302843,CDM,,,270,RC,inpatient,,21.04,21.04,,17.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.52,88,,percent of total billed charges,,,,,,,,,16.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.15,91,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,17.46,83,,percent of total billed charges,,,,,,,,,,,,,,,17.46,83,,percent of total billed charges,,,19.99,95,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.25,82,,percent of total billed charges,,,18.94,90,,percent of total billed charges,,,17.88,85,,percent of total billed charges,,15.86,19.99, PEAK FLOW METER W/ INSTRUCTIONS,23302901,CDM,,,270,RC,inpatient,,67.61,67.61,,57.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.5,88,,percent of total billed charges,,,,,,,,,51.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.53,91,,percent of total billed charges,,,64.23,95,,percent of total billed charges,,,56.12,83,,percent of total billed charges,,,56.12,83,,percent of total billed charges,,,,,,,,,,,,,,,56.12,83,,percent of total billed charges,,,64.23,95,,percent of total billed charges,,,60.85,90,,percent of total billed charges,,,60.85,90,,percent of total billed charges,,,55.44,82,,percent of total billed charges,,,60.85,90,,percent of total billed charges,,,57.47,85,,percent of total billed charges,,50.98,64.23, CERVICAL COLLAR UNIVERSAL,23302920,CDM,,,270,RC,inpatient,,23.49,23.49,,19.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.67,88,,percent of total billed charges,,,,,,,,,17.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.38,91,,percent of total billed charges,,,22.32,95,,percent of total billed charges,,,19.5,83,,percent of total billed charges,,,19.5,83,,percent of total billed charges,,,,,,,,,,,,,,,19.5,83,,percent of total billed charges,,,22.32,95,,percent of total billed charges,,,21.14,90,,percent of total billed charges,,,21.14,90,,percent of total billed charges,,,19.26,82,,percent of total billed charges,,,21.14,90,,percent of total billed charges,,,19.97,85,,percent of total billed charges,,17.71,22.32, PLEUREVAC DRAIN SET,23302927,CDM,,,270,RC,inpatient,,250.1,250.1,,212.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,188.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,212.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,220.09,88,,percent of total billed charges,,,,,,,,,191.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,227.59,91,,percent of total billed charges,,,237.6,95,,percent of total billed charges,,,207.58,83,,percent of total billed charges,,,207.58,83,,percent of total billed charges,,,,,,,,,,,,,,,207.58,83,,percent of total billed charges,,,237.6,95,,percent of total billed charges,,,225.09,90,,percent of total billed charges,,,225.09,90,,percent of total billed charges,,,205.08,82,,percent of total billed charges,,,225.09,90,,percent of total billed charges,,,212.59,85,,percent of total billed charges,,188.58,237.6, *STOMA POWDER ADAPT 1OZ,23302968,CDM,,,270,RC,inpatient,,30,30,,25.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26.4,88,,percent of total billed charges,,,,,,,,,22.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27.3,91,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,24.9,83,,percent of total billed charges,,,,,,,,,,,,,,,24.9,83,,percent of total billed charges,,,28.5,95,,percent of total billed charges,,,27,90,,percent of total billed charges,,,27,90,,percent of total billed charges,,,24.6,82,,percent of total billed charges,,,27,90,,percent of total billed charges,,,25.5,85,,percent of total billed charges,,22.62,28.5, *SOCK AID,23303012,CDM,,,270,RC,inpatient,,52,52,,44.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.76,88,,percent of total billed charges,,,,,,,,,39.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.32,91,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,,,,,,,,,,,,,43.16,83,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,42.64,82,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,44.2,85,,percent of total billed charges,,39.21,49.4, REACHER 26 LONG,23303014,CDM,,,270,RC,inpatient,,35.19,35.19,,29.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.97,88,,percent of total billed charges,,,,,,,,,26.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32.02,91,,percent of total billed charges,,,33.43,95,,percent of total billed charges,,,29.21,83,,percent of total billed charges,,,29.21,83,,percent of total billed charges,,,,,,,,,,,,,,,29.21,83,,percent of total billed charges,,,33.43,95,,percent of total billed charges,,,31.67,90,,percent of total billed charges,,,31.67,90,,percent of total billed charges,,,28.86,82,,percent of total billed charges,,,31.67,90,,percent of total billed charges,,,29.91,85,,percent of total billed charges,,26.53,33.43, *DIALYSIS TRAY,23303016,CDM,,,270,RC,inpatient,,114,114,,96.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,85.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,96.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,100.32,88,,percent of total billed charges,,,,,,,,,87.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,103.74,91,,percent of total billed charges,,,108.3,95,,percent of total billed charges,,,94.62,83,,percent of total billed charges,,,94.62,83,,percent of total billed charges,,,,,,,,,,,,,,,94.62,83,,percent of total billed charges,,,108.3,95,,percent of total billed charges,,,102.6,90,,percent of total billed charges,,,102.6,90,,percent of total billed charges,,,93.48,82,,percent of total billed charges,,,102.6,90,,percent of total billed charges,,,96.9,85,,percent of total billed charges,,85.96,108.3, LEG LIFTER NAVY 42 REGULAR,23303018,CDM,,,270,RC,inpatient,,72.25,72.25,,61.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,54.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,61.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,63.58,88,,percent of total billed charges,,,,,,,,,55.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,65.75,91,,percent of total billed charges,,,68.64,95,,percent of total billed charges,,,59.97,83,,percent of total billed charges,,,59.97,83,,percent of total billed charges,,,,,,,,,,,,,,,59.97,83,,percent of total billed charges,,,68.64,95,,percent of total billed charges,,,65.03,90,,percent of total billed charges,,,65.03,90,,percent of total billed charges,,,59.25,82,,percent of total billed charges,,,65.03,90,,percent of total billed charges,,,61.41,85,,percent of total billed charges,,54.48,68.64, *TOILET SEAT RAISED,23303024,CDM,,,270,RC,inpatient,,182,182,,154.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,137.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,154.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,160.16,88,,percent of total billed charges,,,,,,,,,139.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,165.62,91,,percent of total billed charges,,,172.9,95,,percent of total billed charges,,,151.06,83,,percent of total billed charges,,,151.06,83,,percent of total billed charges,,,,,,,,,,,,,,,151.06,83,,percent of total billed charges,,,172.9,95,,percent of total billed charges,,,163.8,90,,percent of total billed charges,,,163.8,90,,percent of total billed charges,,,149.24,82,,percent of total billed charges,,,163.8,90,,percent of total billed charges,,,154.7,85,,percent of total billed charges,,137.23,172.9, *COMBIDERM 6X10,23303119,CDM,,,270,RC,inpatient,,52,52,,44.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.76,88,,percent of total billed charges,,,,,,,,,39.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.32,91,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,,,,,,,,,,,,,43.16,83,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,42.64,82,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,44.2,85,,percent of total billed charges,,39.21,49.4, *COMBIDERM 4X4 W/BORDER,23303120,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, *COMBIDERM 6X7,23303121,CDM,,,270,RC,inpatient,,38,38,,32.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.44,88,,percent of total billed charges,,,,,,,,,29.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34.58,91,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,,,,,,,,,,,,,31.54,83,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,31.16,82,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,32.3,85,,percent of total billed charges,,28.65,36.1, *COMBIDERM 5.25 X 5.25,23303122,CDM,,,270,RC,inpatient,,59,59,,50.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.92,88,,percent of total billed charges,,,,,,,,,45.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.69,91,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,48.97,83,,percent of total billed charges,,,,,,,,,,,,,,,48.97,83,,percent of total billed charges,,,56.05,95,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,48.38,82,,percent of total billed charges,,,53.1,90,,percent of total billed charges,,,50.15,85,,percent of total billed charges,,44.49,56.05, *COMBIDERM 5.25 X 5.25 W/BORDER,23303124,CDM,,,270,RC,inpatient,,31,31,,26.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27.28,88,,percent of total billed charges,,,,,,,,,23.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28.21,91,,percent of total billed charges,,,29.45,95,,percent of total billed charges,,,25.73,83,,percent of total billed charges,,,25.73,83,,percent of total billed charges,,,,,,,,,,,,,,,25.73,83,,percent of total billed charges,,,29.45,95,,percent of total billed charges,,,27.9,90,,percent of total billed charges,,,27.9,90,,percent of total billed charges,,,25.42,82,,percent of total billed charges,,,27.9,90,,percent of total billed charges,,,26.35,85,,percent of total billed charges,,23.37,29.45, KCI CANISTER M6275063,23303129,CDM,,,270,RC,inpatient,,318.68,318.68,,270.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,240.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,270.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,280.44,88,,percent of total billed charges,,,,,,,,,243.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,290,91,,percent of total billed charges,,,302.75,95,,percent of total billed charges,,,264.5,83,,percent of total billed charges,,,264.5,83,,percent of total billed charges,,,,,,,,,,,,,,,264.5,83,,percent of total billed charges,,,302.75,95,,percent of total billed charges,,,286.81,90,,percent of total billed charges,,,286.81,90,,percent of total billed charges,,,261.32,82,,percent of total billed charges,,,286.81,90,,percent of total billed charges,,,270.88,85,,percent of total billed charges,,240.28,302.75, KCI GRANUFOAM SM M6275051,23303132,CDM,,,270,RC,inpatient,,300.08,300.08,,254.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,226.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,255.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,264.07,88,,percent of total billed charges,,,,,,,,,229.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,273.07,91,,percent of total billed charges,,,285.08,95,,percent of total billed charges,,,249.07,83,,percent of total billed charges,,,249.07,83,,percent of total billed charges,,,,,,,,,,,,,,,249.07,83,,percent of total billed charges,,,285.08,95,,percent of total billed charges,,,270.07,90,,percent of total billed charges,,,270.07,90,,percent of total billed charges,,,246.07,82,,percent of total billed charges,,,270.07,90,,percent of total billed charges,,,255.07,85,,percent of total billed charges,,226.26,285.08, KCI VERSAFOAM WHITE SM M6275033,23303133,CDM,,,270,RC,inpatient,,83.02,83.02,,70.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.06,88,,percent of total billed charges,,,,,,,,,63.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.55,91,,percent of total billed charges,,,78.87,95,,percent of total billed charges,,,68.91,83,,percent of total billed charges,,,68.91,83,,percent of total billed charges,,,,,,,,,,,,,,,68.91,83,,percent of total billed charges,,,78.87,95,,percent of total billed charges,,,74.72,90,,percent of total billed charges,,,74.72,90,,percent of total billed charges,,,68.08,82,,percent of total billed charges,,,74.72,90,,percent of total billed charges,,,70.57,85,,percent of total billed charges,,62.6,78.87, KCI GRANUFOAM LG M6275053,23303134,CDM,,,270,RC,inpatient,,425.53,425.53,,361.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,320.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,361.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,374.47,88,,percent of total billed charges,,,,,,,,,325.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,387.23,91,,percent of total billed charges,,,404.25,95,,percent of total billed charges,,,353.19,83,,percent of total billed charges,,,353.19,83,,percent of total billed charges,,,,,,,,,,,,,,,353.19,83,,percent of total billed charges,,,404.25,95,,percent of total billed charges,,,382.98,90,,percent of total billed charges,,,382.98,90,,percent of total billed charges,,,348.93,82,,percent of total billed charges,,,382.98,90,,percent of total billed charges,,,361.7,85,,percent of total billed charges,,320.85,404.25, *KCI HEEL FOAM,23303135,CDM,,,270,RC,inpatient,,376,376,,319.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,283.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,319.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330.88,88,,percent of total billed charges,,,,,,,,,287.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,342.16,91,,percent of total billed charges,,,357.2,95,,percent of total billed charges,,,312.08,83,,percent of total billed charges,,,312.08,83,,percent of total billed charges,,,,,,,,,,,,,,,312.08,83,,percent of total billed charges,,,357.2,95,,percent of total billed charges,,,338.4,90,,percent of total billed charges,,,338.4,90,,percent of total billed charges,,,308.32,82,,percent of total billed charges,,,338.4,90,,percent of total billed charges,,,319.6,85,,percent of total billed charges,,283.5,357.2, KCI GRANUFOAM MED M6275052,23303136,CDM,,,270,RC,inpatient,,352.8,352.8,,299.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,266.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,299.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,310.46,88,,percent of total billed charges,,,,,,,,,269.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,321.05,91,,percent of total billed charges,,,335.16,95,,percent of total billed charges,,,292.82,83,,percent of total billed charges,,,292.82,83,,percent of total billed charges,,,,,,,,,,,,,,,292.82,83,,percent of total billed charges,,,335.16,95,,percent of total billed charges,,,317.52,90,,percent of total billed charges,,,317.52,90,,percent of total billed charges,,,289.3,82,,percent of total billed charges,,,317.52,90,,percent of total billed charges,,,299.88,85,,percent of total billed charges,,266.01,335.16, KCI GRANUFOAM SILVER MED M8275096,23303137,CDM,,,270,RC,inpatient,,477.44,477.44,,405.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,359.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,405.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,420.15,88,,percent of total billed charges,,,,,,,,,364.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,434.47,91,,percent of total billed charges,,,453.57,95,,percent of total billed charges,,,396.28,83,,percent of total billed charges,,,396.28,83,,percent of total billed charges,,,,,,,,,,,,,,,396.28,83,,percent of total billed charges,,,453.57,95,,percent of total billed charges,,,429.7,90,,percent of total billed charges,,,429.7,90,,percent of total billed charges,,,391.5,82,,percent of total billed charges,,,429.7,90,,percent of total billed charges,,,405.82,85,,percent of total billed charges,,359.99,453.57, STAPLER SKIN PROXIMATE 35W,23303214,CDM,,,270,RC,inpatient,,53.41,53.41,,45.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,40.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,47,88,,percent of total billed charges,,,,,,,,,40.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,48.6,91,,percent of total billed charges,,,50.74,95,,percent of total billed charges,,,44.33,83,,percent of total billed charges,,,44.33,83,,percent of total billed charges,,,,,,,,,,,,,,,44.33,83,,percent of total billed charges,,,50.74,95,,percent of total billed charges,,,48.07,90,,percent of total billed charges,,,48.07,90,,percent of total billed charges,,,43.8,82,,percent of total billed charges,,,48.07,90,,percent of total billed charges,,,45.4,85,,percent of total billed charges,,40.27,50.74, STAPLER REMOVER SKIN,23303222,CDM,,,270,RC,inpatient,,130.44,130.44,,110.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,98.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,110.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,114.79,88,,percent of total billed charges,,,,,,,,,99.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,118.7,91,,percent of total billed charges,,,123.92,95,,percent of total billed charges,,,108.27,83,,percent of total billed charges,,,108.27,83,,percent of total billed charges,,,,,,,,,,,,,,,108.27,83,,percent of total billed charges,,,123.92,95,,percent of total billed charges,,,117.4,90,,percent of total billed charges,,,117.4,90,,percent of total billed charges,,,106.96,82,,percent of total billed charges,,,117.4,90,,percent of total billed charges,,,110.87,85,,percent of total billed charges,,98.35,123.92, * IV CATHETER JELCO 20 NO WINGS (V0904),23303236,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8, ENDO LOC ADULT,23303420,CDM,,,270,RC,inpatient,,45,45,,38.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39.6,88,,percent of total billed charges,,,,,,,,,34.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40.95,91,,percent of total billed charges,,,42.75,95,,percent of total billed charges,,,37.35,83,,percent of total billed charges,,,37.35,83,,percent of total billed charges,,,,,,,,,,,,,,,37.35,83,,percent of total billed charges,,,42.75,95,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,36.9,82,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,38.25,85,,percent of total billed charges,,33.93,42.75, ENDO LOC PED,23303421,CDM,,,270,RC,inpatient,,36,36,,30.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31.68,88,,percent of total billed charges,,,,,,,,,27.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32.76,91,,percent of total billed charges,,,34.2,95,,percent of total billed charges,,,29.88,83,,percent of total billed charges,,,29.88,83,,percent of total billed charges,,,,,,,,,,,,,,,29.88,83,,percent of total billed charges,,,34.2,95,,percent of total billed charges,,,32.4,90,,percent of total billed charges,,,32.4,90,,percent of total billed charges,,,29.52,82,,percent of total billed charges,,,32.4,90,,percent of total billed charges,,,30.6,85,,percent of total billed charges,,27.14,34.2, *EXTENSION TUBE 14' DISP,23303462,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7, *EXTENSION TUBE 21' DISP,23303463,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7, URINARY DRAINAGE BAG W METER,23303537,CDM,,,270,RC,inpatient,,51.34,51.34,,43.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.18,88,,percent of total billed charges,,,,,,,,,39.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.72,91,,percent of total billed charges,,,48.77,95,,percent of total billed charges,,,42.61,83,,percent of total billed charges,,,42.61,83,,percent of total billed charges,,,,,,,,,,,,,,,42.61,83,,percent of total billed charges,,,48.77,95,,percent of total billed charges,,,46.21,90,,percent of total billed charges,,,46.21,90,,percent of total billed charges,,,42.1,82,,percent of total billed charges,,,46.21,90,,percent of total billed charges,,,43.64,85,,percent of total billed charges,,38.71,48.77, GUIDEWIRE COONS BENSON,23303554,CDM,,,270,RC,inpatient,,199.95,199.95,,169.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,169.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,175.96,88,,percent of total billed charges,,,,,,,,,152.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,181.95,91,,percent of total billed charges,,,189.95,95,,percent of total billed charges,,,165.96,83,,percent of total billed charges,,,165.96,83,,percent of total billed charges,,,,,,,,,,,,,,,165.96,83,,percent of total billed charges,,,189.95,95,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,163.96,82,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,169.96,85,,percent of total billed charges,,150.76,189.95, GLIDEWIRE URO 150 X 3MM,23303555,CDM,,,270,RC,inpatient,,371.07,371.07,,315.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,279.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,315.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,326.54,88,,percent of total billed charges,,,,,,,,,283.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,337.67,91,,percent of total billed charges,,,352.52,95,,percent of total billed charges,,,307.99,83,,percent of total billed charges,,,307.99,83,,percent of total billed charges,,,,,,,,,,,,,,,307.99,83,,percent of total billed charges,,,352.52,95,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,304.28,82,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,315.41,85,,percent of total billed charges,,279.79,352.52, AIRWAY I-GEL SUPRAGLOTTIC #4,23303694,CDM,,,270,RC,inpatient,,76.87,76.87,,65.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.65,88,,percent of total billed charges,,,,,,,,,58.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.95,91,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,,,,,,,,,,,,,63.8,83,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,63.03,82,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,65.34,85,,percent of total billed charges,,57.96,73.03, AIRWAY I-GEL SUPRAGLOTTIC #5,23303695,CDM,,,270,RC,inpatient,,76.87,76.87,,65.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.65,88,,percent of total billed charges,,,,,,,,,58.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.95,91,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,63.8,83,,percent of total billed charges,,,,,,,,,,,,,,,63.8,83,,percent of total billed charges,,,73.03,95,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,63.03,82,,percent of total billed charges,,,69.18,90,,percent of total billed charges,,,65.34,85,,percent of total billed charges,,57.96,73.03, AIRWAY I-GEL SUPRAGLOTTIC #3,23303696,CDM,,,270,RC,inpatient,,76.84,76.84,,65.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.62,88,,percent of total billed charges,,,,,,,,,58.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.92,91,,percent of total billed charges,,,73,95,,percent of total billed charges,,,63.78,83,,percent of total billed charges,,,63.78,83,,percent of total billed charges,,,,,,,,,,,,,,,63.78,83,,percent of total billed charges,,,73,95,,percent of total billed charges,,,69.16,90,,percent of total billed charges,,,69.16,90,,percent of total billed charges,,,63.01,82,,percent of total billed charges,,,69.16,90,,percent of total billed charges,,,65.31,85,,percent of total billed charges,,57.94,73, TRAY BONE MARROW JAMSHIDE,23303842,CDM,,,270,RC,inpatient,,207.83,207.83,,176.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,156.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,176.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,182.89,88,,percent of total billed charges,,,,,,,,,158.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,189.13,91,,percent of total billed charges,,,197.44,95,,percent of total billed charges,,,172.5,83,,percent of total billed charges,,,172.5,83,,percent of total billed charges,,,,,,,,,,,,,,,172.5,83,,percent of total billed charges,,,197.44,95,,percent of total billed charges,,,187.05,90,,percent of total billed charges,,,187.05,90,,percent of total billed charges,,,170.42,82,,percent of total billed charges,,,187.05,90,,percent of total billed charges,,,176.66,85,,percent of total billed charges,,156.7,197.44, TRAY LUMBAR PUNCTURE,23303917,CDM,,,270,RC,inpatient,,189.53,189.53,,160.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,142.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,161.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.79,88,,percent of total billed charges,,,,,,,,,144.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,172.47,91,,percent of total billed charges,,,180.05,95,,percent of total billed charges,,,157.31,83,,percent of total billed charges,,,157.31,83,,percent of total billed charges,,,,,,,,,,,,,,,157.31,83,,percent of total billed charges,,,180.05,95,,percent of total billed charges,,,170.58,90,,percent of total billed charges,,,170.58,90,,percent of total billed charges,,,155.41,82,,percent of total billed charges,,,170.58,90,,percent of total billed charges,,,161.1,85,,percent of total billed charges,,142.91,180.05, TRAY LUMBAR PUNCTURE - PEDS,23303925,CDM,,,270,RC,inpatient,,184.16,184.16,,156.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,138.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,156.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.06,88,,percent of total billed charges,,,,,,,,,140.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,167.59,91,,percent of total billed charges,,,174.95,95,,percent of total billed charges,,,152.85,83,,percent of total billed charges,,,152.85,83,,percent of total billed charges,,,,,,,,,,,,,,,152.85,83,,percent of total billed charges,,,174.95,95,,percent of total billed charges,,,165.74,90,,percent of total billed charges,,,165.74,90,,percent of total billed charges,,,151.01,82,,percent of total billed charges,,,165.74,90,,percent of total billed charges,,,156.54,85,,percent of total billed charges,,138.86,174.95, TRAY PUDENDAL BLOCK,23303941,CDM,,,270,RC,inpatient,,57.15,57.15,,48.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,43.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,48.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,50.29,88,,percent of total billed charges,,,,,,,,,43.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,52.01,91,,percent of total billed charges,,,54.29,95,,percent of total billed charges,,,47.43,83,,percent of total billed charges,,,47.43,83,,percent of total billed charges,,,,,,,,,,,,,,,47.43,83,,percent of total billed charges,,,54.29,95,,percent of total billed charges,,,51.44,90,,percent of total billed charges,,,51.44,90,,percent of total billed charges,,,46.86,82,,percent of total billed charges,,,51.44,90,,percent of total billed charges,,,48.58,85,,percent of total billed charges,,43.09,54.29, *THORACENTESIS PARACENTESIS TRAY(ARROW),23303959,CDM,,,270,RC,inpatient,,166,166,,140.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,125.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,141.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,146.08,88,,percent of total billed charges,,,,,,,,,126.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,151.06,91,,percent of total billed charges,,,157.7,95,,percent of total billed charges,,,137.78,83,,percent of total billed charges,,,137.78,83,,percent of total billed charges,,,,,,,,,,,,,,,137.78,83,,percent of total billed charges,,,157.7,95,,percent of total billed charges,,,149.4,90,,percent of total billed charges,,,149.4,90,,percent of total billed charges,,,136.12,82,,percent of total billed charges,,,149.4,90,,percent of total billed charges,,,141.1,85,,percent of total billed charges,,125.16,157.7, * TRACHEOSTOMY TUBE CUFF #6 (V0106),23303993,CDM,,,270,RC,inpatient,,235,235,,199.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,177.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,199.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,206.8,88,,percent of total billed charges,,,,,,,,,179.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,213.85,91,,percent of total billed charges,,,223.25,95,,percent of total billed charges,,,195.05,83,,percent of total billed charges,,,195.05,83,,percent of total billed charges,,,,,,,,,,,,,,,195.05,83,,percent of total billed charges,,,223.25,95,,percent of total billed charges,,,211.5,90,,percent of total billed charges,,,211.5,90,,percent of total billed charges,,,192.7,82,,percent of total billed charges,,,211.5,90,,percent of total billed charges,,,199.75,85,,percent of total billed charges,,177.19,223.25, WARMING BLANKET FULL BODY,23304003,CDM,,,270,RC,inpatient,,78,78,,66.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,66.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.64,88,,percent of total billed charges,,,,,,,,,59.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.98,91,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,,,,,,,,,,,,,64.74,83,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,63.96,82,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,66.3,85,,percent of total billed charges,,58.81,74.1, BLOOD TRANSFUSION FILTER,23304029,CDM,,,270,RC,inpatient,,49.05,49.05,,41.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,41.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,43.16,88,,percent of total billed charges,,,,,,,,,37.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,44.64,91,,percent of total billed charges,,,46.6,95,,percent of total billed charges,,,40.71,83,,percent of total billed charges,,,40.71,83,,percent of total billed charges,,,,,,,,,,,,,,,40.71,83,,percent of total billed charges,,,46.6,95,,percent of total billed charges,,,44.15,90,,percent of total billed charges,,,44.15,90,,percent of total billed charges,,,40.22,82,,percent of total billed charges,,,44.15,90,,percent of total billed charges,,,41.69,85,,percent of total billed charges,,36.98,46.6, NEEDLE DRAIN CATH,23304080,CDM,,,270,RC,inpatient,,177,177,,150.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,133.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,150.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,155.76,88,,percent of total billed charges,,,,,,,,,135.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,161.07,91,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,,,,,,,,,,,,,146.91,83,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,145.14,82,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,150.45,85,,percent of total billed charges,,133.46,168.15, *BASIN SET LG,23304089,CDM,,,270,RC,inpatient,,22,22,,18.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.36,88,,percent of total billed charges,,,,,,,,,16.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20.02,91,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,,,,,,,,,,,,,18.26,83,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.04,82,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.7,85,,percent of total billed charges,,16.59,20.9, CONTAMINATION CONTROL DEVICE TRAY,23304090,CDM,,,270,RC,inpatient,,158.64,158.64,,134.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,119.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,134.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,139.6,88,,percent of total billed charges,,,,,,,,,121.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,144.36,91,,percent of total billed charges,,,150.71,95,,percent of total billed charges,,,131.67,83,,percent of total billed charges,,,131.67,83,,percent of total billed charges,,,,,,,,,,,,,,,131.67,83,,percent of total billed charges,,,150.71,95,,percent of total billed charges,,,142.78,90,,percent of total billed charges,,,142.78,90,,percent of total billed charges,,,130.08,82,,percent of total billed charges,,,142.78,90,,percent of total billed charges,,,134.84,85,,percent of total billed charges,,119.61,150.71, LIGACLIP MEDIUM LS-200,23304105,CDM,,,270,RC,inpatient,,27.63,27.63,,23.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24.31,88,,percent of total billed charges,,,,,,,,,21.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25.14,91,,percent of total billed charges,,,26.25,95,,percent of total billed charges,,,22.93,83,,percent of total billed charges,,,22.93,83,,percent of total billed charges,,,,,,,,,,,,,,,22.93,83,,percent of total billed charges,,,26.25,95,,percent of total billed charges,,,24.87,90,,percent of total billed charges,,,24.87,90,,percent of total billed charges,,,22.66,82,,percent of total billed charges,,,24.87,90,,percent of total billed charges,,,23.49,85,,percent of total billed charges,,20.83,26.25, LIGACLIP LARGE LS-400,23304113,CDM,,,270,RC,inpatient,,45.73,45.73,,38.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.24,88,,percent of total billed charges,,,,,,,,,34.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41.61,91,,percent of total billed charges,,,43.44,95,,percent of total billed charges,,,37.96,83,,percent of total billed charges,,,37.96,83,,percent of total billed charges,,,,,,,,,,,,,,,37.96,83,,percent of total billed charges,,,43.44,95,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,37.5,82,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,38.87,85,,percent of total billed charges,,34.48,43.44, STOMA POUCH W/CLAMP 2-1/4,23304226,CDM,,,270,RC,inpatient,,2.84,2.84,,2.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.5,88,,percent of total billed charges,,,,,,,,,2.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.58,91,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,,,,,,,,,,,,,2.36,83,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.33,82,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.41,85,,percent of total billed charges,,2.14,2.7, STOMA POUCH 2-3/4 DISPOSABLE,23304227,CDM,,,270,RC,inpatient,,2.84,2.84,,2.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.5,88,,percent of total billed charges,,,,,,,,,2.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.58,91,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,2.36,83,,percent of total billed charges,,,,,,,,,,,,,,,2.36,83,,percent of total billed charges,,,2.7,95,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.33,82,,percent of total billed charges,,,2.56,90,,percent of total billed charges,,,2.41,85,,percent of total billed charges,,2.14,2.7, *ELEC/SURG PENCIL W/SMOKE EVAC,23304255,CDM,,,270,RC,inpatient,,27,27,,22.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23.76,88,,percent of total billed charges,,,,,,,,,20.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24.57,91,,percent of total billed charges,,,25.65,95,,percent of total billed charges,,,22.41,83,,percent of total billed charges,,,22.41,83,,percent of total billed charges,,,,,,,,,,,,,,,22.41,83,,percent of total billed charges,,,25.65,95,,percent of total billed charges,,,24.3,90,,percent of total billed charges,,,24.3,90,,percent of total billed charges,,,22.14,82,,percent of total billed charges,,,24.3,90,,percent of total billed charges,,,22.95,85,,percent of total billed charges,,20.36,25.65, ELEC/SURG GROUND PAD PEDIATRIC,23304256,CDM,,,270,RC,inpatient,,40.86,40.86,,34.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.96,88,,percent of total billed charges,,,,,,,,,31.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37.18,91,,percent of total billed charges,,,38.82,95,,percent of total billed charges,,,33.91,83,,percent of total billed charges,,,33.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33.91,83,,percent of total billed charges,,,38.82,95,,percent of total billed charges,,,36.77,90,,percent of total billed charges,,,36.77,90,,percent of total billed charges,,,33.51,82,,percent of total billed charges,,,36.77,90,,percent of total billed charges,,,34.73,85,,percent of total billed charges,,30.81,38.82, LIGACLIP SMALL LS-100,23304261,CDM,,,270,RC,inpatient,,23.58,23.58,,20.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.75,88,,percent of total billed charges,,,,,,,,,18.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.46,91,,percent of total billed charges,,,22.4,95,,percent of total billed charges,,,19.57,83,,percent of total billed charges,,,19.57,83,,percent of total billed charges,,,,,,,,,,,,,,,19.57,83,,percent of total billed charges,,,22.4,95,,percent of total billed charges,,,21.22,90,,percent of total billed charges,,,21.22,90,,percent of total billed charges,,,19.34,82,,percent of total billed charges,,,21.22,90,,percent of total billed charges,,,20.04,85,,percent of total billed charges,,17.78,22.4, CATH COUDE 20F 30CC,23304387,CDM,,,270,RC,inpatient,,79.31,79.31,,67.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,59.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,67.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,69.79,88,,percent of total billed charges,,,,,,,,,60.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,72.17,91,,percent of total billed charges,,,75.34,95,,percent of total billed charges,,,65.83,83,,percent of total billed charges,,,65.83,83,,percent of total billed charges,,,,,,,,,,,,,,,65.83,83,,percent of total billed charges,,,75.34,95,,percent of total billed charges,,,71.38,90,,percent of total billed charges,,,71.38,90,,percent of total billed charges,,,65.03,82,,percent of total billed charges,,,71.38,90,,percent of total billed charges,,,67.41,85,,percent of total billed charges,,59.8,75.34, KNEE IMMOBILIZER 18,23304427,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02, KNEE IMMOBILIZER 22,23304428,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02, KNEE IMMOBILIZER 24,23304429,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02, MASK FACE ANES SMALL,23304436,CDM,,,270,RC,inpatient,,17.51,17.51,,14.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.41,88,,percent of total billed charges,,,,,,,,,13.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.93,91,,percent of total billed charges,,,16.63,95,,percent of total billed charges,,,14.53,83,,percent of total billed charges,,,14.53,83,,percent of total billed charges,,,,,,,,,,,,,,,14.53,83,,percent of total billed charges,,,16.63,95,,percent of total billed charges,,,15.76,90,,percent of total billed charges,,,15.76,90,,percent of total billed charges,,,14.36,82,,percent of total billed charges,,,15.76,90,,percent of total billed charges,,,14.88,85,,percent of total billed charges,,13.2,16.63, KNEE IMMOBILIZER 14,23304437,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02, KNEE IMMOBILIZER 20,23304439,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02, KNEE IMMOBILIZER 16,23304440,CDM,,,270,RC,inpatient,,111.6,111.6,,94.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.21,88,,percent of total billed charges,,,,,,,,,85.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.56,91,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,92.63,83,,percent of total billed charges,,,,,,,,,,,,,,,92.63,83,,percent of total billed charges,,,106.02,95,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,91.51,82,,percent of total billed charges,,,100.44,90,,percent of total billed charges,,,94.86,85,,percent of total billed charges,,84.15,106.02, *FACE MASK MEDIUM ANESTHESIA,23304446,CDM,,,270,RC,inpatient,,13,13,,11.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.44,88,,percent of total billed charges,,,,,,,,,9.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11.83,91,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,10.79,83,,percent of total billed charges,,,,,,,,,,,,,,,10.79,83,,percent of total billed charges,,,12.35,95,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,10.66,82,,percent of total billed charges,,,11.7,90,,percent of total billed charges,,,11.05,85,,percent of total billed charges,,9.8,12.35, *FACE MASK LARGE ANESTHESIA,23304447,CDM,,,270,RC,inpatient,,17,17,,14.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.96,88,,percent of total billed charges,,,,,,,,,12.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.47,91,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,14.11,83,,percent of total billed charges,,,,,,,,,,,,,,,14.11,83,,percent of total billed charges,,,16.15,95,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,13.94,82,,percent of total billed charges,,,15.3,90,,percent of total billed charges,,,14.45,85,,percent of total billed charges,,12.82,16.15, MASK FACE ANES INFANT,23304448,CDM,,,270,RC,inpatient,,17.23,17.23,,14.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.16,88,,percent of total billed charges,,,,,,,,,13.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.68,91,,percent of total billed charges,,,16.37,95,,percent of total billed charges,,,14.3,83,,percent of total billed charges,,,14.3,83,,percent of total billed charges,,,,,,,,,,,,,,,14.3,83,,percent of total billed charges,,,16.37,95,,percent of total billed charges,,,15.51,90,,percent of total billed charges,,,15.51,90,,percent of total billed charges,,,14.13,82,,percent of total billed charges,,,15.51,90,,percent of total billed charges,,,14.65,85,,percent of total billed charges,,12.99,16.37, MASK FACE ANES CHILD,23304449,CDM,,,270,RC,inpatient,,16.74,16.74,,14.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.73,88,,percent of total billed charges,,,,,,,,,12.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.23,91,,percent of total billed charges,,,15.9,95,,percent of total billed charges,,,13.89,83,,percent of total billed charges,,,13.89,83,,percent of total billed charges,,,,,,,,,,,,,,,13.89,83,,percent of total billed charges,,,15.9,95,,percent of total billed charges,,,15.07,90,,percent of total billed charges,,,15.07,90,,percent of total billed charges,,,13.73,82,,percent of total billed charges,,,15.07,90,,percent of total billed charges,,,14.23,85,,percent of total billed charges,,12.62,15.9, SUPPORTER MALE ATHLETIC - LGE,23304535,CDM,,,270,RC,inpatient,,120,120,,101.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,90.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,102,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,105.6,88,,percent of total billed charges,,,,,,,,,91.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,109.2,91,,percent of total billed charges,,,114,95,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,,,,,,,,,,,,,99.6,83,,percent of total billed charges,,,114,95,,percent of total billed charges,,,108,90,,percent of total billed charges,,,108,90,,percent of total billed charges,,,98.4,82,,percent of total billed charges,,,108,90,,percent of total billed charges,,,102,85,,percent of total billed charges,,90.48,114, SUPPORTER MALE ATHLETIC - XLG,23304536,CDM,,,270,RC,inpatient,,76.76,76.76,,65.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,57.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,67.55,88,,percent of total billed charges,,,,,,,,,58.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,69.85,91,,percent of total billed charges,,,72.92,95,,percent of total billed charges,,,63.71,83,,percent of total billed charges,,,63.71,83,,percent of total billed charges,,,,,,,,,,,,,,,63.71,83,,percent of total billed charges,,,72.92,95,,percent of total billed charges,,,69.08,90,,percent of total billed charges,,,69.08,90,,percent of total billed charges,,,62.94,82,,percent of total billed charges,,,69.08,90,,percent of total billed charges,,,65.25,85,,percent of total billed charges,,57.88,72.92, LAP CHOLE ACCESSORY KIT,23304691,CDM,,,270,RC,inpatient,,1647.04,1647.04,,1398.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1241.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1399.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1449.4,88,,percent of total billed charges,,,,,,,,,1258.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1498.81,91,,percent of total billed charges,,,1564.69,95,,percent of total billed charges,,,1367.04,83,,percent of total billed charges,,,1367.04,83,,percent of total billed charges,,,,,,,,,,,,,,,1367.04,83,,percent of total billed charges,,,1564.69,95,,percent of total billed charges,,,1482.34,90,,percent of total billed charges,,,1482.34,90,,percent of total billed charges,,,1350.57,82,,percent of total billed charges,,,1482.34,90,,percent of total billed charges,,,1399.98,85,,percent of total billed charges,,1241.87,1564.69, NEEDLE VERES PNEUMO 120MM,23304692,CDM,,,270,RC,inpatient,,98.88,98.88,,83.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,74.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,84.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,87.01,88,,percent of total billed charges,,,,,,,,,75.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,89.98,91,,percent of total billed charges,,,93.94,95,,percent of total billed charges,,,82.07,83,,percent of total billed charges,,,82.07,83,,percent of total billed charges,,,,,,,,,,,,,,,82.07,83,,percent of total billed charges,,,93.94,95,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,81.08,82,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,84.05,85,,percent of total billed charges,,74.56,93.94, LAPAROSCOPIC REDUCER CAP,23304693,CDM,,,270,RC,inpatient,,40.77,40.77,,34.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.88,88,,percent of total billed charges,,,,,,,,,31.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37.1,91,,percent of total billed charges,,,38.73,95,,percent of total billed charges,,,33.84,83,,percent of total billed charges,,,33.84,83,,percent of total billed charges,,,,,,,,,,,,,,,33.84,83,,percent of total billed charges,,,38.73,95,,percent of total billed charges,,,36.69,90,,percent of total billed charges,,,36.69,90,,percent of total billed charges,,,33.43,82,,percent of total billed charges,,,36.69,90,,percent of total billed charges,,,34.65,85,,percent of total billed charges,,30.74,38.73, *TUBING BLOOD WARMING,23304725,CDM,,,270,RC,inpatient,,22,22,,18.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.36,88,,percent of total billed charges,,,,,,,,,16.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20.02,91,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,,,,,,,,,,,,,18.26,83,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.04,82,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.7,85,,percent of total billed charges,,16.59,20.9, BALLOON URETERAL DILATATION,23304741,CDM,,,270,RC,inpatient,,1485.84,1485.84,,1261.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1120.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1262.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1307.54,88,,percent of total billed charges,,,,,,,,,1135.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1352.11,91,,percent of total billed charges,,,1411.55,95,,percent of total billed charges,,,1233.25,83,,percent of total billed charges,,,1233.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1233.25,83,,percent of total billed charges,,,1411.55,95,,percent of total billed charges,,,1337.26,90,,percent of total billed charges,,,1337.26,90,,percent of total billed charges,,,1218.39,82,,percent of total billed charges,,,1337.26,90,,percent of total billed charges,,,1262.96,85,,percent of total billed charges,,1120.32,1411.55, SPLINT WRIST & FOREARM UNIV/LT,23304758,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94, SPLINT WRIST & FOREARM UNIV/RT,23304761,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94, SPLINT WRIST & FOREARM LF PED,23304765,CDM,,,270,RC,inpatient,,67.15,67.15,,57.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.09,88,,percent of total billed charges,,,,,,,,,51.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.11,91,,percent of total billed charges,,,63.79,95,,percent of total billed charges,,,55.73,83,,percent of total billed charges,,,55.73,83,,percent of total billed charges,,,,,,,,,,,,,,,55.73,83,,percent of total billed charges,,,63.79,95,,percent of total billed charges,,,60.44,90,,percent of total billed charges,,,60.44,90,,percent of total billed charges,,,55.06,82,,percent of total billed charges,,,60.44,90,,percent of total billed charges,,,57.08,85,,percent of total billed charges,,50.63,63.79, * BREAST PUMP MEDELA (V1104),23304881,CDM,,,270,RC,inpatient,,66,66,,56.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58.08,88,,percent of total billed charges,,,,,,,,,50.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60.06,91,,percent of total billed charges,,,62.7,95,,percent of total billed charges,,,54.78,83,,percent of total billed charges,,,54.78,83,,percent of total billed charges,,,,,,,,,,,,,,,54.78,83,,percent of total billed charges,,,62.7,95,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,54.12,82,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,56.1,85,,percent of total billed charges,,49.76,62.7, STAPLER SKIN PRECISE VISTA 15W,23304900,CDM,,,270,RC,inpatient,,69.96,69.96,,59.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,59.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,61.56,88,,percent of total billed charges,,,,,,,,,53.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,63.66,91,,percent of total billed charges,,,66.46,95,,percent of total billed charges,,,58.07,83,,percent of total billed charges,,,58.07,83,,percent of total billed charges,,,,,,,,,,,,,,,58.07,83,,percent of total billed charges,,,66.46,95,,percent of total billed charges,,,62.96,90,,percent of total billed charges,,,62.96,90,,percent of total billed charges,,,57.37,82,,percent of total billed charges,,,62.96,90,,percent of total billed charges,,,59.47,85,,percent of total billed charges,,52.75,66.46, CHOLANGIOGRAM KIT 10FR,23304907,CDM,,,270,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, STAPLER SKIN 15R,23304915,CDM,,,270,RC,inpatient,,43.72,43.72,,37.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,38.47,88,,percent of total billed charges,,,,,,,,,33.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,39.79,91,,percent of total billed charges,,,41.53,95,,percent of total billed charges,,,36.29,83,,percent of total billed charges,,,36.29,83,,percent of total billed charges,,,,,,,,,,,,,,,36.29,83,,percent of total billed charges,,,41.53,95,,percent of total billed charges,,,39.35,90,,percent of total billed charges,,,39.35,90,,percent of total billed charges,,,35.85,82,,percent of total billed charges,,,39.35,90,,percent of total billed charges,,,37.16,85,,percent of total billed charges,,32.96,41.53, STAPLER SKIN PRECISE VISTA 15R,23304916,CDM,,,270,RC,inpatient,,33.37,33.37,,28.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.37,88,,percent of total billed charges,,,,,,,,,25.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.37,91,,percent of total billed charges,,,31.7,95,,percent of total billed charges,,,27.7,83,,percent of total billed charges,,,27.7,83,,percent of total billed charges,,,,,,,,,,,,,,,27.7,83,,percent of total billed charges,,,31.7,95,,percent of total billed charges,,,30.03,90,,percent of total billed charges,,,30.03,90,,percent of total billed charges,,,27.36,82,,percent of total billed charges,,,30.03,90,,percent of total billed charges,,,28.36,85,,percent of total billed charges,,25.16,31.7, ULTRASLING III BLACK MEDIUM,23305085,CDM,,,270,RC,inpatient,,373.95,373.95,,317.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,281.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,317.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,329.08,88,,percent of total billed charges,,,,,,,,,285.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,340.29,91,,percent of total billed charges,,,355.25,95,,percent of total billed charges,,,310.38,83,,percent of total billed charges,,,310.38,83,,percent of total billed charges,,,,,,,,,,,,,,,310.38,83,,percent of total billed charges,,,355.25,95,,percent of total billed charges,,,336.56,90,,percent of total billed charges,,,336.56,90,,percent of total billed charges,,,306.64,82,,percent of total billed charges,,,336.56,90,,percent of total billed charges,,,317.86,85,,percent of total billed charges,,281.96,355.25, SPLINT WRIST RIGHT PEDIATRIC,23305090,CDM,,,270,RC,inpatient,,59.5,59.5,,50.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.36,88,,percent of total billed charges,,,,,,,,,45.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.15,91,,percent of total billed charges,,,56.53,95,,percent of total billed charges,,,49.39,83,,percent of total billed charges,,,49.39,83,,percent of total billed charges,,,,,,,,,,,,,,,49.39,83,,percent of total billed charges,,,56.53,95,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,48.79,82,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,50.58,85,,percent of total billed charges,,44.86,56.53, *SPLINT WRIST RIGHT MEDIUM,23305091,CDM,,,270,RC,inpatient,,81,81,,68.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,68.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.28,88,,percent of total billed charges,,,,,,,,,61.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.71,91,,percent of total billed charges,,,76.95,95,,percent of total billed charges,,,67.23,83,,percent of total billed charges,,,67.23,83,,percent of total billed charges,,,,,,,,,,,,,,,67.23,83,,percent of total billed charges,,,76.95,95,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,66.42,82,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,68.85,85,,percent of total billed charges,,61.07,76.95, SHOULDER IMMOBILIZER MEN XLG,23305293,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94, SHOULDER IMMOBILIZER WOMEN LG,23305296,CDM,,,270,RC,inpatient,,64.43,64.43,,54.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56.7,88,,percent of total billed charges,,,,,,,,,49.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58.63,91,,percent of total billed charges,,,61.21,95,,percent of total billed charges,,,53.48,83,,percent of total billed charges,,,53.48,83,,percent of total billed charges,,,,,,,,,,,,,,,53.48,83,,percent of total billed charges,,,61.21,95,,percent of total billed charges,,,57.99,90,,percent of total billed charges,,,57.99,90,,percent of total billed charges,,,52.83,82,,percent of total billed charges,,,57.99,90,,percent of total billed charges,,,54.77,85,,percent of total billed charges,,48.58,61.21, *SHOULDER IMMOBILIZER MEN SM,23305297,CDM,,,270,RC,inpatient,,101,101,,85.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,76.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,85.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,88.88,88,,percent of total billed charges,,,,,,,,,77.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,91.91,91,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,83.83,83,,percent of total billed charges,,,,,,,,,,,,,,,83.83,83,,percent of total billed charges,,,95.95,95,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,82.82,82,,percent of total billed charges,,,90.9,90,,percent of total billed charges,,,85.85,85,,percent of total billed charges,,76.15,95.95, *SHOULDER IMMOBILIZER MEN MED,23305298,CDM,,,270,RC,inpatient,,60,60,,50.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,45.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.8,88,,percent of total billed charges,,,,,,,,,45.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.6,91,,percent of total billed charges,,,57,95,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,,,,,,,,,,,,,49.8,83,,percent of total billed charges,,,57,95,,percent of total billed charges,,,54,90,,percent of total billed charges,,,54,90,,percent of total billed charges,,,49.2,82,,percent of total billed charges,,,54,90,,percent of total billed charges,,,51,85,,percent of total billed charges,,45.24,57, SHOULDER IMMOBILIZER MEN LG,23305299,CDM,,,270,RC,inpatient,,65.2,65.2,,55.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,55.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,57.38,88,,percent of total billed charges,,,,,,,,,49.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,59.33,91,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,54.12,83,,percent of total billed charges,,,,,,,,,,,,,,,54.12,83,,percent of total billed charges,,,61.94,95,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,53.46,82,,percent of total billed charges,,,58.68,90,,percent of total billed charges,,,55.42,85,,percent of total billed charges,,49.16,61.94, SHOULDER IMMOBILIZER UNIVERSAL,23305300,CDM,,,270,RC,inpatient,,56.44,56.44,,47.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.67,88,,percent of total billed charges,,,,,,,,,43.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,51.36,91,,percent of total billed charges,,,53.62,95,,percent of total billed charges,,,46.85,83,,percent of total billed charges,,,46.85,83,,percent of total billed charges,,,,,,,,,,,,,,,46.85,83,,percent of total billed charges,,,53.62,95,,percent of total billed charges,,,50.8,90,,percent of total billed charges,,,50.8,90,,percent of total billed charges,,,46.28,82,,percent of total billed charges,,,50.8,90,,percent of total billed charges,,,47.97,85,,percent of total billed charges,,42.56,53.62, *FINGER SPLINT VELCRO PED,23305318,CDM,,,270,RC,inpatient,,47,47,,39.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.36,88,,percent of total billed charges,,,,,,,,,35.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.77,91,,percent of total billed charges,,,44.65,95,,percent of total billed charges,,,39.01,83,,percent of total billed charges,,,39.01,83,,percent of total billed charges,,,,,,,,,,,,,,,39.01,83,,percent of total billed charges,,,44.65,95,,percent of total billed charges,,,42.3,90,,percent of total billed charges,,,42.3,90,,percent of total billed charges,,,38.54,82,,percent of total billed charges,,,42.3,90,,percent of total billed charges,,,39.95,85,,percent of total billed charges,,35.44,44.65, *FINGER SPLINT VELCRO MED,23305319,CDM,,,270,RC,inpatient,,35,35,,29.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.8,88,,percent of total billed charges,,,,,,,,,26.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31.85,91,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,29.05,83,,percent of total billed charges,,,,,,,,,,,,,,,29.05,83,,percent of total billed charges,,,33.25,95,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,28.7,82,,percent of total billed charges,,,31.5,90,,percent of total billed charges,,,29.75,85,,percent of total billed charges,,26.39,33.25, FINGER/THUMB SPLINT LG/XLG RIGHT,23305320,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14, FINGER/THUMB SPLINT SM/MD RIGHT,23305321,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14, SPLINT FINGER PLASTIC,23305322,CDM,,,270,RC,inpatient,,17.55,17.55,,14.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.44,88,,percent of total billed charges,,,,,,,,,13.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.97,91,,percent of total billed charges,,,16.67,95,,percent of total billed charges,,,14.57,83,,percent of total billed charges,,,14.57,83,,percent of total billed charges,,,,,,,,,,,,,,,14.57,83,,percent of total billed charges,,,16.67,95,,percent of total billed charges,,,15.8,90,,percent of total billed charges,,,15.8,90,,percent of total billed charges,,,14.39,82,,percent of total billed charges,,,15.8,90,,percent of total billed charges,,,14.92,85,,percent of total billed charges,,13.23,16.67, FINGER/THUMB SPLINT LG/XLG LEFT,23305324,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14, FINGER/THUMB SPLINT SM/MD LEFT,23305325,CDM,,,270,RC,inpatient,,83.3,83.3,,70.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.3,88,,percent of total billed charges,,,,,,,,,63.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.8,91,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,69.14,83,,percent of total billed charges,,,,,,,,,,,,,,,69.14,83,,percent of total billed charges,,,79.14,95,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,68.31,82,,percent of total billed charges,,,74.97,90,,percent of total billed charges,,,70.81,85,,percent of total billed charges,,62.81,79.14, SPLINT CLAVICAL SM,23305342,CDM,,,270,RC,inpatient,,58.57,58.57,,49.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,49.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,51.54,88,,percent of total billed charges,,,,,,,,,44.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.3,91,,percent of total billed charges,,,55.64,95,,percent of total billed charges,,,48.61,83,,percent of total billed charges,,,48.61,83,,percent of total billed charges,,,,,,,,,,,,,,,48.61,83,,percent of total billed charges,,,55.64,95,,percent of total billed charges,,,52.71,90,,percent of total billed charges,,,52.71,90,,percent of total billed charges,,,48.03,82,,percent of total billed charges,,,52.71,90,,percent of total billed charges,,,49.78,85,,percent of total billed charges,,44.16,55.64, SPLINT CLAVICLE LG,23305344,CDM,,,270,RC,inpatient,,42.84,42.84,,36.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,36.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,37.7,88,,percent of total billed charges,,,,,,,,,32.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,38.98,91,,percent of total billed charges,,,40.7,95,,percent of total billed charges,,,35.56,83,,percent of total billed charges,,,35.56,83,,percent of total billed charges,,,,,,,,,,,,,,,35.56,83,,percent of total billed charges,,,40.7,95,,percent of total billed charges,,,38.56,90,,percent of total billed charges,,,38.56,90,,percent of total billed charges,,,35.13,82,,percent of total billed charges,,,38.56,90,,percent of total billed charges,,,36.41,85,,percent of total billed charges,,32.3,40.7, SPLINT CLAVICLE XLG,23305345,CDM,,,270,RC,inpatient,,44.28,44.28,,37.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,38.97,88,,percent of total billed charges,,,,,,,,,33.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40.29,91,,percent of total billed charges,,,42.07,95,,percent of total billed charges,,,36.75,83,,percent of total billed charges,,,36.75,83,,percent of total billed charges,,,,,,,,,,,,,,,36.75,83,,percent of total billed charges,,,42.07,95,,percent of total billed charges,,,39.85,90,,percent of total billed charges,,,39.85,90,,percent of total billed charges,,,36.31,82,,percent of total billed charges,,,39.85,90,,percent of total billed charges,,,37.64,85,,percent of total billed charges,,33.39,42.07, * SPLINT POSTERIOR TIBIA YOUTH (V0106),23305383,CDM,,,270,RC,inpatient,,183,183,,155.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,137.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,155.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,161.04,88,,percent of total billed charges,,,,,,,,,139.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,166.53,91,,percent of total billed charges,,,173.85,95,,percent of total billed charges,,,151.89,83,,percent of total billed charges,,,151.89,83,,percent of total billed charges,,,,,,,,,,,,,,,151.89,83,,percent of total billed charges,,,173.85,95,,percent of total billed charges,,,164.7,90,,percent of total billed charges,,,164.7,90,,percent of total billed charges,,,150.06,82,,percent of total billed charges,,,164.7,90,,percent of total billed charges,,,155.55,85,,percent of total billed charges,,137.98,173.85, *VISCERA RETAINER MEDIUM,23305482,CDM,,,270,RC,inpatient,,158,158,,134.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,119.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,134.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,139.04,88,,percent of total billed charges,,,,,,,,,120.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,143.78,91,,percent of total billed charges,,,150.1,95,,percent of total billed charges,,,131.14,83,,percent of total billed charges,,,131.14,83,,percent of total billed charges,,,,,,,,,,,,,,,131.14,83,,percent of total billed charges,,,150.1,95,,percent of total billed charges,,,142.2,90,,percent of total billed charges,,,142.2,90,,percent of total billed charges,,,129.56,82,,percent of total billed charges,,,142.2,90,,percent of total billed charges,,,134.3,85,,percent of total billed charges,,119.13,150.1, BREATHING CIRCUIT W/FILTER,23305508,CDM,,,270,RC,inpatient,,70.81,70.81,,60.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,53.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,60.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,62.31,88,,percent of total billed charges,,,,,,,,,54.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,64.44,91,,percent of total billed charges,,,67.27,95,,percent of total billed charges,,,58.77,83,,percent of total billed charges,,,58.77,83,,percent of total billed charges,,,,,,,,,,,,,,,58.77,83,,percent of total billed charges,,,67.27,95,,percent of total billed charges,,,63.73,90,,percent of total billed charges,,,63.73,90,,percent of total billed charges,,,58.06,82,,percent of total billed charges,,,63.73,90,,percent of total billed charges,,,60.19,85,,percent of total billed charges,,53.39,67.27, BREATHING CIRCUIT PED.,23305509,CDM,,,270,RC,inpatient,,63.61,63.61,,54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,47.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,55.98,88,,percent of total billed charges,,,,,,,,,48.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,57.89,91,,percent of total billed charges,,,60.43,95,,percent of total billed charges,,,52.8,83,,percent of total billed charges,,,52.8,83,,percent of total billed charges,,,,,,,,,,,,,,,52.8,83,,percent of total billed charges,,,60.43,95,,percent of total billed charges,,,57.25,90,,percent of total billed charges,,,57.25,90,,percent of total billed charges,,,52.16,82,,percent of total billed charges,,,57.25,90,,percent of total billed charges,,,54.07,85,,percent of total billed charges,,47.96,60.43, * LMA USE (V0904),23305510,CDM,,,270,RC,inpatient,,1300,1300,,1103.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,980.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1105,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1144,88,,percent of total billed charges,,,,,,,,,993.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1183,91,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,,,,,,,,,,,,,1079,83,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1066,82,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1105,85,,percent of total billed charges,,980.2,1235, *ELEC/SURG SHOULDER ARTHROSCOPY,23305567,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7, CAST BUCKET,23305758,CDM,,,270,RC,inpatient,,172,172,,146.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,129.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,146.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,151.36,88,,percent of total billed charges,,,,,,,,,131.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,156.52,91,,percent of total billed charges,,,163.4,95,,percent of total billed charges,,,142.76,83,,percent of total billed charges,,,142.76,83,,percent of total billed charges,,,,,,,,,,,,,,,142.76,83,,percent of total billed charges,,,163.4,95,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,141.04,82,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,146.2,85,,percent of total billed charges,,129.69,163.4, SUCTION SIMPULSE IRRIGATION,23305797,CDM,,,270,RC,inpatient,,339.77,339.77,,288.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,256.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,288.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,299,88,,percent of total billed charges,,,,,,,,,259.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,309.19,91,,percent of total billed charges,,,322.78,95,,percent of total billed charges,,,282.01,83,,percent of total billed charges,,,282.01,83,,percent of total billed charges,,,,,,,,,,,,,,,282.01,83,,percent of total billed charges,,,322.78,95,,percent of total billed charges,,,305.79,90,,percent of total billed charges,,,305.79,90,,percent of total billed charges,,,278.61,82,,percent of total billed charges,,,305.79,90,,percent of total billed charges,,,288.8,85,,percent of total billed charges,,256.19,322.78, *INFANT HEEL WARMER,23305804,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8, * PAD WHEELCHAIR AIR CUSHION (V1104),23305904,CDM,,,270,RC,inpatient,,143,143,,121.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,107.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,121.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,125.84,88,,percent of total billed charges,,,,,,,,,109.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,130.13,91,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,118.69,83,,percent of total billed charges,,,,,,,,,,,,,,,118.69,83,,percent of total billed charges,,,135.85,95,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,117.26,82,,percent of total billed charges,,,128.7,90,,percent of total billed charges,,,121.55,85,,percent of total billed charges,,107.82,135.85, INTERCEED 4 X 3,23305952,CDM,,,270,RC,inpatient,,2409.63,2409.63,,2045.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1816.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2048.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2120.47,88,,percent of total billed charges,,,,,,,,,1840.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2192.76,91,,percent of total billed charges,,,2289.15,95,,percent of total billed charges,,,1999.99,83,,percent of total billed charges,,,1999.99,83,,percent of total billed charges,,,,,,,,,,,,,,,1999.99,83,,percent of total billed charges,,,2289.15,95,,percent of total billed charges,,,2168.67,90,,percent of total billed charges,,,2168.67,90,,percent of total billed charges,,,1975.9,82,,percent of total billed charges,,,2168.67,90,,percent of total billed charges,,,2048.19,85,,percent of total billed charges,,1816.86,2289.15, CATH GROSHONG 9.5F,23306019,CDM,,,270,RC,inpatient,,4872.08,4872.08,,4136.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3673.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4141.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4287.43,88,,percent of total billed charges,,,,,,,,,3722.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4433.59,91,,percent of total billed charges,,,4628.48,95,,percent of total billed charges,,,4043.83,83,,percent of total billed charges,,,4043.83,83,,percent of total billed charges,,,,,,,,,,,,,,,4043.83,83,,percent of total billed charges,,,4628.48,95,,percent of total billed charges,,,4384.87,90,,percent of total billed charges,,,4384.87,90,,percent of total billed charges,,,3995.11,82,,percent of total billed charges,,,4384.87,90,,percent of total billed charges,,,4141.27,85,,percent of total billed charges,,3673.55,4628.48, ABDOMINAL BINDER MED/LG 30 - 45,23306068,CDM,,,270,RC,inpatient,,74.55,74.55,,63.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,65.6,88,,percent of total billed charges,,,,,,,,,56.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,67.84,91,,percent of total billed charges,,,70.82,95,,percent of total billed charges,,,61.88,83,,percent of total billed charges,,,61.88,83,,percent of total billed charges,,,,,,,,,,,,,,,61.88,83,,percent of total billed charges,,,70.82,95,,percent of total billed charges,,,67.1,90,,percent of total billed charges,,,67.1,90,,percent of total billed charges,,,61.13,82,,percent of total billed charges,,,67.1,90,,percent of total billed charges,,,63.37,85,,percent of total billed charges,,56.21,70.82, ABDOMINAL BINDER XLG 45 - 62,23306069,CDM,,,270,RC,inpatient,,75.23,75.23,,63.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,56.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,63.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,66.2,88,,percent of total billed charges,,,,,,,,,57.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,68.46,91,,percent of total billed charges,,,71.47,95,,percent of total billed charges,,,62.44,83,,percent of total billed charges,,,62.44,83,,percent of total billed charges,,,,,,,,,,,,,,,62.44,83,,percent of total billed charges,,,71.47,95,,percent of total billed charges,,,67.71,90,,percent of total billed charges,,,67.71,90,,percent of total billed charges,,,61.69,82,,percent of total billed charges,,,67.71,90,,percent of total billed charges,,,63.95,85,,percent of total billed charges,,56.72,71.47, *BLADDER CARE W METER NO CATH,23306100,CDM,,,270,RC,inpatient,,52,52,,44.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.76,88,,percent of total billed charges,,,,,,,,,39.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.32,91,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,43.16,83,,percent of total billed charges,,,,,,,,,,,,,,,43.16,83,,percent of total billed charges,,,49.4,95,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,42.64,82,,percent of total billed charges,,,46.8,90,,percent of total billed charges,,,44.2,85,,percent of total billed charges,,39.21,49.4, TRAY EPIDURAL W/17GA NEEDLE,23306192,CDM,,,270,RC,inpatient,,201.9,201.9,,171.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,152.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,171.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,177.67,88,,percent of total billed charges,,,,,,,,,154.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,183.73,91,,percent of total billed charges,,,191.81,95,,percent of total billed charges,,,167.58,83,,percent of total billed charges,,,167.58,83,,percent of total billed charges,,,,,,,,,,,,,,,167.58,83,,percent of total billed charges,,,191.81,95,,percent of total billed charges,,,181.71,90,,percent of total billed charges,,,181.71,90,,percent of total billed charges,,,165.56,82,,percent of total billed charges,,,181.71,90,,percent of total billed charges,,,171.62,85,,percent of total billed charges,,152.23,191.81, MESH MERSILENE 12 X 12,23306218,CDM,,,270,RC,inpatient,,4987.39,4987.39,,4234.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3760.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4239.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4388.9,88,,percent of total billed charges,,,,,,,,,3810.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4538.52,91,,percent of total billed charges,,,4738.02,95,,percent of total billed charges,,,4139.53,83,,percent of total billed charges,,,4139.53,83,,percent of total billed charges,,,,,,,,,,,,,,,4139.53,83,,percent of total billed charges,,,4738.02,95,,percent of total billed charges,,,4488.65,90,,percent of total billed charges,,,4488.65,90,,percent of total billed charges,,,4089.66,82,,percent of total billed charges,,,4488.65,90,,percent of total billed charges,,,4239.28,85,,percent of total billed charges,,3760.49,4738.02, *SUCTION MOUTH SWAB,23306225,CDM,,,270,RC,inpatient,,11,11,,9.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9.68,88,,percent of total billed charges,,,,,,,,,8.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10.01,91,,percent of total billed charges,,,10.45,95,,percent of total billed charges,,,9.13,83,,percent of total billed charges,,,9.13,83,,percent of total billed charges,,,,,,,,,,,,,,,9.13,83,,percent of total billed charges,,,10.45,95,,percent of total billed charges,,,9.9,90,,percent of total billed charges,,,9.9,90,,percent of total billed charges,,,9.02,82,,percent of total billed charges,,,9.9,90,,percent of total billed charges,,,9.35,85,,percent of total billed charges,,8.29,10.45, PEG TUBE KIT,23306308,CDM,,,270,RC,inpatient,,420,420,,356.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,316.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,357,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,369.6,88,,percent of total billed charges,,,,,,,,,320.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,382.2,91,,percent of total billed charges,,,399,95,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,,,,,,,,,,,,,348.6,83,,percent of total billed charges,,,399,95,,percent of total billed charges,,,378,90,,percent of total billed charges,,,378,90,,percent of total billed charges,,,344.4,82,,percent of total billed charges,,,378,90,,percent of total billed charges,,,357,85,,percent of total billed charges,,316.68,399, TRAY CENTRAL VENOUS CATH 3-LUMEN,23306316,CDM,,,270,RC,inpatient,,874.93,874.93,,742.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,659.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,743.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,769.94,88,,percent of total billed charges,,,,,,,,,668.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,796.19,91,,percent of total billed charges,,,831.18,95,,percent of total billed charges,,,726.19,83,,percent of total billed charges,,,726.19,83,,percent of total billed charges,,,,,,,,,,,,,,,726.19,83,,percent of total billed charges,,,831.18,95,,percent of total billed charges,,,787.44,90,,percent of total billed charges,,,787.44,90,,percent of total billed charges,,,717.44,82,,percent of total billed charges,,,787.44,90,,percent of total billed charges,,,743.69,85,,percent of total billed charges,,659.7,831.18, * ECG MONITOR (V0904),23306324,CDM,,,732,RC,inpatient,,70,70,,59.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,59.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,61.6,88,,percent of total billed charges,,,,,,,,,53.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,63.7,91,,percent of total billed charges,,,66.5,95,,percent of total billed charges,,,58.1,83,,percent of total billed charges,,,58.1,83,,percent of total billed charges,,,,,,,,,,,,,,,58.1,83,,percent of total billed charges,,,66.5,95,,percent of total billed charges,,,63,90,,percent of total billed charges,,,63,90,,percent of total billed charges,,,57.4,82,,percent of total billed charges,,,63,90,,percent of total billed charges,,,59.5,85,,percent of total billed charges,,52.78,66.5, * STOMA O R SETS 70MM (V0605),23306365,CDM,,,270,RC,inpatient,,38,38,,32.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.44,88,,percent of total billed charges,,,,,,,,,29.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34.58,91,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,31.54,83,,percent of total billed charges,,,,,,,,,,,,,,,31.54,83,,percent of total billed charges,,,36.1,95,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,31.16,82,,percent of total billed charges,,,34.2,90,,percent of total billed charges,,,32.3,85,,percent of total billed charges,,28.65,36.1, * Z/OR (V0405),23306416,CDM,,,270,RC,inpatient,,10780,10780,,9152.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8128.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9163,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9486.4,88,,percent of total billed charges,,,,,,,,,8235.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9809.8,91,,percent of total billed charges,,,10241,95,,percent of total billed charges,,,8947.4,83,,percent of total billed charges,,,8947.4,83,,percent of total billed charges,,,,,,,,,,,,,,,8947.4,83,,percent of total billed charges,,,10241,95,,percent of total billed charges,,,9702,90,,percent of total billed charges,,,9702,90,,percent of total billed charges,,,8839.6,82,,percent of total billed charges,,,9702,90,,percent of total billed charges,,,9163,85,,percent of total billed charges,,8128.12,10241, * ILC LASER (V1004),23306417,CDM,,,360,RC,inpatient,,2111,2111,,1792.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1591.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1794.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1857.68,88,,percent of total billed charges,,,,,,,,,1612.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1921.01,91,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1752.13,83,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1731.02,82,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1794.35,85,,percent of total billed charges,,1591.69,2005.45, * PVP LASER FEE (V1004),23306419,CDM,,,360,RC,inpatient,,2413,2413,,2048.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1819.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2051.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2123.44,88,,percent of total billed charges,,,,,,,,,1843.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2195.83,91,,percent of total billed charges,,,2292.35,95,,percent of total billed charges,,,2002.79,83,,percent of total billed charges,,,2002.79,83,,percent of total billed charges,,,,,,,,,,,,,,,2002.79,83,,percent of total billed charges,,,2292.35,95,,percent of total billed charges,,,2171.7,90,,percent of total billed charges,,,2171.7,90,,percent of total billed charges,,,1978.66,82,,percent of total billed charges,,,2171.7,90,,percent of total billed charges,,,2051.05,85,,percent of total billed charges,,1819.4,2292.35, * PVP FIBER FEE (V1004),23306420,CDM,,,360,RC,inpatient,,2111,2111,,1792.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1591.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1794.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1857.68,88,,percent of total billed charges,,,,,,,,,1612.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1921.01,91,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,1752.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1752.13,83,,percent of total billed charges,,,2005.45,95,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1731.02,82,,percent of total billed charges,,,1899.9,90,,percent of total billed charges,,,1794.35,85,,percent of total billed charges,,1591.69,2005.45, ELECTRODE DEFIB PEDS EDGE QUICK-COMBO,23306457,CDM,,,270,RC,inpatient,,215.18,215.18,,182.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,162.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,182.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,189.36,88,,percent of total billed charges,,,,,,,,,164.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,195.81,91,,percent of total billed charges,,,204.42,95,,percent of total billed charges,,,178.6,83,,percent of total billed charges,,,178.6,83,,percent of total billed charges,,,,,,,,,,,,,,,178.6,83,,percent of total billed charges,,,204.42,95,,percent of total billed charges,,,193.66,90,,percent of total billed charges,,,193.66,90,,percent of total billed charges,,,176.45,82,,percent of total billed charges,,,193.66,90,,percent of total billed charges,,,182.9,85,,percent of total billed charges,,162.25,204.42, CAST SHOE DARCO WOMEN MEDIUM,23306481,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18, CAST SHOE DARCO WOMEN LG,23306482,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18, CAST SHOE DARCO MEN SMALL,23306483,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18, CAST SHOE DARCO MEN MEDIUM,23306484,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18, CAST SHOE DARCO MEN LG,23306485,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18, CAST SHOE DARCO MEN XLG,23306486,CDM,,,270,RC,inpatient,,46.5,46.5,,39.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.92,88,,percent of total billed charges,,,,,,,,,35.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.32,91,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,38.6,83,,percent of total billed charges,,,,,,,,,,,,,,,38.6,83,,percent of total billed charges,,,44.18,95,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,38.13,82,,percent of total billed charges,,,41.85,90,,percent of total billed charges,,,39.53,85,,percent of total billed charges,,35.06,44.18, STOMA FLANGE HOL 14803,23306511,CDM,,,270,RC,inpatient,,8.51,8.51,,7.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.49,88,,percent of total billed charges,,,,,,,,,6.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.74,91,,percent of total billed charges,,,8.08,95,,percent of total billed charges,,,7.06,83,,percent of total billed charges,,,7.06,83,,percent of total billed charges,,,,,,,,,,,,,,,7.06,83,,percent of total billed charges,,,8.08,95,,percent of total billed charges,,,7.66,90,,percent of total billed charges,,,7.66,90,,percent of total billed charges,,,6.98,82,,percent of total billed charges,,,7.66,90,,percent of total billed charges,,,7.23,85,,percent of total billed charges,,6.42,8.08, STOMA FLANGE FLAT 2-3/4,23306518,CDM,,,270,RC,inpatient,,4.5,4.5,,3.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.96,88,,percent of total billed charges,,,,,,,,,3.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.1,91,,percent of total billed charges,,,4.28,95,,percent of total billed charges,,,3.74,83,,percent of total billed charges,,,3.74,83,,percent of total billed charges,,,,,,,,,,,,,,,3.74,83,,percent of total billed charges,,,4.28,95,,percent of total billed charges,,,4.05,90,,percent of total billed charges,,,4.05,90,,percent of total billed charges,,,3.69,82,,percent of total billed charges,,,4.05,90,,percent of total billed charges,,,3.83,85,,percent of total billed charges,,3.39,4.28, *STOMA POUCH W/CLAMP 1-3/4 (DISCONTINU,23306536,CDM,,,270,RC,inpatient,,8,8,,6.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.04,88,,percent of total billed charges,,,,,,,,,6.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.28,91,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,,,,,,,,,,,,,6.64,83,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.56,82,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.8,85,,percent of total billed charges,,6.03,7.6, INTUBATION STYLET 14FR,23306605,CDM,,,270,RC,inpatient,,33.44,33.44,,28.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.43,88,,percent of total billed charges,,,,,,,,,25.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.43,91,,percent of total billed charges,,,31.77,95,,percent of total billed charges,,,27.76,83,,percent of total billed charges,,,27.76,83,,percent of total billed charges,,,,,,,,,,,,,,,27.76,83,,percent of total billed charges,,,31.77,95,,percent of total billed charges,,,30.1,90,,percent of total billed charges,,,30.1,90,,percent of total billed charges,,,27.42,82,,percent of total billed charges,,,30.1,90,,percent of total billed charges,,,28.42,85,,percent of total billed charges,,25.21,31.77, * ADAPTIC DRESSING 3 X 8 (DUP) (V0605),23306627,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85, EYE IRRIGATION LENS MORGAN,23306712,CDM,,,270,RC,inpatient,,404.6,404.6,,343.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,305.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,343.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,356.05,88,,percent of total billed charges,,,,,,,,,309.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,368.19,91,,percent of total billed charges,,,384.37,95,,percent of total billed charges,,,335.82,83,,percent of total billed charges,,,335.82,83,,percent of total billed charges,,,,,,,,,,,,,,,335.82,83,,percent of total billed charges,,,384.37,95,,percent of total billed charges,,,364.14,90,,percent of total billed charges,,,364.14,90,,percent of total billed charges,,,331.77,82,,percent of total billed charges,,,364.14,90,,percent of total billed charges,,,343.91,85,,percent of total billed charges,,305.07,384.37, *PROMOGRAM DRESSING,23306787,CDM,,,270,RC,inpatient,,60,60,,50.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,45.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.8,88,,percent of total billed charges,,,,,,,,,45.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.6,91,,percent of total billed charges,,,57,95,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,,,,,,,,,,,,,49.8,83,,percent of total billed charges,,,57,95,,percent of total billed charges,,,54,90,,percent of total billed charges,,,54,90,,percent of total billed charges,,,49.2,82,,percent of total billed charges,,,54,90,,percent of total billed charges,,,51,85,,percent of total billed charges,,45.24,57, * EPI LOCK 4X4 (V0605),23306795,CDM,,,270,RC,inpatient,,139,139,,118.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,104.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,118.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,122.32,88,,percent of total billed charges,,,,,,,,,106.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,126.49,91,,percent of total billed charges,,,132.05,95,,percent of total billed charges,,,115.37,83,,percent of total billed charges,,,115.37,83,,percent of total billed charges,,,,,,,,,,,,,,,115.37,83,,percent of total billed charges,,,132.05,95,,percent of total billed charges,,,125.1,90,,percent of total billed charges,,,125.1,90,,percent of total billed charges,,,113.98,82,,percent of total billed charges,,,125.1,90,,percent of total billed charges,,,118.15,85,,percent of total billed charges,,104.81,132.05, DRAIN JACKSON PRATT 10FR 7MM W/TROCAR,23306829,CDM,,,270,RC,inpatient,,82.88,82.88,,70.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,72.93,88,,percent of total billed charges,,,,,,,,,63.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.42,91,,percent of total billed charges,,,78.74,95,,percent of total billed charges,,,68.79,83,,percent of total billed charges,,,68.79,83,,percent of total billed charges,,,,,,,,,,,,,,,68.79,83,,percent of total billed charges,,,78.74,95,,percent of total billed charges,,,74.59,90,,percent of total billed charges,,,74.59,90,,percent of total billed charges,,,67.96,82,,percent of total billed charges,,,74.59,90,,percent of total billed charges,,,70.45,85,,percent of total billed charges,,62.49,78.74, RESERVOIR WOUND DRAIN 400CC,23306850,CDM,,,270,RC,inpatient,,77.31,77.31,,65.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.03,88,,percent of total billed charges,,,,,,,,,59.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.35,91,,percent of total billed charges,,,73.44,95,,percent of total billed charges,,,64.17,83,,percent of total billed charges,,,64.17,83,,percent of total billed charges,,,,,,,,,,,,,,,64.17,83,,percent of total billed charges,,,73.44,95,,percent of total billed charges,,,69.58,90,,percent of total billed charges,,,69.58,90,,percent of total billed charges,,,63.39,82,,percent of total billed charges,,,69.58,90,,percent of total billed charges,,,65.71,85,,percent of total billed charges,,58.29,73.44, DRAIN WOUND EVACUATOR 100CC,23306852,CDM,,,270,RC,inpatient,,67.12,67.12,,56.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.07,88,,percent of total billed charges,,,,,,,,,51.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.08,91,,percent of total billed charges,,,63.76,95,,percent of total billed charges,,,55.71,83,,percent of total billed charges,,,55.71,83,,percent of total billed charges,,,,,,,,,,,,,,,55.71,83,,percent of total billed charges,,,63.76,95,,percent of total billed charges,,,60.41,90,,percent of total billed charges,,,60.41,90,,percent of total billed charges,,,55.04,82,,percent of total billed charges,,,60.41,90,,percent of total billed charges,,,57.05,85,,percent of total billed charges,,50.61,63.76, HOT PACK DISPOSABLE,23306886,CDM,,,270,RC,inpatient,,3,3,,2.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.64,88,,percent of total billed charges,,,,,,,,,2.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.73,91,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,2.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2.49,83,,percent of total billed charges,,,2.85,95,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.46,82,,percent of total billed charges,,,2.7,90,,percent of total billed charges,,,2.55,85,,percent of total billed charges,,2.26,2.85, * BIOPSY NEEDLE PROSTATIC DISP (V0106),23306936,CDM,,,270,RC,inpatient,,177,177,,150.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,133.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,150.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,155.76,88,,percent of total billed charges,,,,,,,,,135.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,161.07,91,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,146.91,83,,percent of total billed charges,,,,,,,,,,,,,,,146.91,83,,percent of total billed charges,,,168.15,95,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,145.14,82,,percent of total billed charges,,,159.3,90,,percent of total billed charges,,,150.45,85,,percent of total billed charges,,133.46,168.15, DUOVISC 0.55 ML,23307015,CDM,,,270,RC,inpatient,,617.75,617.75,,524.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,465.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,525.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,543.62,88,,percent of total billed charges,,,,,,,,,471.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,562.15,91,,percent of total billed charges,,,586.86,95,,percent of total billed charges,,,512.73,83,,percent of total billed charges,,,512.73,83,,percent of total billed charges,,,,,,,,,,,,,,,512.73,83,,percent of total billed charges,,,586.86,95,,percent of total billed charges,,,555.98,90,,percent of total billed charges,,,555.98,90,,percent of total billed charges,,,506.56,82,,percent of total billed charges,,,555.98,90,,percent of total billed charges,,,525.09,85,,percent of total billed charges,,465.78,586.86, EYE LENS IMPLANT (BAUSCH & LOMB),23307017,CDM,,,270,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, TRACH 5.5 UNCUFFED,23307023,CDM,,,270,RC,inpatient,,16.2,16.2,,13.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14.26,88,,percent of total billed charges,,,,,,,,,12.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14.74,91,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,13.45,83,,percent of total billed charges,,,,,,,,,,,,,,,13.45,83,,percent of total billed charges,,,15.39,95,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.28,82,,percent of total billed charges,,,14.58,90,,percent of total billed charges,,,13.77,85,,percent of total billed charges,,12.21,15.39, * SUTURE CM830 (V0205),23307027,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, *PACK EYE - BAUSCH & LOMB,23307033,CDM,,,270,RC,inpatient,,34.74,34.74,,29.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30.57,88,,percent of total billed charges,,,,,,,,,26.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31.61,91,,percent of total billed charges,,,33,95,,percent of total billed charges,,,28.83,83,,percent of total billed charges,,,28.83,83,,percent of total billed charges,,,,,,,,,,,,,,,28.83,83,,percent of total billed charges,,,33,95,,percent of total billed charges,,,31.27,90,,percent of total billed charges,,,31.27,90,,percent of total billed charges,,,28.49,82,,percent of total billed charges,,,31.27,90,,percent of total billed charges,,,29.53,85,,percent of total billed charges,,26.19,33, SYNTHES DRILL BIT 2.0MM 310.19,23307055,CDM,,,270,RC,inpatient,,803.25,803.25,,681.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,605.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,682.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,706.86,88,,percent of total billed charges,,,,,,,,,613.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,730.96,91,,percent of total billed charges,,,763.09,95,,percent of total billed charges,,,666.7,83,,percent of total billed charges,,,666.7,83,,percent of total billed charges,,,,,,,,,,,,,,,666.7,83,,percent of total billed charges,,,763.09,95,,percent of total billed charges,,,722.93,90,,percent of total billed charges,,,722.93,90,,percent of total billed charges,,,658.67,82,,percent of total billed charges,,,722.93,90,,percent of total billed charges,,,682.76,85,,percent of total billed charges,,605.65,763.09, * SACRO BELT LARGE (V0106),23307066,CDM,,,270,RC,inpatient,,126,126,,106.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,107.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,110.88,88,,percent of total billed charges,,,,,,,,,96.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,114.66,91,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,,,,,,,,,,,,,104.58,83,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,103.32,82,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,107.1,85,,percent of total billed charges,,95,119.7, SPLINT THUMB UNIV,23307082,CDM,,,270,RC,inpatient,,51.43,51.43,,43.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.26,88,,percent of total billed charges,,,,,,,,,39.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.8,91,,percent of total billed charges,,,48.86,95,,percent of total billed charges,,,42.69,83,,percent of total billed charges,,,42.69,83,,percent of total billed charges,,,,,,,,,,,,,,,42.69,83,,percent of total billed charges,,,48.86,95,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,42.17,82,,percent of total billed charges,,,46.29,90,,percent of total billed charges,,,43.72,85,,percent of total billed charges,,38.78,48.86, *THUMB SPLINT LEFT,23307083,CDM,,,270,RC,inpatient,,171,171,,145.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,128.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,145.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,150.48,88,,percent of total billed charges,,,,,,,,,130.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,155.61,91,,percent of total billed charges,,,162.45,95,,percent of total billed charges,,,141.93,83,,percent of total billed charges,,,141.93,83,,percent of total billed charges,,,,,,,,,,,,,,,141.93,83,,percent of total billed charges,,,162.45,95,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,140.22,82,,percent of total billed charges,,,153.9,90,,percent of total billed charges,,,145.35,85,,percent of total billed charges,,128.93,162.45, *DRESSING DUODERM GEL,23307116,CDM,,,270,RC,inpatient,,24.57,24.57,,20.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.62,88,,percent of total billed charges,,,,,,,,,18.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.36,91,,percent of total billed charges,,,23.34,95,,percent of total billed charges,,,20.39,83,,percent of total billed charges,,,20.39,83,,percent of total billed charges,,,,,,,,,,,,,,,20.39,83,,percent of total billed charges,,,23.34,95,,percent of total billed charges,,,22.11,90,,percent of total billed charges,,,22.11,90,,percent of total billed charges,,,20.15,82,,percent of total billed charges,,,22.11,90,,percent of total billed charges,,,20.88,85,,percent of total billed charges,,18.53,23.34, *DUODERM 4X4 W/BORDER/HYDRO,23307124,CDM,,,270,RC,inpatient,,26,26,,22.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22.88,88,,percent of total billed charges,,,,,,,,,19.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23.66,91,,percent of total billed charges,,,24.7,95,,percent of total billed charges,,,21.58,83,,percent of total billed charges,,,21.58,83,,percent of total billed charges,,,,,,,,,,,,,,,21.58,83,,percent of total billed charges,,,24.7,95,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,21.32,82,,percent of total billed charges,,,23.4,90,,percent of total billed charges,,,22.1,85,,percent of total billed charges,,19.6,24.7, MERINA INTRAUTERINE SYSTEM (NC),23307200,CDM,,,270,RC,inpatient,,6820.06,6820.06,,5790.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5142.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5797.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6001.65,88,,percent of total billed charges,,,,,,,,,5210.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6206.25,91,,percent of total billed charges,,,6479.06,95,,percent of total billed charges,,,5660.65,83,,percent of total billed charges,,,5660.65,83,,percent of total billed charges,,,,,,,,,,,,,,,5660.65,83,,percent of total billed charges,,,6479.06,95,,percent of total billed charges,,,6138.05,90,,percent of total billed charges,,,6138.05,90,,percent of total billed charges,,,5592.45,82,,percent of total billed charges,,,6138.05,90,,percent of total billed charges,,,5797.05,85,,percent of total billed charges,,5142.33,6479.06, NEXPLANON (IUD),23307205,CDM,,,270,RC,inpatient,,2723.18,2723.18,,2311.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2053.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2314.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2396.4,88,,percent of total billed charges,,,,,,,,,2080.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2478.09,91,,percent of total billed charges,,,2587.02,95,,percent of total billed charges,,,2260.24,83,,percent of total billed charges,,,2260.24,83,,percent of total billed charges,,,,,,,,,,,,,,,2260.24,83,,percent of total billed charges,,,2587.02,95,,percent of total billed charges,,,2450.86,90,,percent of total billed charges,,,2450.86,90,,percent of total billed charges,,,2233.01,82,,percent of total billed charges,,,2450.86,90,,percent of total billed charges,,,2314.7,85,,percent of total billed charges,,2053.28,2587.02, ENDO CLIP APPLIER,23307215,CDM,,,270,RC,inpatient,,2059.53,2059.53,,1748.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1552.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1750.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1812.39,88,,percent of total billed charges,,,,,,,,,1573.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1874.17,91,,percent of total billed charges,,,1956.55,95,,percent of total billed charges,,,1709.41,83,,percent of total billed charges,,,1709.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1709.41,83,,percent of total billed charges,,,1956.55,95,,percent of total billed charges,,,1853.58,90,,percent of total billed charges,,,1853.58,90,,percent of total billed charges,,,1688.81,82,,percent of total billed charges,,,1853.58,90,,percent of total billed charges,,,1750.6,85,,percent of total billed charges,,1552.89,1956.55, TROCAR ENDO BLUNT 10/12MM,23307256,CDM,,,270,RC,inpatient,,195.04,195.04,,165.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,165.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,171.64,88,,percent of total billed charges,,,,,,,,,149.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,177.49,91,,percent of total billed charges,,,185.29,95,,percent of total billed charges,,,161.88,83,,percent of total billed charges,,,161.88,83,,percent of total billed charges,,,,,,,,,,,,,,,161.88,83,,percent of total billed charges,,,185.29,95,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,159.93,82,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,165.78,85,,percent of total billed charges,,147.06,185.29, ENDO LOOP LIGATOR PDS,23307298,CDM,,,270,RC,inpatient,,287.97,287.97,,244.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,217.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,244.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,253.41,88,,percent of total billed charges,,,,,,,,,220.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,262.05,91,,percent of total billed charges,,,273.57,95,,percent of total billed charges,,,239.02,83,,percent of total billed charges,,,239.02,83,,percent of total billed charges,,,,,,,,,,,,,,,239.02,83,,percent of total billed charges,,,273.57,95,,percent of total billed charges,,,259.17,90,,percent of total billed charges,,,259.17,90,,percent of total billed charges,,,236.14,82,,percent of total billed charges,,,259.17,90,,percent of total billed charges,,,244.77,85,,percent of total billed charges,,217.13,273.57, ENDO DISSECTORS ROUND PEANUTS,23307299,CDM,,,270,RC,inpatient,,117.73,117.73,,99.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,88.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,100.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,103.6,88,,percent of total billed charges,,,,,,,,,89.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,107.13,91,,percent of total billed charges,,,111.84,95,,percent of total billed charges,,,97.72,83,,percent of total billed charges,,,97.72,83,,percent of total billed charges,,,,,,,,,,,,,,,97.72,83,,percent of total billed charges,,,111.84,95,,percent of total billed charges,,,105.96,90,,percent of total billed charges,,,105.96,90,,percent of total billed charges,,,96.54,82,,percent of total billed charges,,,105.96,90,,percent of total billed charges,,,100.07,85,,percent of total billed charges,,88.77,111.84, DRAIN WOUND 15 FR,23307306,CDM,,,270,RC,inpatient,,66.1,66.1,,56.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58.17,88,,percent of total billed charges,,,,,,,,,50.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60.15,91,,percent of total billed charges,,,62.8,95,,percent of total billed charges,,,54.86,83,,percent of total billed charges,,,54.86,83,,percent of total billed charges,,,,,,,,,,,,,,,54.86,83,,percent of total billed charges,,,62.8,95,,percent of total billed charges,,,59.49,90,,percent of total billed charges,,,59.49,90,,percent of total billed charges,,,54.2,82,,percent of total billed charges,,,59.49,90,,percent of total billed charges,,,56.19,85,,percent of total billed charges,,49.84,62.8, PROCLUDE 6X6,23307330,CDM,,,270,RC,inpatient,,9,9,,7.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.92,88,,percent of total billed charges,,,,,,,,,6.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8.19,91,,percent of total billed charges,,,8.55,95,,percent of total billed charges,,,7.47,83,,percent of total billed charges,,,7.47,83,,percent of total billed charges,,,,,,,,,,,,,,,7.47,83,,percent of total billed charges,,,8.55,95,,percent of total billed charges,,,8.1,90,,percent of total billed charges,,,8.1,90,,percent of total billed charges,,,7.38,82,,percent of total billed charges,,,8.1,90,,percent of total billed charges,,,7.65,85,,percent of total billed charges,,6.79,8.55, AIRWAY NASAL LATEX FREE 16FR,23307397,CDM,,,270,RC,inpatient,,91.04,91.04,,77.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,77.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,80.12,88,,percent of total billed charges,,,,,,,,,69.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.85,91,,percent of total billed charges,,,86.49,95,,percent of total billed charges,,,75.56,83,,percent of total billed charges,,,75.56,83,,percent of total billed charges,,,,,,,,,,,,,,,75.56,83,,percent of total billed charges,,,86.49,95,,percent of total billed charges,,,81.94,90,,percent of total billed charges,,,81.94,90,,percent of total billed charges,,,74.65,82,,percent of total billed charges,,,81.94,90,,percent of total billed charges,,,77.38,85,,percent of total billed charges,,68.64,86.49, *PROFORE,23307440,CDM,,,270,RC,inpatient,,96,96,,81.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,72.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,81.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,84.48,88,,percent of total billed charges,,,,,,,,,73.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,87.36,91,,percent of total billed charges,,,91.2,95,,percent of total billed charges,,,79.68,83,,percent of total billed charges,,,79.68,83,,percent of total billed charges,,,,,,,,,,,,,,,79.68,83,,percent of total billed charges,,,91.2,95,,percent of total billed charges,,,86.4,90,,percent of total billed charges,,,86.4,90,,percent of total billed charges,,,78.72,82,,percent of total billed charges,,,86.4,90,,percent of total billed charges,,,81.6,85,,percent of total billed charges,,72.38,91.2, STAPLER MULTI FIRE GIA,23307512,CDM,,,270,RC,inpatient,,1716.85,1716.85,,1457.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1294.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1459.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1510.83,88,,percent of total billed charges,,,,,,,,,1311.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1562.33,91,,percent of total billed charges,,,1631.01,95,,percent of total billed charges,,,1424.99,83,,percent of total billed charges,,,1424.99,83,,percent of total billed charges,,,,,,,,,,,,,,,1424.99,83,,percent of total billed charges,,,1631.01,95,,percent of total billed charges,,,1545.17,90,,percent of total billed charges,,,1545.17,90,,percent of total billed charges,,,1407.82,82,,percent of total billed charges,,,1545.17,90,,percent of total billed charges,,,1459.32,85,,percent of total billed charges,,1294.5,1631.01, *SPLINT MASON ALLEN SMALL,23307546,CDM,,,270,RC,inpatient,,88.32,88.32,,74.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,75.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.72,88,,percent of total billed charges,,,,,,,,,67.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.37,91,,percent of total billed charges,,,83.9,95,,percent of total billed charges,,,73.31,83,,percent of total billed charges,,,73.31,83,,percent of total billed charges,,,,,,,,,,,,,,,73.31,83,,percent of total billed charges,,,83.9,95,,percent of total billed charges,,,79.49,90,,percent of total billed charges,,,79.49,90,,percent of total billed charges,,,72.42,82,,percent of total billed charges,,,79.49,90,,percent of total billed charges,,,75.07,85,,percent of total billed charges,,66.59,83.9, *SPLINT MASON ALLEN LG,23307547,CDM,,,270,RC,inpatient,,88.32,88.32,,74.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,75.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.72,88,,percent of total billed charges,,,,,,,,,67.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.37,91,,percent of total billed charges,,,83.9,95,,percent of total billed charges,,,73.31,83,,percent of total billed charges,,,73.31,83,,percent of total billed charges,,,,,,,,,,,,,,,73.31,83,,percent of total billed charges,,,83.9,95,,percent of total billed charges,,,79.49,90,,percent of total billed charges,,,79.49,90,,percent of total billed charges,,,72.42,82,,percent of total billed charges,,,79.49,90,,percent of total billed charges,,,75.07,85,,percent of total billed charges,,66.59,83.9, ACMI FALOPE RINGS,23307553,CDM,,,270,RC,inpatient,,618.33,618.33,,524.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,466.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,525.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,544.13,88,,percent of total billed charges,,,,,,,,,472.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,562.68,91,,percent of total billed charges,,,587.41,95,,percent of total billed charges,,,513.21,83,,percent of total billed charges,,,513.21,83,,percent of total billed charges,,,,,,,,,,,,,,,513.21,83,,percent of total billed charges,,,587.41,95,,percent of total billed charges,,,556.5,90,,percent of total billed charges,,,556.5,90,,percent of total billed charges,,,507.03,82,,percent of total billed charges,,,556.5,90,,percent of total billed charges,,,525.58,85,,percent of total billed charges,,466.22,587.41, *HYDROSORB 8X8,23307596,CDM,,,270,RC,inpatient,,64,64,,54.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56.32,88,,percent of total billed charges,,,,,,,,,48.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58.24,91,,percent of total billed charges,,,60.8,95,,percent of total billed charges,,,53.12,83,,percent of total billed charges,,,53.12,83,,percent of total billed charges,,,,,,,,,,,,,,,53.12,83,,percent of total billed charges,,,60.8,95,,percent of total billed charges,,,57.6,90,,percent of total billed charges,,,57.6,90,,percent of total billed charges,,,52.48,82,,percent of total billed charges,,,57.6,90,,percent of total billed charges,,,54.4,85,,percent of total billed charges,,48.26,60.8, CO2 DETECTOR PEDIATRIC,23307654,CDM,,,270,RC,inpatient,,81.16,81.16,,68.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,68.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.42,88,,percent of total billed charges,,,,,,,,,62.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.86,91,,percent of total billed charges,,,77.1,95,,percent of total billed charges,,,67.36,83,,percent of total billed charges,,,67.36,83,,percent of total billed charges,,,,,,,,,,,,,,,67.36,83,,percent of total billed charges,,,77.1,95,,percent of total billed charges,,,73.04,90,,percent of total billed charges,,,73.04,90,,percent of total billed charges,,,66.55,82,,percent of total billed charges,,,73.04,90,,percent of total billed charges,,,68.99,85,,percent of total billed charges,,61.19,77.1, TRAY PNEUMOTHORAX - ARROW,23307660,CDM,,,270,RC,inpatient,,1368.95,1368.95,,1162.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1032.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1163.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1204.68,88,,percent of total billed charges,,,,,,,,,1045.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1245.74,91,,percent of total billed charges,,,1300.5,95,,percent of total billed charges,,,1136.23,83,,percent of total billed charges,,,1136.23,83,,percent of total billed charges,,,,,,,,,,,,,,,1136.23,83,,percent of total billed charges,,,1300.5,95,,percent of total billed charges,,,1232.06,90,,percent of total billed charges,,,1232.06,90,,percent of total billed charges,,,1122.54,82,,percent of total billed charges,,,1232.06,90,,percent of total billed charges,,,1163.61,85,,percent of total billed charges,,1032.19,1300.5, LAPAFLATOR TUBING 201,23307678,CDM,,,270,RC,inpatient,,77.52,77.52,,65.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,65.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.22,88,,percent of total billed charges,,,,,,,,,59.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.54,91,,percent of total billed charges,,,73.64,95,,percent of total billed charges,,,64.34,83,,percent of total billed charges,,,64.34,83,,percent of total billed charges,,,,,,,,,,,,,,,64.34,83,,percent of total billed charges,,,73.64,95,,percent of total billed charges,,,69.77,90,,percent of total billed charges,,,69.77,90,,percent of total billed charges,,,63.57,82,,percent of total billed charges,,,69.77,90,,percent of total billed charges,,,65.89,85,,percent of total billed charges,,58.45,73.64, ENDO RETRACTOR,23307777,CDM,,,270,RC,inpatient,,1745.45,1745.45,,1481.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1316.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1483.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1536,88,,percent of total billed charges,,,,,,,,,1333.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1588.36,91,,percent of total billed charges,,,1658.18,95,,percent of total billed charges,,,1448.72,83,,percent of total billed charges,,,1448.72,83,,percent of total billed charges,,,,,,,,,,,,,,,1448.72,83,,percent of total billed charges,,,1658.18,95,,percent of total billed charges,,,1570.91,90,,percent of total billed charges,,,1570.91,90,,percent of total billed charges,,,1431.27,82,,percent of total billed charges,,,1570.91,90,,percent of total billed charges,,,1483.63,85,,percent of total billed charges,,1316.07,1658.18, GYRUS ENDO CUTTING FORECPS,23307778,CDM,,,270,RC,inpatient,,1813.5,1813.5,,1539.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1367.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1541.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1595.88,88,,percent of total billed charges,,,,,,,,,1385.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1650.29,91,,percent of total billed charges,,,1722.83,95,,percent of total billed charges,,,1505.21,83,,percent of total billed charges,,,1505.21,83,,percent of total billed charges,,,,,,,,,,,,,,,1505.21,83,,percent of total billed charges,,,1722.83,95,,percent of total billed charges,,,1632.15,90,,percent of total billed charges,,,1632.15,90,,percent of total billed charges,,,1487.07,82,,percent of total billed charges,,,1632.15,90,,percent of total billed charges,,,1541.48,85,,percent of total billed charges,,1367.38,1722.83, FORCEPS MACRO,23307801,CDM,,,270,RC,inpatient,,494,494,,419.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,372.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,419.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,434.72,88,,percent of total billed charges,,,,,,,,,377.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,449.54,91,,percent of total billed charges,,,469.3,95,,percent of total billed charges,,,410.02,83,,percent of total billed charges,,,410.02,83,,percent of total billed charges,,,,,,,,,,,,,,,410.02,83,,percent of total billed charges,,,469.3,95,,percent of total billed charges,,,444.6,90,,percent of total billed charges,,,444.6,90,,percent of total billed charges,,,405.08,82,,percent of total billed charges,,,444.6,90,,percent of total billed charges,,,419.9,85,,percent of total billed charges,,372.48,469.3, * Z/OR (V0405),23307872,CDM,,,270,RC,inpatient,,172,172,,146.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,129.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,146.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,151.36,88,,percent of total billed charges,,,,,,,,,131.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,156.52,91,,percent of total billed charges,,,163.4,95,,percent of total billed charges,,,142.76,83,,percent of total billed charges,,,142.76,83,,percent of total billed charges,,,,,,,,,,,,,,,142.76,83,,percent of total billed charges,,,163.4,95,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,141.04,82,,percent of total billed charges,,,154.8,90,,percent of total billed charges,,,146.2,85,,percent of total billed charges,,129.69,163.4, * Z/OR (V0405),23307875,CDM,,,270,RC,inpatient,,2060,2060,,1748.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1553.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1751,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1812.8,88,,percent of total billed charges,,,,,,,,,1573.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1874.6,91,,percent of total billed charges,,,1957,95,,percent of total billed charges,,,1709.8,83,,percent of total billed charges,,,1709.8,83,,percent of total billed charges,,,,,,,,,,,,,,,1709.8,83,,percent of total billed charges,,,1957,95,,percent of total billed charges,,,1854,90,,percent of total billed charges,,,1854,90,,percent of total billed charges,,,1689.2,82,,percent of total billed charges,,,1854,90,,percent of total billed charges,,,1751,85,,percent of total billed charges,,1553.24,1957, * Z/OR (V0405),23307878,CDM,,,270,RC,inpatient,,270,270,,229.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,203.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,229.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,237.6,88,,percent of total billed charges,,,,,,,,,206.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,245.7,91,,percent of total billed charges,,,256.5,95,,percent of total billed charges,,,224.1,83,,percent of total billed charges,,,224.1,83,,percent of total billed charges,,,,,,,,,,,,,,,224.1,83,,percent of total billed charges,,,256.5,95,,percent of total billed charges,,,243,90,,percent of total billed charges,,,243,90,,percent of total billed charges,,,221.4,82,,percent of total billed charges,,,243,90,,percent of total billed charges,,,229.5,85,,percent of total billed charges,,203.58,256.5, * Z/OR (V0405),23307879,CDM,,,270,RC,inpatient,,374,374,,317.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,317.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,329.12,88,,percent of total billed charges,,,,,,,,,285.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,340.34,91,,percent of total billed charges,,,355.3,95,,percent of total billed charges,,,310.42,83,,percent of total billed charges,,,310.42,83,,percent of total billed charges,,,,,,,,,,,,,,,310.42,83,,percent of total billed charges,,,355.3,95,,percent of total billed charges,,,336.6,90,,percent of total billed charges,,,336.6,90,,percent of total billed charges,,,306.68,82,,percent of total billed charges,,,336.6,90,,percent of total billed charges,,,317.9,85,,percent of total billed charges,,282,355.3, * Z/OR (V0405),23307880,CDM,,,270,RC,inpatient,,1170,1170,,993.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,882.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,994.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1029.6,88,,percent of total billed charges,,,,,,,,,893.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1064.7,91,,percent of total billed charges,,,1111.5,95,,percent of total billed charges,,,971.1,83,,percent of total billed charges,,,971.1,83,,percent of total billed charges,,,,,,,,,,,,,,,971.1,83,,percent of total billed charges,,,1111.5,95,,percent of total billed charges,,,1053,90,,percent of total billed charges,,,1053,90,,percent of total billed charges,,,959.4,82,,percent of total billed charges,,,1053,90,,percent of total billed charges,,,994.5,85,,percent of total billed charges,,882.18,1111.5, * Z/OR (V0405),23307886,CDM,,,270,RC,inpatient,,5953,5953,,5054.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4488.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5060.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5238.64,88,,percent of total billed charges,,,,,,,,,4548.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5417.23,91,,percent of total billed charges,,,5655.35,95,,percent of total billed charges,,,4940.99,83,,percent of total billed charges,,,4940.99,83,,percent of total billed charges,,,,,,,,,,,,,,,4940.99,83,,percent of total billed charges,,,5655.35,95,,percent of total billed charges,,,5357.7,90,,percent of total billed charges,,,5357.7,90,,percent of total billed charges,,,4881.46,82,,percent of total billed charges,,,5357.7,90,,percent of total billed charges,,,5060.05,85,,percent of total billed charges,,4488.56,5655.35, * Z/OR (V0405),23307887,CDM,,,270,RC,inpatient,,3001,3001,,2547.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2262.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2550.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2640.88,88,,percent of total billed charges,,,,,,,,,2292.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2730.91,91,,percent of total billed charges,,,2850.95,95,,percent of total billed charges,,,2490.83,83,,percent of total billed charges,,,2490.83,83,,percent of total billed charges,,,,,,,,,,,,,,,2490.83,83,,percent of total billed charges,,,2850.95,95,,percent of total billed charges,,,2700.9,90,,percent of total billed charges,,,2700.9,90,,percent of total billed charges,,,2460.82,82,,percent of total billed charges,,,2700.9,90,,percent of total billed charges,,,2550.85,85,,percent of total billed charges,,2262.75,2850.95, * STERI DRAPE #1060,23307918,CDM,,,270,RC,inpatient,,9,9,,7.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.92,88,,percent of total billed charges,,,,,,,,,6.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8.19,91,,percent of total billed charges,,,8.55,95,,percent of total billed charges,,,7.47,83,,percent of total billed charges,,,7.47,83,,percent of total billed charges,,,,,,,,,,,,,,,7.47,83,,percent of total billed charges,,,8.55,95,,percent of total billed charges,,,8.1,90,,percent of total billed charges,,,8.1,90,,percent of total billed charges,,,7.38,82,,percent of total billed charges,,,8.1,90,,percent of total billed charges,,,7.65,85,,percent of total billed charges,,6.79,8.55, * Z/OR (V0405),23308075,CDM,,,270,RC,inpatient,,1825,1825,,1549.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1376.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1551.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1606,88,,percent of total billed charges,,,,,,,,,1394.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1660.75,91,,percent of total billed charges,,,1733.75,95,,percent of total billed charges,,,1514.75,83,,percent of total billed charges,,,1514.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1514.75,83,,percent of total billed charges,,,1733.75,95,,percent of total billed charges,,,1642.5,90,,percent of total billed charges,,,1642.5,90,,percent of total billed charges,,,1496.5,82,,percent of total billed charges,,,1642.5,90,,percent of total billed charges,,,1551.25,85,,percent of total billed charges,,1376.05,1733.75, * SUTURE CP-412 (V0205),23308151,CDM,,,270,RC,inpatient,,308,308,,261.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,232.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,261.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,271.04,88,,percent of total billed charges,,,,,,,,,235.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,280.28,91,,percent of total billed charges,,,292.6,95,,percent of total billed charges,,,255.64,83,,percent of total billed charges,,,255.64,83,,percent of total billed charges,,,,,,,,,,,,,,,255.64,83,,percent of total billed charges,,,292.6,95,,percent of total billed charges,,,277.2,90,,percent of total billed charges,,,277.2,90,,percent of total billed charges,,,252.56,82,,percent of total billed charges,,,277.2,90,,percent of total billed charges,,,261.8,85,,percent of total billed charges,,232.23,292.6, AIRWAY BERMAN 90MM,23308164,CDM,,,270,RC,inpatient,,6.3,6.3,,5.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.54,88,,percent of total billed charges,,,,,,,,,4.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.73,91,,percent of total billed charges,,,5.99,95,,percent of total billed charges,,,5.23,83,,percent of total billed charges,,,5.23,83,,percent of total billed charges,,,,,,,,,,,,,,,5.23,83,,percent of total billed charges,,,5.99,95,,percent of total billed charges,,,5.67,90,,percent of total billed charges,,,5.67,90,,percent of total billed charges,,,5.17,82,,percent of total billed charges,,,5.67,90,,percent of total billed charges,,,5.36,85,,percent of total billed charges,,4.75,5.99, AIRWAY KING LTD #3(NON-STOCK),23308179,CDM,,,270,RC,inpatient,,406,406,,344.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,306.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,345.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,357.28,88,,percent of total billed charges,,,,,,,,,310.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,369.46,91,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,,,,,,,,,,,,,336.98,83,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,332.92,82,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,345.1,85,,percent of total billed charges,,306.12,385.7, AIRWAY KING LTD #5(NON-STOCK),23308181,CDM,,,270,RC,inpatient,,406,406,,344.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,306.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,345.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,357.28,88,,percent of total billed charges,,,,,,,,,310.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,369.46,91,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,336.98,83,,percent of total billed charges,,,,,,,,,,,,,,,336.98,83,,percent of total billed charges,,,385.7,95,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,332.92,82,,percent of total billed charges,,,365.4,90,,percent of total billed charges,,,345.1,85,,percent of total billed charges,,306.12,385.7, AIRWAY BERMAN 100MM,23308182,CDM,,,270,RC,inpatient,,4.02,4.02,,3.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.54,88,,percent of total billed charges,,,,,,,,,3.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.66,91,,percent of total billed charges,,,3.82,95,,percent of total billed charges,,,3.34,83,,percent of total billed charges,,,3.34,83,,percent of total billed charges,,,,,,,,,,,,,,,3.34,83,,percent of total billed charges,,,3.82,95,,percent of total billed charges,,,3.62,90,,percent of total billed charges,,,3.62,90,,percent of total billed charges,,,3.3,82,,percent of total billed charges,,,3.62,90,,percent of total billed charges,,,3.42,85,,percent of total billed charges,,3.03,3.82, NG TUBE W/REFLUX 12F,23310052,CDM,,,270,RC,inpatient,,45.14,45.14,,38.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39.72,88,,percent of total billed charges,,,,,,,,,34.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41.08,91,,percent of total billed charges,,,42.88,95,,percent of total billed charges,,,37.47,83,,percent of total billed charges,,,37.47,83,,percent of total billed charges,,,,,,,,,,,,,,,37.47,83,,percent of total billed charges,,,42.88,95,,percent of total billed charges,,,40.63,90,,percent of total billed charges,,,40.63,90,,percent of total billed charges,,,37.01,82,,percent of total billed charges,,,40.63,90,,percent of total billed charges,,,38.37,85,,percent of total billed charges,,34.04,42.88, NG TUBE W/REFLUX 14F,23310053,CDM,,,270,RC,inpatient,,43.65,43.65,,37.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,38.41,88,,percent of total billed charges,,,,,,,,,33.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,39.72,91,,percent of total billed charges,,,41.47,95,,percent of total billed charges,,,36.23,83,,percent of total billed charges,,,36.23,83,,percent of total billed charges,,,,,,,,,,,,,,,36.23,83,,percent of total billed charges,,,41.47,95,,percent of total billed charges,,,39.29,90,,percent of total billed charges,,,39.29,90,,percent of total billed charges,,,35.79,82,,percent of total billed charges,,,39.29,90,,percent of total billed charges,,,37.1,85,,percent of total billed charges,,32.91,41.47, NG TUBE W/REFLUX 16F,23310054,CDM,,,270,RC,inpatient,,24.19,24.19,,20.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.29,88,,percent of total billed charges,,,,,,,,,18.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22.01,91,,percent of total billed charges,,,22.98,95,,percent of total billed charges,,,20.08,83,,percent of total billed charges,,,20.08,83,,percent of total billed charges,,,,,,,,,,,,,,,20.08,83,,percent of total billed charges,,,22.98,95,,percent of total billed charges,,,21.77,90,,percent of total billed charges,,,21.77,90,,percent of total billed charges,,,19.84,82,,percent of total billed charges,,,21.77,90,,percent of total billed charges,,,20.56,85,,percent of total billed charges,,18.24,22.98, NG TUBE W/REFLUX 18F,23310055,CDM,,,270,RC,inpatient,,28.75,28.75,,24.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25.3,88,,percent of total billed charges,,,,,,,,,21.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26.16,91,,percent of total billed charges,,,27.31,95,,percent of total billed charges,,,23.86,83,,percent of total billed charges,,,23.86,83,,percent of total billed charges,,,,,,,,,,,,,,,23.86,83,,percent of total billed charges,,,27.31,95,,percent of total billed charges,,,25.88,90,,percent of total billed charges,,,25.88,90,,percent of total billed charges,,,23.58,82,,percent of total billed charges,,,25.88,90,,percent of total billed charges,,,24.44,85,,percent of total billed charges,,21.68,27.31, *TONSIL SPONGE 1 1/4,23660062,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, *TUBE GAUZE 1 X 50YDS,23660064,CDM,,,270,RC,inpatient,,147,147,,124.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,110.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,124.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,129.36,88,,percent of total billed charges,,,,,,,,,112.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,133.77,91,,percent of total billed charges,,,139.65,95,,percent of total billed charges,,,122.01,83,,percent of total billed charges,,,122.01,83,,percent of total billed charges,,,,,,,,,,,,,,,122.01,83,,percent of total billed charges,,,139.65,95,,percent of total billed charges,,,132.3,90,,percent of total billed charges,,,132.3,90,,percent of total billed charges,,,120.54,82,,percent of total billed charges,,,132.3,90,,percent of total billed charges,,,124.95,85,,percent of total billed charges,,110.84,139.65, *TUBE GAUZE 5/8,23660065,CDM,,,270,RC,inpatient,,69,69,,58.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,52.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60.72,88,,percent of total billed charges,,,,,,,,,52.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62.79,91,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,57.27,83,,percent of total billed charges,,,,,,,,,,,,,,,57.27,83,,percent of total billed charges,,,65.55,95,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,56.58,82,,percent of total billed charges,,,62.1,90,,percent of total billed charges,,,58.65,85,,percent of total billed charges,,52.03,65.55, TUBE GAUZE 7/8,23660091,CDM,,,270,RC,inpatient,,270,270,,229.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,203.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,229.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,237.6,88,,percent of total billed charges,,,,,,,,,206.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,245.7,91,,percent of total billed charges,,,256.5,95,,percent of total billed charges,,,224.1,83,,percent of total billed charges,,,224.1,83,,percent of total billed charges,,,,,,,,,,,,,,,224.1,83,,percent of total billed charges,,,256.5,95,,percent of total billed charges,,,243,90,,percent of total billed charges,,,243,90,,percent of total billed charges,,,221.4,82,,percent of total billed charges,,,243,90,,percent of total billed charges,,,229.5,85,,percent of total billed charges,,203.58,256.5, *URETERAL CATH WHISTLE 6 FR,23670111,CDM,,,270,RC,inpatient,,22,22,,18.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.36,88,,percent of total billed charges,,,,,,,,,16.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20.02,91,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,18.26,83,,percent of total billed charges,,,,,,,,,,,,,,,18.26,83,,percent of total billed charges,,,20.9,95,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.04,82,,percent of total billed charges,,,19.8,90,,percent of total billed charges,,,18.7,85,,percent of total billed charges,,16.59,20.9, * SACRO BELT XSM (V0106),23700192,CDM,,,270,RC,inpatient,,126,126,,106.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,107.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,110.88,88,,percent of total billed charges,,,,,,,,,96.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,114.66,91,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,,,,,,,,,,,,,104.58,83,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,103.32,82,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,107.1,85,,percent of total billed charges,,95,119.7, * SACRO BELT SMALL (V0106),23700193,CDM,,,270,RC,inpatient,,126,126,,106.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,107.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,110.88,88,,percent of total billed charges,,,,,,,,,96.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,114.66,91,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,,,,,,,,,,,,,104.58,83,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,103.32,82,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,107.1,85,,percent of total billed charges,,95,119.7, * SACRO BELT MEDIUM (V0106),23700194,CDM,,,270,RC,inpatient,,126,126,,106.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,107.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,110.88,88,,percent of total billed charges,,,,,,,,,96.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,114.66,91,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,,,,,,,,,,,,,104.58,83,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,103.32,82,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,107.1,85,,percent of total billed charges,,95,119.7, * SACRO BELT SMALL MED (V0106),23700195,CDM,,,270,RC,inpatient,,126,126,,106.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,107.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,110.88,88,,percent of total billed charges,,,,,,,,,96.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,114.66,91,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,104.58,83,,percent of total billed charges,,,,,,,,,,,,,,,104.58,83,,percent of total billed charges,,,119.7,95,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,103.32,82,,percent of total billed charges,,,113.4,90,,percent of total billed charges,,,107.1,85,,percent of total billed charges,,95,119.7, * SACRO BELT XLARGE (V0106),23700196,CDM,,,270,RC,inpatient,,133,133,,112.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,100.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,113.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,117.04,88,,percent of total billed charges,,,,,,,,,101.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,121.03,91,,percent of total billed charges,,,126.35,95,,percent of total billed charges,,,110.39,83,,percent of total billed charges,,,110.39,83,,percent of total billed charges,,,,,,,,,,,,,,,110.39,83,,percent of total billed charges,,,126.35,95,,percent of total billed charges,,,119.7,90,,percent of total billed charges,,,119.7,90,,percent of total billed charges,,,109.06,82,,percent of total billed charges,,,119.7,90,,percent of total billed charges,,,113.05,85,,percent of total billed charges,,100.28,126.35, * SACRO BELT XXLG (V0106),23700199,CDM,,,270,RC,inpatient,,144,144,,122.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,108.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,122.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,126.72,88,,percent of total billed charges,,,,,,,,,110.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,131.04,91,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,,,,,,,,,,,,,119.52,83,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,118.08,82,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,122.4,85,,percent of total billed charges,,108.58,136.8, * SUTURE 628H (V0205),23720001,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, SUTURE 1670H (V0605),23720007,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J344H (V0205),23720009,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 1673G (V0205),23720029,CDM,,,270,RC,inpatient,,86,86,,73.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,64.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,73.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,75.68,88,,percent of total billed charges,,,,,,,,,65.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,78.26,91,,percent of total billed charges,,,81.7,95,,percent of total billed charges,,,71.38,83,,percent of total billed charges,,,71.38,83,,percent of total billed charges,,,,,,,,,,,,,,,71.38,83,,percent of total billed charges,,,81.7,95,,percent of total billed charges,,,77.4,90,,percent of total billed charges,,,77.4,90,,percent of total billed charges,,,70.52,82,,percent of total billed charges,,,77.4,90,,percent of total billed charges,,,73.1,85,,percent of total billed charges,,64.84,81.7, * SUTURE CL 922(V0205),23720034,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 3027-79 (V0205),23720036,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE S102H (V0205),23720037,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE H822G (V0205),23720042,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, SUTURE 2-0 ETHILON FS 664G,23720044,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE GL 62 M (V0205),23720047,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE L113G (V0605),23720052,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE N862H (V0605),23720054,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 583-41 (V0205),23720061,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE CG 813 (V0205),23720064,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE*636G (V0205),23720070,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE CL 831 (418H) (V0205),23720075,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J214H (V0605),23720085,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J493G (V0205),23720088,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 9268-71 & CL-955 (V0205),23720103,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 519H (V0205),23720110,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE B-518H (V0205),23720111,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE G202 (V0205),23720112,CDM,,,270,RC,inpatient,,245,245,,208.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,184.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,208.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,215.6,88,,percent of total billed charges,,,,,,,,,187.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,222.95,91,,percent of total billed charges,,,232.75,95,,percent of total billed charges,,,203.35,83,,percent of total billed charges,,,203.35,83,,percent of total billed charges,,,,,,,,,,,,,,,203.35,83,,percent of total billed charges,,,232.75,95,,percent of total billed charges,,,220.5,90,,percent of total billed charges,,,220.5,90,,percent of total billed charges,,,200.9,82,,percent of total billed charges,,,220.5,90,,percent of total billed charges,,,208.25,85,,percent of total billed charges,,184.73,232.75, SUTURE SILK BLACK (V0205),23720114,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE GG 123 (V0205),23720117,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J274H (V0205),23720127,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J663H (V0205),23720129,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J416H (V0205),23720141,CDM,,,270,RC,inpatient,,15,15,,12.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13.2,88,,percent of total billed charges,,,,,,,,,11.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.65,91,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,,,,,,,,,,,,,12.45,83,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.3,82,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.75,85,,percent of total billed charges,,11.31,14.25, * SUTURE GL 322 (V0205),23720144,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J443H (V0605),23720147,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 518-52 (V0205),23720149,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE N862H (V0205),23720152,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE 663H (V0205),23720153,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J868H (V0205),23720157,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J218H (V0605),23720159,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE J870H (V0205),23720165,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, * SUTURE X519H (V0605),23720166,CDM,,,270,RC,inpatient,,18,18,,15.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.84,88,,percent of total billed charges,,,,,,,,,13.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.38,91,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,14.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14.94,83,,percent of total billed charges,,,17.1,95,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,14.76,82,,percent of total billed charges,,,16.2,90,,percent of total billed charges,,,15.3,85,,percent of total billed charges,,13.57,17.1, NEEDLE SURGICAL ANCHOR 10D (NC),23730009,CDM,,,270,RC,inpatient,,169.2,169.2,,143.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,127.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,143.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,148.9,88,,percent of total billed charges,,,,,,,,,129.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,153.97,91,,percent of total billed charges,,,160.74,95,,percent of total billed charges,,,140.44,83,,percent of total billed charges,,,140.44,83,,percent of total billed charges,,,,,,,,,,,,,,,140.44,83,,percent of total billed charges,,,160.74,95,,percent of total billed charges,,,152.28,90,,percent of total billed charges,,,152.28,90,,percent of total billed charges,,,138.74,82,,percent of total billed charges,,,152.28,90,,percent of total billed charges,,,143.82,85,,percent of total billed charges,,127.58,160.74, * THREE WAY STOPCOCK WO TUBE (V0605),23750024,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8, *STOMACH EVACUATOR EWALD TYPE,23770094,CDM,,,270,RC,inpatient,,187,187,,158.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,141,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,158.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,164.56,88,,percent of total billed charges,,,,,,,,,142.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,170.17,91,,percent of total billed charges,,,177.65,95,,percent of total billed charges,,,155.21,83,,percent of total billed charges,,,155.21,83,,percent of total billed charges,,,,,,,,,,,,,,,155.21,83,,percent of total billed charges,,,177.65,95,,percent of total billed charges,,,168.3,90,,percent of total billed charges,,,168.3,90,,percent of total billed charges,,,153.34,82,,percent of total billed charges,,,168.3,90,,percent of total billed charges,,,158.95,85,,percent of total billed charges,,141,177.65, ELECTRODE DEFIB ADULT EDGE QUICK-COMBO,23780021,CDM,,,270,RC,inpatient,,200.4,200.4,,170.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,151.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176.35,88,,percent of total billed charges,,,,,,,,,153.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182.36,91,,percent of total billed charges,,,190.38,95,,percent of total billed charges,,,166.33,83,,percent of total billed charges,,,166.33,83,,percent of total billed charges,,,,,,,,,,,,,,,166.33,83,,percent of total billed charges,,,190.38,95,,percent of total billed charges,,,180.36,90,,percent of total billed charges,,,180.36,90,,percent of total billed charges,,,164.33,82,,percent of total billed charges,,,180.36,90,,percent of total billed charges,,,170.34,85,,percent of total billed charges,,151.1,190.38, ELECTRODE DEFIB PAD ZOLL,23780030,CDM,,,270,RC,inpatient,,578.34,578.34,,491.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,436.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,491.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,508.94,88,,percent of total billed charges,,,,,,,,,441.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,526.29,91,,percent of total billed charges,,,549.42,95,,percent of total billed charges,,,480.02,83,,percent of total billed charges,,,480.02,83,,percent of total billed charges,,,,,,,,,,,,,,,480.02,83,,percent of total billed charges,,,549.42,95,,percent of total billed charges,,,520.51,90,,percent of total billed charges,,,520.51,90,,percent of total billed charges,,,474.24,82,,percent of total billed charges,,,520.51,90,,percent of total billed charges,,,491.59,85,,percent of total billed charges,,436.07,549.42, *ELEC/SURG HOLSTER,23780037,CDM,,,270,RC,inpatient,,6,6,,5.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.28,88,,percent of total billed charges,,,,,,,,,4.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.46,91,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,4.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4.98,83,,percent of total billed charges,,,5.7,95,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,4.92,82,,percent of total billed charges,,,5.4,90,,percent of total billed charges,,,5.1,85,,percent of total billed charges,,4.52,5.7, AIRWAY BERMAN 80MM,23790100,CDM,,,270,RC,inpatient,,2.22,2.22,,1.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1.95,88,,percent of total billed charges,,,,,,,,,1.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.02,91,,percent of total billed charges,,,2.11,95,,percent of total billed charges,,,1.84,83,,percent of total billed charges,,,1.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1.84,83,,percent of total billed charges,,,2.11,95,,percent of total billed charges,,,2,90,,percent of total billed charges,,,2,90,,percent of total billed charges,,,1.82,82,,percent of total billed charges,,,2,90,,percent of total billed charges,,,1.89,85,,percent of total billed charges,,1.67,2.11, *AIRFLOW MATTRESS PLASTIC,23790101,CDM,,,270,RC,inpatient,,189,189,,160.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,142.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,160.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.32,88,,percent of total billed charges,,,,,,,,,144.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,171.99,91,,percent of total billed charges,,,179.55,95,,percent of total billed charges,,,156.87,83,,percent of total billed charges,,,156.87,83,,percent of total billed charges,,,,,,,,,,,,,,,156.87,83,,percent of total billed charges,,,179.55,95,,percent of total billed charges,,,170.1,90,,percent of total billed charges,,,170.1,90,,percent of total billed charges,,,154.98,82,,percent of total billed charges,,,170.1,90,,percent of total billed charges,,,160.65,85,,percent of total billed charges,,142.51,179.55, AIRWAY BERMAN 40MM,23790102,CDM,,,270,RC,inpatient,,5.49,5.49,,4.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.83,88,,percent of total billed charges,,,,,,,,,4.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5,91,,percent of total billed charges,,,5.22,95,,percent of total billed charges,,,4.56,83,,percent of total billed charges,,,4.56,83,,percent of total billed charges,,,,,,,,,,,,,,,4.56,83,,percent of total billed charges,,,5.22,95,,percent of total billed charges,,,4.94,90,,percent of total billed charges,,,4.94,90,,percent of total billed charges,,,4.5,82,,percent of total billed charges,,,4.94,90,,percent of total billed charges,,,4.67,85,,percent of total billed charges,,4.14,5.22, *U STONE RETRIVER 4 WIRE 8MM,23790186,CDM,,,270,RC,inpatient,,584,584,,495.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,440.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,496.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,513.92,88,,percent of total billed charges,,,,,,,,,446.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,531.44,91,,percent of total billed charges,,,554.8,95,,percent of total billed charges,,,484.72,83,,percent of total billed charges,,,484.72,83,,percent of total billed charges,,,,,,,,,,,,,,,484.72,83,,percent of total billed charges,,,554.8,95,,percent of total billed charges,,,525.6,90,,percent of total billed charges,,,525.6,90,,percent of total billed charges,,,478.88,82,,percent of total billed charges,,,525.6,90,,percent of total billed charges,,,496.4,85,,percent of total billed charges,,440.34,554.8, *U STONE RETRIEVER 4 WIRE 11MM,23790187,CDM,,,270,RC,inpatient,,331,331,,281.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,249.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,281.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,291.28,88,,percent of total billed charges,,,,,,,,,252.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,301.21,91,,percent of total billed charges,,,314.45,95,,percent of total billed charges,,,274.73,83,,percent of total billed charges,,,274.73,83,,percent of total billed charges,,,,,,,,,,,,,,,274.73,83,,percent of total billed charges,,,314.45,95,,percent of total billed charges,,,297.9,90,,percent of total billed charges,,,297.9,90,,percent of total billed charges,,,271.42,82,,percent of total billed charges,,,297.9,90,,percent of total billed charges,,,281.35,85,,percent of total billed charges,,249.57,314.45, *U STONE RETRIEVER WIRE 8MM,23790188,CDM,,,270,RC,inpatient,,632,632,,536.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,476.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,537.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,556.16,88,,percent of total billed charges,,,,,,,,,482.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,575.12,91,,percent of total billed charges,,,600.4,95,,percent of total billed charges,,,524.56,83,,percent of total billed charges,,,524.56,83,,percent of total billed charges,,,,,,,,,,,,,,,524.56,83,,percent of total billed charges,,,600.4,95,,percent of total billed charges,,,568.8,90,,percent of total billed charges,,,568.8,90,,percent of total billed charges,,,518.24,82,,percent of total billed charges,,,568.8,90,,percent of total billed charges,,,537.2,85,,percent of total billed charges,,476.53,600.4, *U STONE RETREIVER 6 WIRE 11MM,23790189,CDM,,,270,RC,inpatient,,344,344,,292.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,259.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,292.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,302.72,88,,percent of total billed charges,,,,,,,,,262.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,313.04,91,,percent of total billed charges,,,326.8,95,,percent of total billed charges,,,285.52,83,,percent of total billed charges,,,285.52,83,,percent of total billed charges,,,,,,,,,,,,,,,285.52,83,,percent of total billed charges,,,326.8,95,,percent of total billed charges,,,309.6,90,,percent of total billed charges,,,309.6,90,,percent of total billed charges,,,282.08,82,,percent of total billed charges,,,309.6,90,,percent of total billed charges,,,292.4,85,,percent of total billed charges,,259.38,326.8, AIRWAY GUEDEL 60MM,23790203,CDM,,,270,RC,inpatient,,6.57,6.57,,5.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.78,88,,percent of total billed charges,,,,,,,,,5.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.98,91,,percent of total billed charges,,,6.24,95,,percent of total billed charges,,,5.45,83,,percent of total billed charges,,,5.45,83,,percent of total billed charges,,,,,,,,,,,,,,,5.45,83,,percent of total billed charges,,,6.24,95,,percent of total billed charges,,,5.91,90,,percent of total billed charges,,,5.91,90,,percent of total billed charges,,,5.39,82,,percent of total billed charges,,,5.91,90,,percent of total billed charges,,,5.58,85,,percent of total billed charges,,4.95,6.24, BETADINE SURGICAL SCRUB 4 OZ,23790214,CDM,,,270,RC,inpatient,,10.71,10.71,,9.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9.42,88,,percent of total billed charges,,,,,,,,,8.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.75,91,,percent of total billed charges,,,10.17,95,,percent of total billed charges,,,8.89,83,,percent of total billed charges,,,8.89,83,,percent of total billed charges,,,,,,,,,,,,,,,8.89,83,,percent of total billed charges,,,10.17,95,,percent of total billed charges,,,9.64,90,,percent of total billed charges,,,9.64,90,,percent of total billed charges,,,8.78,82,,percent of total billed charges,,,9.64,90,,percent of total billed charges,,,9.1,85,,percent of total billed charges,,8.08,10.17, *INTUBATION STYLET 6FR,23790220,CDM,,,270,RC,inpatient,,33,33,,28.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.04,88,,percent of total billed charges,,,,,,,,,25.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.03,91,,percent of total billed charges,,,31.35,95,,percent of total billed charges,,,27.39,83,,percent of total billed charges,,,27.39,83,,percent of total billed charges,,,,,,,,,,,,,,,27.39,83,,percent of total billed charges,,,31.35,95,,percent of total billed charges,,,29.7,90,,percent of total billed charges,,,29.7,90,,percent of total billed charges,,,27.06,82,,percent of total billed charges,,,29.7,90,,percent of total billed charges,,,28.05,85,,percent of total billed charges,,24.88,31.35, AIRWAY BERMAN 60MM,23790269,CDM,,,270,RC,inpatient,,5.15,5.15,,4.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.53,88,,percent of total billed charges,,,,,,,,,3.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.69,91,,percent of total billed charges,,,4.89,95,,percent of total billed charges,,,4.27,83,,percent of total billed charges,,,4.27,83,,percent of total billed charges,,,,,,,,,,,,,,,4.27,83,,percent of total billed charges,,,4.89,95,,percent of total billed charges,,,4.64,90,,percent of total billed charges,,,4.64,90,,percent of total billed charges,,,4.22,82,,percent of total billed charges,,,4.64,90,,percent of total billed charges,,,4.38,85,,percent of total billed charges,,3.88,4.89, AIRWAY BERMAN 70MM,23790273,CDM,,,270,RC,inpatient,,2.7,2.7,,2.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.38,88,,percent of total billed charges,,,,,,,,,2.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.46,91,,percent of total billed charges,,,2.57,95,,percent of total billed charges,,,2.24,83,,percent of total billed charges,,,2.24,83,,percent of total billed charges,,,,,,,,,,,,,,,2.24,83,,percent of total billed charges,,,2.57,95,,percent of total billed charges,,,2.43,90,,percent of total billed charges,,,2.43,90,,percent of total billed charges,,,2.21,82,,percent of total billed charges,,,2.43,90,,percent of total billed charges,,,2.3,85,,percent of total billed charges,,2.04,2.57, AIRWAY GUEDEL 110MM,23790274,CDM,,,270,RC,inpatient,,2.61,2.61,,2.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.3,88,,percent of total billed charges,,,,,,,,,1.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2.38,91,,percent of total billed charges,,,2.48,95,,percent of total billed charges,,,2.17,83,,percent of total billed charges,,,2.17,83,,percent of total billed charges,,,,,,,,,,,,,,,2.17,83,,percent of total billed charges,,,2.48,95,,percent of total billed charges,,,2.35,90,,percent of total billed charges,,,2.35,90,,percent of total billed charges,,,2.14,82,,percent of total billed charges,,,2.35,90,,percent of total billed charges,,,2.22,85,,percent of total billed charges,,1.97,2.48, AIRWAY GUEDEL 100MM,23790294,CDM,,,270,RC,inpatient,,14.16,14.16,,12.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12.46,88,,percent of total billed charges,,,,,,,,,10.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12.89,91,,percent of total billed charges,,,13.45,95,,percent of total billed charges,,,11.75,83,,percent of total billed charges,,,11.75,83,,percent of total billed charges,,,,,,,,,,,,,,,11.75,83,,percent of total billed charges,,,13.45,95,,percent of total billed charges,,,12.74,90,,percent of total billed charges,,,12.74,90,,percent of total billed charges,,,11.61,82,,percent of total billed charges,,,12.74,90,,percent of total billed charges,,,12.04,85,,percent of total billed charges,,10.68,13.45, AIRWAY GUEDEL 80MM,23790295,CDM,,,270,RC,inpatient,,4.08,4.08,,3.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.59,88,,percent of total billed charges,,,,,,,,,3.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.71,91,,percent of total billed charges,,,3.88,95,,percent of total billed charges,,,3.39,83,,percent of total billed charges,,,3.39,83,,percent of total billed charges,,,,,,,,,,,,,,,3.39,83,,percent of total billed charges,,,3.88,95,,percent of total billed charges,,,3.67,90,,percent of total billed charges,,,3.67,90,,percent of total billed charges,,,3.35,82,,percent of total billed charges,,,3.67,90,,percent of total billed charges,,,3.47,85,,percent of total billed charges,,3.08,3.88, AIRWAY GUEDEL 90MM,23790297,CDM,,,270,RC,inpatient,,9.1,9.1,,7.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8.01,88,,percent of total billed charges,,,,,,,,,6.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8.28,91,,percent of total billed charges,,,8.65,95,,percent of total billed charges,,,7.55,83,,percent of total billed charges,,,7.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7.55,83,,percent of total billed charges,,,8.65,95,,percent of total billed charges,,,8.19,90,,percent of total billed charges,,,8.19,90,,percent of total billed charges,,,7.46,82,,percent of total billed charges,,,8.19,90,,percent of total billed charges,,,7.74,85,,percent of total billed charges,,6.86,8.65, BILI EYE PATCHES,23790298,CDM,,,270,RC,inpatient,,10.8,10.8,,9.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9.5,88,,percent of total billed charges,,,,,,,,,8.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.83,91,,percent of total billed charges,,,10.26,95,,percent of total billed charges,,,8.96,83,,percent of total billed charges,,,8.96,83,,percent of total billed charges,,,,,,,,,,,,,,,8.96,83,,percent of total billed charges,,,10.26,95,,percent of total billed charges,,,9.72,90,,percent of total billed charges,,,9.72,90,,percent of total billed charges,,,8.86,82,,percent of total billed charges,,,9.72,90,,percent of total billed charges,,,9.18,85,,percent of total billed charges,,8.14,10.26, "* GLUCOSE, MEDISCAN PAPER (V0106)",23790319,CDM,,,270,RC,inpatient,,15,15,,12.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13.2,88,,percent of total billed charges,,,,,,,,,11.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.65,91,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,12.45,83,,percent of total billed charges,,,,,,,,,,,,,,,12.45,83,,percent of total billed charges,,,14.25,95,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.3,82,,percent of total billed charges,,,13.5,90,,percent of total billed charges,,,12.75,85,,percent of total billed charges,,11.31,14.25, SCRUB KIT EXIDINE 4% CHG,23790365,CDM,,,270,RC,inpatient,,50.65,50.65,,43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44.57,88,,percent of total billed charges,,,,,,,,,38.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.09,91,,percent of total billed charges,,,48.12,95,,percent of total billed charges,,,42.04,83,,percent of total billed charges,,,42.04,83,,percent of total billed charges,,,,,,,,,,,,,,,42.04,83,,percent of total billed charges,,,48.12,95,,percent of total billed charges,,,45.59,90,,percent of total billed charges,,,45.59,90,,percent of total billed charges,,,41.53,82,,percent of total billed charges,,,45.59,90,,percent of total billed charges,,,43.05,85,,percent of total billed charges,,38.19,48.12, *TUBING CONNECTING 7',23790552,CDM,,,270,RC,inpatient,,8,8,,6.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.04,88,,percent of total billed charges,,,,,,,,,6.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.28,91,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,,,,,,,,,,,,,6.64,83,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.56,82,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.8,85,,percent of total billed charges,,6.03,7.6, * LOOP OSTOMY SET 2 3/4 209 33 (V0605),23800066,CDM,,,270,RC,inpatient,,83,83,,70.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.04,88,,percent of total billed charges,,,,,,,,,63.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.53,91,,percent of total billed charges,,,78.85,95,,percent of total billed charges,,,68.89,83,,percent of total billed charges,,,68.89,83,,percent of total billed charges,,,,,,,,,,,,,,,68.89,83,,percent of total billed charges,,,78.85,95,,percent of total billed charges,,,74.7,90,,percent of total billed charges,,,74.7,90,,percent of total billed charges,,,68.06,82,,percent of total billed charges,,,74.7,90,,percent of total billed charges,,,70.55,85,,percent of total billed charges,,62.58,78.85, *O2 MASK ADULT W/7' TUBING,23801192,CDM,,,270,RC,inpatient,,4,4,,3.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.52,88,,percent of total billed charges,,,,,,,,,3.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.64,91,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,3.32,83,,percent of total billed charges,,,,,,,,,,,,,,,3.32,83,,percent of total billed charges,,,3.8,95,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.28,82,,percent of total billed charges,,,3.6,90,,percent of total billed charges,,,3.4,85,,percent of total billed charges,,3.02,3.8, POCKET CHAMBER/METERED DOSE INHALER,23801670,CDM,,,270,RC,inpatient,,52.11,52.11,,44.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.86,88,,percent of total billed charges,,,,,,,,,39.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.42,91,,percent of total billed charges,,,49.5,95,,percent of total billed charges,,,43.25,83,,percent of total billed charges,,,43.25,83,,percent of total billed charges,,,,,,,,,,,,,,,43.25,83,,percent of total billed charges,,,49.5,95,,percent of total billed charges,,,46.9,90,,percent of total billed charges,,,46.9,90,,percent of total billed charges,,,42.73,82,,percent of total billed charges,,,46.9,90,,percent of total billed charges,,,44.29,85,,percent of total billed charges,,39.29,49.5, *CPAP VALVE,23802027,CDM,,,270,RC,inpatient,,56,56,,47.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.28,88,,percent of total billed charges,,,,,,,,,42.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.96,91,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,,,,,,,,,,,,,46.48,83,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,45.92,82,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,47.6,85,,percent of total billed charges,,42.22,53.2, *O2 CPAP 10CM,23802028,CDM,,,270,RC,inpatient,,60,60,,50.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,45.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.8,88,,percent of total billed charges,,,,,,,,,45.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.6,91,,percent of total billed charges,,,57,95,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,49.8,83,,percent of total billed charges,,,,,,,,,,,,,,,49.8,83,,percent of total billed charges,,,57,95,,percent of total billed charges,,,54,90,,percent of total billed charges,,,54,90,,percent of total billed charges,,,49.2,82,,percent of total billed charges,,,54,90,,percent of total billed charges,,,51,85,,percent of total billed charges,,45.24,57, *FILTER,23802029,CDM,,,270,RC,inpatient,,56,56,,47.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.28,88,,percent of total billed charges,,,,,,,,,42.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.96,91,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,46.48,83,,percent of total billed charges,,,,,,,,,,,,,,,46.48,83,,percent of total billed charges,,,53.2,95,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,45.92,82,,percent of total billed charges,,,50.4,90,,percent of total billed charges,,,47.6,85,,percent of total billed charges,,42.22,53.2, O2 CPAP ADJ. VALUE,23802030,CDM,,,270,RC,inpatient,,66,66,,56.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,49.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58.08,88,,percent of total billed charges,,,,,,,,,50.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60.06,91,,percent of total billed charges,,,62.7,95,,percent of total billed charges,,,54.78,83,,percent of total billed charges,,,54.78,83,,percent of total billed charges,,,,,,,,,,,,,,,54.78,83,,percent of total billed charges,,,62.7,95,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,54.12,82,,percent of total billed charges,,,59.4,90,,percent of total billed charges,,,56.1,85,,percent of total billed charges,,49.76,62.7, CANOPY TENT,23802035,CDM,,,270,RC,inpatient,,109,109,,92.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,82.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,92.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,95.92,88,,percent of total billed charges,,,,,,,,,83.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,99.19,91,,percent of total billed charges,,,103.55,95,,percent of total billed charges,,,90.47,83,,percent of total billed charges,,,90.47,83,,percent of total billed charges,,,,,,,,,,,,,,,90.47,83,,percent of total billed charges,,,103.55,95,,percent of total billed charges,,,98.1,90,,percent of total billed charges,,,98.1,90,,percent of total billed charges,,,89.38,82,,percent of total billed charges,,,98.1,90,,percent of total billed charges,,,92.65,85,,percent of total billed charges,,82.19,103.55, DISPOSABLE OXYHOOD,23802037,CDM,,,270,RC,inpatient,,78,78,,66.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,58.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,66.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,68.64,88,,percent of total billed charges,,,,,,,,,59.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,70.98,91,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,64.74,83,,percent of total billed charges,,,,,,,,,,,,,,,64.74,83,,percent of total billed charges,,,74.1,95,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,63.96,82,,percent of total billed charges,,,70.2,90,,percent of total billed charges,,,66.3,85,,percent of total billed charges,,58.81,74.1, HAND HELD CIRCUIT,23802039,CDM,,,270,RC,inpatient,,102,102,,86.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,76.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,86.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,89.76,88,,percent of total billed charges,,,,,,,,,77.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,92.82,91,,percent of total billed charges,,,96.9,95,,percent of total billed charges,,,84.66,83,,percent of total billed charges,,,84.66,83,,percent of total billed charges,,,,,,,,,,,,,,,84.66,83,,percent of total billed charges,,,96.9,95,,percent of total billed charges,,,91.8,90,,percent of total billed charges,,,91.8,90,,percent of total billed charges,,,83.64,82,,percent of total billed charges,,,91.8,90,,percent of total billed charges,,,86.7,85,,percent of total billed charges,,76.91,96.9, MINI HEART NEBULIZER CIRCUIT,23802040,CDM,,,270,RC,inpatient,,81,81,,68.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,68.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.28,88,,percent of total billed charges,,,,,,,,,61.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.71,91,,percent of total billed charges,,,76.95,95,,percent of total billed charges,,,67.23,83,,percent of total billed charges,,,67.23,83,,percent of total billed charges,,,,,,,,,,,,,,,67.23,83,,percent of total billed charges,,,76.95,95,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,66.42,82,,percent of total billed charges,,,72.9,90,,percent of total billed charges,,,68.85,85,,percent of total billed charges,,61.07,76.95, IPPB CIRCUIT DISPOSABLE,23802042,CDM,,,270,RC,inpatient,,74,74,,62.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,55.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,62.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,65.12,88,,percent of total billed charges,,,,,,,,,56.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,67.34,91,,percent of total billed charges,,,70.3,95,,percent of total billed charges,,,61.42,83,,percent of total billed charges,,,61.42,83,,percent of total billed charges,,,,,,,,,,,,,,,61.42,83,,percent of total billed charges,,,70.3,95,,percent of total billed charges,,,66.6,90,,percent of total billed charges,,,66.6,90,,percent of total billed charges,,,60.68,82,,percent of total billed charges,,,66.6,90,,percent of total billed charges,,,62.9,85,,percent of total billed charges,,55.8,70.3, IS DISPOSABLE,23802043,CDM,,,270,RC,inpatient,,40,40,,33.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.2,88,,percent of total billed charges,,,,,,,,,30.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36.4,91,,percent of total billed charges,,,38,95,,percent of total billed charges,,,33.2,83,,percent of total billed charges,,,33.2,83,,percent of total billed charges,,,,,,,,,,,,,,,33.2,83,,percent of total billed charges,,,38,95,,percent of total billed charges,,,36,90,,percent of total billed charges,,,36,90,,percent of total billed charges,,,32.8,82,,percent of total billed charges,,,36,90,,percent of total billed charges,,,34,85,,percent of total billed charges,,30.16,38, MASKS NON REBREATHER,23802044,CDM,,,270,RC,inpatient,,57,57,,48.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,48.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,50.16,88,,percent of total billed charges,,,,,,,,,43.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,51.87,91,,percent of total billed charges,,,54.15,95,,percent of total billed charges,,,47.31,83,,percent of total billed charges,,,47.31,83,,percent of total billed charges,,,,,,,,,,,,,,,47.31,83,,percent of total billed charges,,,54.15,95,,percent of total billed charges,,,51.3,90,,percent of total billed charges,,,51.3,90,,percent of total billed charges,,,46.74,82,,percent of total billed charges,,,51.3,90,,percent of total billed charges,,,48.45,85,,percent of total billed charges,,42.98,54.15, MECHANICAL VENTILATOR CIRCUIT,23802046,CDM,,,270,RC,inpatient,,144,144,,122.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,108.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,122.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,126.72,88,,percent of total billed charges,,,,,,,,,110.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,131.04,91,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,,,,,,,,,,,,,119.52,83,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,118.08,82,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,122.4,85,,percent of total billed charges,,108.58,136.8, *O2 MASK NON-REBREATHER,23802116,CDM,,,270,RC,inpatient,,8,8,,6.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.04,88,,percent of total billed charges,,,,,,,,,6.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.28,91,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,6.64,83,,percent of total billed charges,,,,,,,,,,,,,,,6.64,83,,percent of total billed charges,,,7.6,95,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.56,82,,percent of total billed charges,,,7.2,90,,percent of total billed charges,,,6.8,85,,percent of total billed charges,,6.03,7.6, INTRAUTERINE PRESSURE CATHETER,23910257,CDM,59899,CPT,270,RC,inpatient,,474,474,,402.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,357.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,402.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,417.12,88,,percent of total billed charges,,,,,,,,,362.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,431.34,91,,percent of total billed charges,,,450.3,95,,percent of total billed charges,,,393.42,83,,percent of total billed charges,,,393.42,83,,percent of total billed charges,,,,,,,,,,,,,,,393.42,83,,percent of total billed charges,,,450.3,95,,percent of total billed charges,,,426.6,90,,percent of total billed charges,,,426.6,90,,percent of total billed charges,,,388.68,82,,percent of total billed charges,,,426.6,90,,percent of total billed charges,,,402.9,85,,percent of total billed charges,,357.4,450.3, HYSTRO TRAY,26100786,CDM,,,270,RC,inpatient,,57,57,,48.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,48.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,50.16,88,,percent of total billed charges,,,,,,,,,43.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,51.87,91,,percent of total billed charges,,,54.15,95,,percent of total billed charges,,,47.31,83,,percent of total billed charges,,,47.31,83,,percent of total billed charges,,,,,,,,,,,,,,,47.31,83,,percent of total billed charges,,,54.15,95,,percent of total billed charges,,,51.3,90,,percent of total billed charges,,,51.3,90,,percent of total billed charges,,,46.74,82,,percent of total billed charges,,,51.3,90,,percent of total billed charges,,,48.45,85,,percent of total billed charges,,42.98,54.15, H/S CATHETER SET,26100787,CDM,,,270,RC,inpatient,,19,19,,16.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16.72,88,,percent of total billed charges,,,,,,,,,14.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17.29,91,,percent of total billed charges,,,18.05,95,,percent of total billed charges,,,15.77,83,,percent of total billed charges,,,15.77,83,,percent of total billed charges,,,,,,,,,,,,,,,15.77,83,,percent of total billed charges,,,18.05,95,,percent of total billed charges,,,17.1,90,,percent of total billed charges,,,17.1,90,,percent of total billed charges,,,15.58,82,,percent of total billed charges,,,17.1,90,,percent of total billed charges,,,16.15,85,,percent of total billed charges,,14.33,18.05, TRANSFER TUBING,26307769,CDM,,,270,RC,inpatient,,5,5,,4.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.4,88,,percent of total billed charges,,,,,,,,,3.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.55,91,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,4.15,83,,percent of total billed charges,,,,,,,,,,,,,,,4.15,83,,percent of total billed charges,,,4.75,95,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.1,82,,percent of total billed charges,,,4.5,90,,percent of total billed charges,,,4.25,85,,percent of total billed charges,,3.77,4.75, NEEDLE COAX BX,29101997,CDM,,,270,RC,inpatient,,289,289,,245.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,217.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,245.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,254.32,88,,percent of total billed charges,,,,,,,,,220.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,262.99,91,,percent of total billed charges,,,274.55,95,,percent of total billed charges,,,239.87,83,,percent of total billed charges,,,239.87,83,,percent of total billed charges,,,,,,,,,,,,,,,239.87,83,,percent of total billed charges,,,274.55,95,,percent of total billed charges,,,260.1,90,,percent of total billed charges,,,260.1,90,,percent of total billed charges,,,236.98,82,,percent of total billed charges,,,260.1,90,,percent of total billed charges,,,245.65,85,,percent of total billed charges,,217.91,274.55, NEEDLE CIBA,29101999,CDM,,,270,RC,inpatient,,145,145,,123.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,109.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,123.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,127.6,88,,percent of total billed charges,,,,,,,,,110.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,131.95,91,,percent of total billed charges,,,137.75,95,,percent of total billed charges,,,120.35,83,,percent of total billed charges,,,120.35,83,,percent of total billed charges,,,,,,,,,,,,,,,120.35,83,,percent of total billed charges,,,137.75,95,,percent of total billed charges,,,130.5,90,,percent of total billed charges,,,130.5,90,,percent of total billed charges,,,118.9,82,,percent of total billed charges,,,130.5,90,,percent of total billed charges,,,123.25,85,,percent of total billed charges,,109.33,137.75, *BOOT SOF-CARE HEEL CARE,30040003,CDM,,,270,RC,inpatient,,148.4,148.4,,125.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,111.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,126.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,130.59,88,,percent of total billed charges,,,,,,,,,113.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,135.04,91,,percent of total billed charges,,,140.98,95,,percent of total billed charges,,,123.17,83,,percent of total billed charges,,,123.17,83,,percent of total billed charges,,,,,,,,,,,,,,,123.17,83,,percent of total billed charges,,,140.98,95,,percent of total billed charges,,,133.56,90,,percent of total billed charges,,,133.56,90,,percent of total billed charges,,,121.69,82,,percent of total billed charges,,,133.56,90,,percent of total billed charges,,,126.14,85,,percent of total billed charges,,111.89,140.98, *BOOT SOF-CARE HEEL CARE SM. LONG,30040004,CDM,,,270,RC,inpatient,,160.72,160.72,,136.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,121.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,136.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,141.43,88,,percent of total billed charges,,,,,,,,,122.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,146.26,91,,percent of total billed charges,,,152.68,95,,percent of total billed charges,,,133.4,83,,percent of total billed charges,,,133.4,83,,percent of total billed charges,,,,,,,,,,,,,,,133.4,83,,percent of total billed charges,,,152.68,95,,percent of total billed charges,,,144.65,90,,percent of total billed charges,,,144.65,90,,percent of total billed charges,,,131.79,82,,percent of total billed charges,,,144.65,90,,percent of total billed charges,,,136.61,85,,percent of total billed charges,,121.18,152.68, *BOOT SOF-CARE HEEL CARE LG. LONG,30040005,CDM,,,270,RC,inpatient,,160.8,160.8,,136.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,121.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,136.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,141.5,88,,percent of total billed charges,,,,,,,,,122.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,146.33,91,,percent of total billed charges,,,152.76,95,,percent of total billed charges,,,133.46,83,,percent of total billed charges,,,133.46,83,,percent of total billed charges,,,,,,,,,,,,,,,133.46,83,,percent of total billed charges,,,152.76,95,,percent of total billed charges,,,144.72,90,,percent of total billed charges,,,144.72,90,,percent of total billed charges,,,131.86,82,,percent of total billed charges,,,144.72,90,,percent of total billed charges,,,136.68,85,,percent of total billed charges,,121.24,152.76, *BOOT SOF-CARE HEEL CARE MED. LONG,30040006,CDM,,,270,RC,inpatient,,160.8,160.8,,136.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,121.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,136.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,141.5,88,,percent of total billed charges,,,,,,,,,122.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,146.33,91,,percent of total billed charges,,,152.76,95,,percent of total billed charges,,,133.46,83,,percent of total billed charges,,,133.46,83,,percent of total billed charges,,,,,,,,,,,,,,,133.46,83,,percent of total billed charges,,,152.76,95,,percent of total billed charges,,,144.72,90,,percent of total billed charges,,,144.72,90,,percent of total billed charges,,,131.86,82,,percent of total billed charges,,,144.72,90,,percent of total billed charges,,,136.68,85,,percent of total billed charges,,121.24,152.76, *DRESSING MAXORB AG EXTRA,30040007,CDM,,,270,RC,inpatient,,55.76,55.76,,47.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.07,88,,percent of total billed charges,,,,,,,,,42.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.74,91,,percent of total billed charges,,,52.97,95,,percent of total billed charges,,,46.28,83,,percent of total billed charges,,,46.28,83,,percent of total billed charges,,,,,,,,,,,,,,,46.28,83,,percent of total billed charges,,,52.97,95,,percent of total billed charges,,,50.18,90,,percent of total billed charges,,,50.18,90,,percent of total billed charges,,,45.72,82,,percent of total billed charges,,,50.18,90,,percent of total billed charges,,,47.4,85,,percent of total billed charges,,42.04,52.97, "ADDITION TO LOWER EXTREMITY, TORSION CON",30040018,CDM,,,270,RC,inpatient,,940.42,940.42,,798.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,709.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,799.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,827.57,88,,percent of total billed charges,,,,,,,,,718.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,855.78,91,,percent of total billed charges,,,893.4,95,,percent of total billed charges,,,780.55,83,,percent of total billed charges,,,780.55,83,,percent of total billed charges,,,,,,,,,,,,,,,780.55,83,,percent of total billed charges,,,893.4,95,,percent of total billed charges,,,846.38,90,,percent of total billed charges,,,846.38,90,,percent of total billed charges,,,771.14,82,,percent of total billed charges,,,846.38,90,,percent of total billed charges,,,799.36,85,,percent of total billed charges,,709.08,893.4, "*HIP KNEE ANKLE FOOT ORTHOSIS,TORSION",30040019,CDM,,,270,RC,inpatient,,3550.95,3550.95,,3014.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2677.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3018.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3124.84,88,,percent of total billed charges,,,,,,,,,2712.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3231.36,91,,percent of total billed charges,,,3373.4,95,,percent of total billed charges,,,2947.29,83,,percent of total billed charges,,,2947.29,83,,percent of total billed charges,,,,,,,,,,,,,,,2947.29,83,,percent of total billed charges,,,3373.4,95,,percent of total billed charges,,,3195.86,90,,percent of total billed charges,,,3195.86,90,,percent of total billed charges,,,2911.78,82,,percent of total billed charges,,,3195.86,90,,percent of total billed charges,,,3018.31,85,,percent of total billed charges,,2677.42,3373.4, KCI GRANUFOAM DRSG BLACK MED,30040029,CDM,,,270,RC,inpatient,,311.08,311.08,,264.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,234.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,264.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,273.75,88,,percent of total billed charges,,,,,,,,,237.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,283.08,91,,percent of total billed charges,,,295.53,95,,percent of total billed charges,,,258.2,83,,percent of total billed charges,,,258.2,83,,percent of total billed charges,,,,,,,,,,,,,,,258.2,83,,percent of total billed charges,,,295.53,95,,percent of total billed charges,,,279.97,90,,percent of total billed charges,,,279.97,90,,percent of total billed charges,,,255.09,82,,percent of total billed charges,,,279.97,90,,percent of total billed charges,,,264.42,85,,percent of total billed charges,,234.55,295.53, KCI GRANUFOAM DRSG BLACK SM,30040032,CDM,,,270,RC,inpatient,,278.06,278.06,,236.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,209.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,236.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,244.69,88,,percent of total billed charges,,,,,,,,,212.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,253.03,91,,percent of total billed charges,,,264.16,95,,percent of total billed charges,,,230.79,83,,percent of total billed charges,,,230.79,83,,percent of total billed charges,,,,,,,,,,,,,,,230.79,83,,percent of total billed charges,,,264.16,95,,percent of total billed charges,,,250.25,90,,percent of total billed charges,,,250.25,90,,percent of total billed charges,,,228.01,82,,percent of total billed charges,,,250.25,90,,percent of total billed charges,,,236.35,85,,percent of total billed charges,,209.66,264.16, KCI CANISTERS NO GEL,30040033,CDM,,,270,RC,inpatient,,214.96,214.96,,182.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,162.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,182.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,189.16,88,,percent of total billed charges,,,,,,,,,164.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,195.61,91,,percent of total billed charges,,,204.21,95,,percent of total billed charges,,,178.42,83,,percent of total billed charges,,,178.42,83,,percent of total billed charges,,,,,,,,,,,,,,,178.42,83,,percent of total billed charges,,,204.21,95,,percent of total billed charges,,,193.46,90,,percent of total billed charges,,,193.46,90,,percent of total billed charges,,,176.27,82,,percent of total billed charges,,,193.46,90,,percent of total billed charges,,,182.72,85,,percent of total billed charges,,162.08,204.21, FIBRACOL PLUS,30040034,CDM,,,270,RC,inpatient,,33.84,33.84,,28.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.78,88,,percent of total billed charges,,,,,,,,,25.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.79,91,,percent of total billed charges,,,32.15,95,,percent of total billed charges,,,28.09,83,,percent of total billed charges,,,28.09,83,,percent of total billed charges,,,,,,,,,,,,,,,28.09,83,,percent of total billed charges,,,32.15,95,,percent of total billed charges,,,30.46,90,,percent of total billed charges,,,30.46,90,,percent of total billed charges,,,27.75,82,,percent of total billed charges,,,30.46,90,,percent of total billed charges,,,28.76,85,,percent of total billed charges,,25.52,32.15, WOUND V.A.C. DAILY RATE,30040035,CDM,,,270,RC,inpatient,,407.33,407.33,,345.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,307.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,346.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,358.45,88,,percent of total billed charges,,,,,,,,,311.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,370.67,91,,percent of total billed charges,,,386.96,95,,percent of total billed charges,,,338.08,83,,percent of total billed charges,,,338.08,83,,percent of total billed charges,,,,,,,,,,,,,,,338.08,83,,percent of total billed charges,,,386.96,95,,percent of total billed charges,,,366.6,90,,percent of total billed charges,,,366.6,90,,percent of total billed charges,,,334.01,82,,percent of total billed charges,,,366.6,90,,percent of total billed charges,,,346.23,85,,percent of total billed charges,,307.13,386.96, FLEXI-SEAL FECAL MANAGEMENT KIT,30040044,CDM,,,270,RC,inpatient,,1219.53,1219.53,,1035.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,919.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1036.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1073.19,88,,percent of total billed charges,,,,,,,,,931.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1109.77,91,,percent of total billed charges,,,1158.55,95,,percent of total billed charges,,,1012.21,83,,percent of total billed charges,,,1012.21,83,,percent of total billed charges,,,,,,,,,,,,,,,1012.21,83,,percent of total billed charges,,,1158.55,95,,percent of total billed charges,,,1097.58,90,,percent of total billed charges,,,1097.58,90,,percent of total billed charges,,,1000.01,82,,percent of total billed charges,,,1097.58,90,,percent of total billed charges,,,1036.6,85,,percent of total billed charges,,919.53,1158.55, *FEEDING SET KANGAROO EPUMP SPIKE SAFETY,30040046,CDM,,,270,RC,inpatient,,41.36,41.36,,35.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,35.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36.4,88,,percent of total billed charges,,,,,,,,,31.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37.64,91,,percent of total billed charges,,,39.29,95,,percent of total billed charges,,,34.33,83,,percent of total billed charges,,,34.33,83,,percent of total billed charges,,,,,,,,,,,,,,,34.33,83,,percent of total billed charges,,,39.29,95,,percent of total billed charges,,,37.22,90,,percent of total billed charges,,,37.22,90,,percent of total billed charges,,,33.92,82,,percent of total billed charges,,,37.22,90,,percent of total billed charges,,,35.16,85,,percent of total billed charges,,31.19,39.29, CUSHION WAFFLE MATTRESS PAD,30040048,CDM,,,270,RC,inpatient,,300.11,300.11,,254.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,226.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,255.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,264.1,88,,percent of total billed charges,,,,,,,,,229.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,273.1,91,,percent of total billed charges,,,285.1,95,,percent of total billed charges,,,249.09,83,,percent of total billed charges,,,249.09,83,,percent of total billed charges,,,,,,,,,,,,,,,249.09,83,,percent of total billed charges,,,285.1,95,,percent of total billed charges,,,270.1,90,,percent of total billed charges,,,270.1,90,,percent of total billed charges,,,246.09,82,,percent of total billed charges,,,270.1,90,,percent of total billed charges,,,255.09,85,,percent of total billed charges,,226.28,285.1, CUSHION WAFFLE 16X16X2,30040049,CDM,,,270,RC,inpatient,,141.11,141.11,,119.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,106.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,119.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,124.18,88,,percent of total billed charges,,,,,,,,,107.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,128.41,91,,percent of total billed charges,,,134.05,95,,percent of total billed charges,,,117.12,83,,percent of total billed charges,,,117.12,83,,percent of total billed charges,,,,,,,,,,,,,,,117.12,83,,percent of total billed charges,,,134.05,95,,percent of total billed charges,,,127,90,,percent of total billed charges,,,127,90,,percent of total billed charges,,,115.71,82,,percent of total billed charges,,,127,90,,percent of total billed charges,,,119.94,85,,percent of total billed charges,,106.4,134.05, KCI SENSATRACK PAD,30040052,CDM,,,270,RC,inpatient,,148.72,148.72,,126.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,112.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,126.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,130.87,88,,percent of total billed charges,,,,,,,,,113.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,135.34,91,,percent of total billed charges,,,141.28,95,,percent of total billed charges,,,123.44,83,,percent of total billed charges,,,123.44,83,,percent of total billed charges,,,,,,,,,,,,,,,123.44,83,,percent of total billed charges,,,141.28,95,,percent of total billed charges,,,133.85,90,,percent of total billed charges,,,133.85,90,,percent of total billed charges,,,121.95,82,,percent of total billed charges,,,133.85,90,,percent of total billed charges,,,126.41,85,,percent of total billed charges,,112.13,141.28, KCI GRANUFOAM DRSG BRIDGE XG,30040053,CDM,,,270,RC,inpatient,,401.87,401.87,,341.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,303.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,341.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,353.65,88,,percent of total billed charges,,,,,,,,,307.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,365.7,91,,percent of total billed charges,,,381.78,95,,percent of total billed charges,,,333.55,83,,percent of total billed charges,,,333.55,83,,percent of total billed charges,,,,,,,,,,,,,,,333.55,83,,percent of total billed charges,,,381.78,95,,percent of total billed charges,,,361.68,90,,percent of total billed charges,,,361.68,90,,percent of total billed charges,,,329.53,82,,percent of total billed charges,,,361.68,90,,percent of total billed charges,,,341.59,85,,percent of total billed charges,,303.01,381.78, EAR SENSOR MASIMO LNCS E1,30040055,CDM,,,270,RC,inpatient,,187.87,187.87,,159.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,141.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,159.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,165.33,88,,percent of total billed charges,,,,,,,,,143.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,170.96,91,,percent of total billed charges,,,178.48,95,,percent of total billed charges,,,155.93,83,,percent of total billed charges,,,155.93,83,,percent of total billed charges,,,,,,,,,,,,,,,155.93,83,,percent of total billed charges,,,178.48,95,,percent of total billed charges,,,169.08,90,,percent of total billed charges,,,169.08,90,,percent of total billed charges,,,154.05,82,,percent of total billed charges,,,169.08,90,,percent of total billed charges,,,159.69,85,,percent of total billed charges,,141.65,178.48, P.O.S. FOREARM CUFFS EXT FLEX,30048001,CDM,,,270,RC,inpatient,,4849.59,4849.59,,4117.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3656.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4122.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4267.64,88,,percent of total billed charges,,,,,,,,,3705.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4413.13,91,,percent of total billed charges,,,4607.11,95,,percent of total billed charges,,,4025.16,83,,percent of total billed charges,,,4025.16,83,,percent of total billed charges,,,,,,,,,,,,,,,4025.16,83,,percent of total billed charges,,,4607.11,95,,percent of total billed charges,,,4364.63,90,,percent of total billed charges,,,4364.63,90,,percent of total billed charges,,,3976.66,82,,percent of total billed charges,,,4364.63,90,,percent of total billed charges,,,4122.15,85,,percent of total billed charges,,3656.59,4607.11, P.O.S. UPP EXT FX ORTHOSIS HUMERAL,30048002,CDM,,,270,RC,inpatient,,2070.06,2070.06,,1757.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1560.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1759.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1821.65,88,,percent of total billed charges,,,,,,,,,1581.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1883.75,91,,percent of total billed charges,,,1966.56,95,,percent of total billed charges,,,1718.15,83,,percent of total billed charges,,,1718.15,83,,percent of total billed charges,,,,,,,,,,,,,,,1718.15,83,,percent of total billed charges,,,1966.56,95,,percent of total billed charges,,,1863.05,90,,percent of total billed charges,,,1863.05,90,,percent of total billed charges,,,1697.45,82,,percent of total billed charges,,,1863.05,90,,percent of total billed charges,,,1759.55,85,,percent of total billed charges,,1560.83,1966.56, P.O S. FORK STRAP BELOW KNEE,30048003,CDM,,,270,RC,inpatient,,450.73,450.73,,382.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,339.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,383.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,396.64,88,,percent of total billed charges,,,,,,,,,344.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,410.16,91,,percent of total billed charges,,,428.19,95,,percent of total billed charges,,,374.11,83,,percent of total billed charges,,,374.11,83,,percent of total billed charges,,,,,,,,,,,,,,,374.11,83,,percent of total billed charges,,,428.19,95,,percent of total billed charges,,,405.66,90,,percent of total billed charges,,,405.66,90,,percent of total billed charges,,,369.6,82,,percent of total billed charges,,,405.66,90,,percent of total billed charges,,,383.12,85,,percent of total billed charges,,339.85,428.19, P.O.S. WAIST BELT WEBBING BELOW KNEE,30048004,CDM,,,270,RC,inpatient,,575.68,575.68,,488.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,434.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,489.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,506.6,88,,percent of total billed charges,,,,,,,,,439.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,523.87,91,,percent of total billed charges,,,546.9,95,,percent of total billed charges,,,477.81,83,,percent of total billed charges,,,477.81,83,,percent of total billed charges,,,,,,,,,,,,,,,477.81,83,,percent of total billed charges,,,546.9,95,,percent of total billed charges,,,518.11,90,,percent of total billed charges,,,518.11,90,,percent of total billed charges,,,472.06,82,,percent of total billed charges,,,518.11,90,,percent of total billed charges,,,489.33,85,,percent of total billed charges,,434.06,546.9, P.O.S. FOREARM CUFFS FREE MOTION,30048005,CDM,,,270,RC,inpatient,,3656.06,3656.06,,3103.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2756.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3107.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3217.33,88,,percent of total billed charges,,,,,,,,,2793.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3327.01,91,,percent of total billed charges,,,3473.26,95,,percent of total billed charges,,,3034.53,83,,percent of total billed charges,,,3034.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3034.53,83,,percent of total billed charges,,,3473.26,95,,percent of total billed charges,,,3290.45,90,,percent of total billed charges,,,3290.45,90,,percent of total billed charges,,,2997.97,82,,percent of total billed charges,,,3290.45,90,,percent of total billed charges,,,3107.65,85,,percent of total billed charges,,2756.67,3473.26, P.O.S. KAFO FEMORAL FX CAST RIGID,30048006,CDM,,,270,RC,inpatient,,7653.62,7653.62,,6497.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5770.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6505.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6735.19,88,,percent of total billed charges,,,,,,,,,5847.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6964.79,91,,percent of total billed charges,,,7270.94,95,,percent of total billed charges,,,6352.5,83,,percent of total billed charges,,,6352.5,83,,percent of total billed charges,,,,,,,,,,,,,,,6352.5,83,,percent of total billed charges,,,7270.94,95,,percent of total billed charges,,,6888.26,90,,percent of total billed charges,,,6888.26,90,,percent of total billed charges,,,6275.97,82,,percent of total billed charges,,,6888.26,90,,percent of total billed charges,,,6505.58,85,,percent of total billed charges,,5770.83,7270.94, P.O.S. ADJ MOTION KNEE JNT LERMAN,30048007,CDM,,,270,RC,inpatient,,1811.29,1811.29,,1537.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1365.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1539.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1593.94,88,,percent of total billed charges,,,,,,,,,1383.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1648.27,91,,percent of total billed charges,,,1720.73,95,,percent of total billed charges,,,1503.37,83,,percent of total billed charges,,,1503.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1503.37,83,,percent of total billed charges,,,1720.73,95,,percent of total billed charges,,,1630.16,90,,percent of total billed charges,,,1630.16,90,,percent of total billed charges,,,1485.26,82,,percent of total billed charges,,,1630.16,90,,percent of total billed charges,,,1539.6,85,,percent of total billed charges,,1365.71,1720.73, P.O.S. PELVIC BAND & BELT THIGH,30048008,CDM,,,270,RC,inpatient,,2023.32,2023.32,,1717.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1525.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1719.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1780.52,88,,percent of total billed charges,,,,,,,,,1545.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1841.22,91,,percent of total billed charges,,,1922.15,95,,percent of total billed charges,,,1679.36,83,,percent of total billed charges,,,1679.36,83,,percent of total billed charges,,,,,,,,,,,,,,,1679.36,83,,percent of total billed charges,,,1922.15,95,,percent of total billed charges,,,1820.99,90,,percent of total billed charges,,,1820.99,90,,percent of total billed charges,,,1659.12,82,,percent of total billed charges,,,1820.99,90,,percent of total billed charges,,,1719.82,85,,percent of total billed charges,,1525.58,1922.15, P.O.S. PLAS SHOE INSESRT W/ANK JOINT,30048009,CDM,,,270,RC,inpatient,,866.46,866.46,,735.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,653.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,736.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,762.48,88,,percent of total billed charges,,,,,,,,,661.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,788.48,91,,percent of total billed charges,,,823.14,95,,percent of total billed charges,,,719.16,83,,percent of total billed charges,,,719.16,83,,percent of total billed charges,,,,,,,,,,,,,,,719.16,83,,percent of total billed charges,,,823.14,95,,percent of total billed charges,,,779.81,90,,percent of total billed charges,,,779.81,90,,percent of total billed charges,,,710.5,82,,percent of total billed charges,,,779.81,90,,percent of total billed charges,,,736.49,85,,percent of total billed charges,,653.31,823.14, P.O.S. SURGICAL BOOT,30048011,CDM,,,270,RC,inpatient,,241.65,241.65,,205.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,182.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,205.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,212.65,88,,percent of total billed charges,,,,,,,,,184.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,219.9,91,,percent of total billed charges,,,229.57,95,,percent of total billed charges,,,200.57,83,,percent of total billed charges,,,200.57,83,,percent of total billed charges,,,,,,,,,,,,,,,200.57,83,,percent of total billed charges,,,229.57,95,,percent of total billed charges,,,217.49,90,,percent of total billed charges,,,217.49,90,,percent of total billed charges,,,198.15,82,,percent of total billed charges,,,217.49,90,,percent of total billed charges,,,205.4,85,,percent of total billed charges,,182.2,229.57, P.O.S. KAFO FEM FX CAST MOLDED TO PT,30048012,CDM,,,270,RC,inpatient,,9427.02,9427.02,,8003.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7107.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8012.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8295.78,88,,percent of total billed charges,,,,,,,,,7202.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8578.59,91,,percent of total billed charges,,,8955.67,95,,percent of total billed charges,,,7824.43,83,,percent of total billed charges,,,7824.43,83,,percent of total billed charges,,,,,,,,,,,,,,,7824.43,83,,percent of total billed charges,,,8955.67,95,,percent of total billed charges,,,8484.32,90,,percent of total billed charges,,,8484.32,90,,percent of total billed charges,,,7730.16,82,,percent of total billed charges,,,8484.32,90,,percent of total billed charges,,,8012.97,85,,percent of total billed charges,,7107.97,8955.67, P.O.S. AFO POS SOLID ANK PLASTIC MO,30048013,CDM,,,270,RC,inpatient,,3732.04,3732.04,,3168.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2813.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3172.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3284.2,88,,percent of total billed charges,,,,,,,,,2851.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3396.16,91,,percent of total billed charges,,,3545.44,95,,percent of total billed charges,,,3097.59,83,,percent of total billed charges,,,3097.59,83,,percent of total billed charges,,,,,,,,,,,,,,,3097.59,83,,percent of total billed charges,,,3545.44,95,,percent of total billed charges,,,3358.84,90,,percent of total billed charges,,,3358.84,90,,percent of total billed charges,,,3060.27,82,,percent of total billed charges,,,3358.84,90,,percent of total billed charges,,,3172.23,85,,percent of total billed charges,,2813.96,3545.44, P.O.S. PROSTHETIC TYPE SOCKET MOLD,30048014,CDM,,,270,RC,inpatient,,5016.25,5016.25,,4258.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3782.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4263.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4414.3,88,,percent of total billed charges,,,,,,,,,3832.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4564.79,91,,percent of total billed charges,,,4765.44,95,,percent of total billed charges,,,4163.49,83,,percent of total billed charges,,,4163.49,83,,percent of total billed charges,,,,,,,,,,,,,,,4163.49,83,,percent of total billed charges,,,4765.44,95,,percent of total billed charges,,,4514.63,90,,percent of total billed charges,,,4514.63,90,,percent of total billed charges,,,4113.33,82,,percent of total billed charges,,,4514.63,90,,percent of total billed charges,,,4263.81,85,,percent of total billed charges,,3782.25,4765.44, P.O.S. PADDING BELOW KNEE INTERFACE,30048015,CDM,,,270,RC,inpatient,,530.74,530.74,,450.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,400.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,451.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,467.05,88,,percent of total billed charges,,,,,,,,,405.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,482.97,91,,percent of total billed charges,,,504.2,95,,percent of total billed charges,,,440.51,83,,percent of total billed charges,,,440.51,83,,percent of total billed charges,,,,,,,,,,,,,,,440.51,83,,percent of total billed charges,,,504.2,95,,percent of total billed charges,,,477.67,90,,percent of total billed charges,,,477.67,90,,percent of total billed charges,,,435.21,82,,percent of total billed charges,,,477.67,90,,percent of total billed charges,,,451.13,85,,percent of total billed charges,,400.18,504.2, P.O.S. TIBIAL LENGTH SOCK FX OR EQU,30048016,CDM,,,270,RC,inpatient,,559.3,559.3,,474.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,421.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,475.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,492.18,88,,percent of total billed charges,,,,,,,,,427.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,508.96,91,,percent of total billed charges,,,531.34,95,,percent of total billed charges,,,464.22,83,,percent of total billed charges,,,464.22,83,,percent of total billed charges,,,,,,,,,,,,,,,464.22,83,,percent of total billed charges,,,531.34,95,,percent of total billed charges,,,503.37,90,,percent of total billed charges,,,503.37,90,,percent of total billed charges,,,458.63,82,,percent of total billed charges,,,503.37,90,,percent of total billed charges,,,475.41,85,,percent of total billed charges,,421.71,531.34, P.O.S. ORTHO DEVICE REPAIR,30048021,CDM,,,270,RC,inpatient,,700,700,,594.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,527.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,595,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,616,88,,percent of total billed charges,,,,,,,,,534.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,637,91,,percent of total billed charges,,,665,95,,percent of total billed charges,,,581,83,,percent of total billed charges,,,581,83,,percent of total billed charges,,,,,,,,,,,,,,,581,83,,percent of total billed charges,,,665,95,,percent of total billed charges,,,630,90,,percent of total billed charges,,,630,90,,percent of total billed charges,,,574,82,,percent of total billed charges,,,630,90,,percent of total billed charges,,,595,85,,percent of total billed charges,,527.8,665, P.O.S. AFO MOLDED TO PATIENT PLASTI,30048022,CDM,,,270,RC,inpatient,,2863.19,2863.19,,2430.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2158.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2433.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2519.61,88,,percent of total billed charges,,,,,,,,,2187.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2605.5,91,,percent of total billed charges,,,2720.03,95,,percent of total billed charges,,,2376.45,83,,percent of total billed charges,,,2376.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2376.45,83,,percent of total billed charges,,,2720.03,95,,percent of total billed charges,,,2576.87,90,,percent of total billed charges,,,2576.87,90,,percent of total billed charges,,,2347.82,82,,percent of total billed charges,,,2576.87,90,,percent of total billed charges,,,2433.71,85,,percent of total billed charges,,2158.85,2720.03, P.O.S. KO SINGLE UPRIGHT CUSTOM FIT,30048023,CDM,,,270,RC,inpatient,,5445.38,5445.38,,4623.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4105.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4628.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4791.93,88,,percent of total billed charges,,,,,,,,,4160.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4955.3,91,,percent of total billed charges,,,5173.11,95,,percent of total billed charges,,,4519.67,83,,percent of total billed charges,,,4519.67,83,,percent of total billed charges,,,,,,,,,,,,,,,4519.67,83,,percent of total billed charges,,,5173.11,95,,percent of total billed charges,,,4900.84,90,,percent of total billed charges,,,4900.84,90,,percent of total billed charges,,,4465.21,82,,percent of total billed charges,,,4900.84,90,,percent of total billed charges,,,4628.57,85,,percent of total billed charges,,4105.82,5173.11, P.O.S. AFO TIBIAL FRACTURE RIGID,30048024,CDM,,,270,RC,inpatient,,4677.53,4677.53,,3971.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3526.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3975.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4116.23,88,,percent of total billed charges,,,,,,,,,3573.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4256.55,91,,percent of total billed charges,,,4443.65,95,,percent of total billed charges,,,3882.35,83,,percent of total billed charges,,,3882.35,83,,percent of total billed charges,,,,,,,,,,,,,,,3882.35,83,,percent of total billed charges,,,4443.65,95,,percent of total billed charges,,,4209.78,90,,percent of total billed charges,,,4209.78,90,,percent of total billed charges,,,3835.57,82,,percent of total billed charges,,,4209.78,90,,percent of total billed charges,,,3975.9,85,,percent of total billed charges,,3526.86,4443.65, P.O.S. SOCK FRACTURE,30048025,CDM,,,270,RC,inpatient,,261.75,261.75,,222.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.34,88,,percent of total billed charges,,,,,,,,,199.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.19,91,,percent of total billed charges,,,248.66,95,,percent of total billed charges,,,217.25,83,,percent of total billed charges,,,217.25,83,,percent of total billed charges,,,,,,,,,,,,,,,217.25,83,,percent of total billed charges,,,248.66,95,,percent of total billed charges,,,235.58,90,,percent of total billed charges,,,235.58,90,,percent of total billed charges,,,214.64,82,,percent of total billed charges,,,235.58,90,,percent of total billed charges,,,222.49,85,,percent of total billed charges,,197.36,248.66, OMNI KNEE ANKLE FOOT ORTHOSIS FULL PLAST,30048026,CDM,,,270,RC,inpatient,,14184.82,14184.82,,12042.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10695.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12057.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12482.64,88,,percent of total billed charges,,,,,,,,,10837.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12908.19,91,,percent of total billed charges,,,13475.58,95,,percent of total billed charges,,,11773.4,83,,percent of total billed charges,,,11773.4,83,,percent of total billed charges,,,,,,,,,,,,,,,11773.4,83,,percent of total billed charges,,,13475.58,95,,percent of total billed charges,,,12766.34,90,,percent of total billed charges,,,12766.34,90,,percent of total billed charges,,,11631.55,82,,percent of total billed charges,,,12766.34,90,,percent of total billed charges,,,12057.1,85,,percent of total billed charges,,10695.35,13475.58, OMNI ADDITION TO LOWER EXTREMITY STRAIGH,30048027,CDM,,,270,RC,inpatient,,1124.31,1124.31,,954.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,847.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,955.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,989.39,88,,percent of total billed charges,,,,,,,,,858.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1023.12,91,,percent of total billed charges,,,1068.09,95,,percent of total billed charges,,,933.18,83,,percent of total billed charges,,,933.18,83,,percent of total billed charges,,,,,,,,,,,,,,,933.18,83,,percent of total billed charges,,,1068.09,95,,percent of total billed charges,,,1011.88,90,,percent of total billed charges,,,1011.88,90,,percent of total billed charges,,,921.93,82,,percent of total billed charges,,,1011.88,90,,percent of total billed charges,,,955.66,85,,percent of total billed charges,,847.73,1068.09, OMNI ADDITION TO KNEE LOCK W/INTEGRATED,30048028,CDM,,,270,RC,inpatient,,929.57,929.57,,789.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,700.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,790.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,818.02,88,,percent of total billed charges,,,,,,,,,710.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,845.91,91,,percent of total billed charges,,,883.09,95,,percent of total billed charges,,,771.54,83,,percent of total billed charges,,,771.54,83,,percent of total billed charges,,,,,,,,,,,,,,,771.54,83,,percent of total billed charges,,,883.09,95,,percent of total billed charges,,,836.61,90,,percent of total billed charges,,,836.61,90,,percent of total billed charges,,,762.25,82,,percent of total billed charges,,,836.61,90,,percent of total billed charges,,,790.13,85,,percent of total billed charges,,700.9,883.09, P.O.S. KNEE JOINT DROP LOCK,30048031,CDM,,,270,RC,inpatient,,340.05,340.05,,288.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,256.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,289.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,299.24,88,,percent of total billed charges,,,,,,,,,259.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,309.45,91,,percent of total billed charges,,,323.05,95,,percent of total billed charges,,,282.24,83,,percent of total billed charges,,,282.24,83,,percent of total billed charges,,,,,,,,,,,,,,,282.24,83,,percent of total billed charges,,,323.05,95,,percent of total billed charges,,,306.05,90,,percent of total billed charges,,,306.05,90,,percent of total billed charges,,,278.84,82,,percent of total billed charges,,,306.05,90,,percent of total billed charges,,,289.04,85,,percent of total billed charges,,256.4,323.05, P.O.S. KNEE DISCDIAL LOCK ADJ FLEX,30048032,CDM,,,270,RC,inpatient,,717.15,717.15,,608.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,540.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,609.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,631.09,88,,percent of total billed charges,,,,,,,,,547.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,652.61,91,,percent of total billed charges,,,681.29,95,,percent of total billed charges,,,595.23,83,,percent of total billed charges,,,595.23,83,,percent of total billed charges,,,,,,,,,,,,,,,595.23,83,,percent of total billed charges,,,681.29,95,,percent of total billed charges,,,645.44,90,,percent of total billed charges,,,645.44,90,,percent of total billed charges,,,588.06,82,,percent of total billed charges,,,645.44,90,,percent of total billed charges,,,609.58,85,,percent of total billed charges,,540.73,681.29, OMNI PROSTHETIC SHRINKER ABOVE KNEE,30048034,CDM,,,270,RC,inpatient,,958.36,958.36,,813.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,722.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,814.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,843.36,88,,percent of total billed charges,,,,,,,,,732.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,872.11,91,,percent of total billed charges,,,910.44,95,,percent of total billed charges,,,795.44,83,,percent of total billed charges,,,795.44,83,,percent of total billed charges,,,,,,,,,,,,,,,795.44,83,,percent of total billed charges,,,910.44,95,,percent of total billed charges,,,862.52,90,,percent of total billed charges,,,862.52,90,,percent of total billed charges,,,785.86,82,,percent of total billed charges,,,862.52,90,,percent of total billed charges,,,814.61,85,,percent of total billed charges,,722.6,910.44, KNEE ORTHOSIS ADJUSTABLE JOINTS,30048035,CDM,,,270,RC,inpatient,,4951.12,4951.12,,4203.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3733.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4208.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4356.99,88,,percent of total billed charges,,,,,,,,,3782.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4505.52,91,,percent of total billed charges,,,4703.56,95,,percent of total billed charges,,,4109.43,83,,percent of total billed charges,,,4109.43,83,,percent of total billed charges,,,,,,,,,,,,,,,4109.43,83,,percent of total billed charges,,,4703.56,95,,percent of total billed charges,,,4456.01,90,,percent of total billed charges,,,4456.01,90,,percent of total billed charges,,,4059.92,82,,percent of total billed charges,,,4456.01,90,,percent of total billed charges,,,4208.45,85,,percent of total billed charges,,3733.14,4703.56, OMNI TLSO BRACE,30048036,CDM,,,270,RC,inpatient,,7925.26,7925.26,,6728.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5975.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6736.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6974.23,88,,percent of total billed charges,,,,,,,,,6054.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7211.99,91,,percent of total billed charges,,,7529,95,,percent of total billed charges,,,6577.97,83,,percent of total billed charges,,,6577.97,83,,percent of total billed charges,,,,,,,,,,,,,,,6577.97,83,,percent of total billed charges,,,7529,95,,percent of total billed charges,,,7132.73,90,,percent of total billed charges,,,7132.73,90,,percent of total billed charges,,,6498.71,82,,percent of total billed charges,,,7132.73,90,,percent of total billed charges,,,6736.47,85,,percent of total billed charges,,5975.65,7529, OMNI HO POST-OP HIP ABDUCTION,30048037,CDM,,,270,RC,inpatient,,7466.68,7466.68,,6339.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5629.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6346.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6570.68,88,,percent of total billed charges,,,,,,,,,5704.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6794.68,91,,percent of total billed charges,,,7093.35,95,,percent of total billed charges,,,6197.34,83,,percent of total billed charges,,,6197.34,83,,percent of total billed charges,,,,,,,,,,,,,,,6197.34,83,,percent of total billed charges,,,7093.35,95,,percent of total billed charges,,,6720.01,90,,percent of total billed charges,,,6720.01,90,,percent of total billed charges,,,6122.68,82,,percent of total billed charges,,,6720.01,90,,percent of total billed charges,,,6346.68,85,,percent of total billed charges,,5629.88,7093.35, OMNI LOWER EXTREMITY ADDITION,30048038,CDM,,,270,RC,inpatient,,3109.21,3109.21,,2639.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2344.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2642.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2736.1,88,,percent of total billed charges,,,,,,,,,2375.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2829.38,91,,percent of total billed charges,,,2953.75,95,,percent of total billed charges,,,2580.64,83,,percent of total billed charges,,,2580.64,83,,percent of total billed charges,,,,,,,,,,,,,,,2580.64,83,,percent of total billed charges,,,2953.75,95,,percent of total billed charges,,,2798.29,90,,percent of total billed charges,,,2798.29,90,,percent of total billed charges,,,2549.55,82,,percent of total billed charges,,,2798.29,90,,percent of total billed charges,,,2642.83,85,,percent of total billed charges,,2344.34,2953.75, TORSION CONTROL LOWER EXTREMITY ADDITION,30048039,CDM,,,270,RC,inpatient,,835.94,835.94,,709.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,630.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,710.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,735.63,88,,percent of total billed charges,,,,,,,,,638.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,760.71,91,,percent of total billed charges,,,794.14,95,,percent of total billed charges,,,693.83,83,,percent of total billed charges,,,693.83,83,,percent of total billed charges,,,,,,,,,,,,,,,693.83,83,,percent of total billed charges,,,794.14,95,,percent of total billed charges,,,752.35,90,,percent of total billed charges,,,752.35,90,,percent of total billed charges,,,685.47,82,,percent of total billed charges,,,752.35,90,,percent of total billed charges,,,710.55,85,,percent of total billed charges,,630.3,794.14, OMNI HIP ABDUCTION BRACE LEFT,30048040,CDM,,,270,RC,inpatient,,11050,11050,,9381.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8331.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9392.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9724,88,,percent of total billed charges,,,,,,,,,8442.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10055.5,91,,percent of total billed charges,,,10497.5,95,,percent of total billed charges,,,9171.5,83,,percent of total billed charges,,,9171.5,83,,percent of total billed charges,,,,,,,,,,,,,,,9171.5,83,,percent of total billed charges,,,10497.5,95,,percent of total billed charges,,,9945,90,,percent of total billed charges,,,9945,90,,percent of total billed charges,,,9061,82,,percent of total billed charges,,,9945,90,,percent of total billed charges,,,9392.5,85,,percent of total billed charges,,8331.7,10497.5, *DRESSING POLYMEM OVAL #5,30050012,CDM,,,270,RC,inpatient,,28.44,28.44,,24.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25.03,88,,percent of total billed charges,,,,,,,,,21.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25.88,91,,percent of total billed charges,,,27.02,95,,percent of total billed charges,,,23.61,83,,percent of total billed charges,,,23.61,83,,percent of total billed charges,,,,,,,,,,,,,,,23.61,83,,percent of total billed charges,,,27.02,95,,percent of total billed charges,,,25.6,90,,percent of total billed charges,,,25.6,90,,percent of total billed charges,,,23.32,82,,percent of total billed charges,,,25.6,90,,percent of total billed charges,,,24.17,85,,percent of total billed charges,,21.44,27.02, *DRESSING POLYMEM OVAL #3,30050013,CDM,,,270,RC,inpatient,,198.08,198.08,,168.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,149.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,168.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,174.31,88,,percent of total billed charges,,,,,,,,,151.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,180.25,91,,percent of total billed charges,,,188.18,95,,percent of total billed charges,,,164.41,83,,percent of total billed charges,,,164.41,83,,percent of total billed charges,,,,,,,,,,,,,,,164.41,83,,percent of total billed charges,,,188.18,95,,percent of total billed charges,,,178.27,90,,percent of total billed charges,,,178.27,90,,percent of total billed charges,,,162.43,82,,percent of total billed charges,,,178.27,90,,percent of total billed charges,,,168.37,85,,percent of total billed charges,,149.35,188.18, PLEURX PERITONEAL KIT & CATHETER,30050027,CDM,,,270,RC,inpatient,,5512,5512,,4679.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4156.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4685.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4850.56,88,,percent of total billed charges,,,,,,,,,4211.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5015.92,91,,percent of total billed charges,,,5236.4,95,,percent of total billed charges,,,4574.96,83,,percent of total billed charges,,,4574.96,83,,percent of total billed charges,,,,,,,,,,,,,,,4574.96,83,,percent of total billed charges,,,5236.4,95,,percent of total billed charges,,,4960.8,90,,percent of total billed charges,,,4960.8,90,,percent of total billed charges,,,4519.84,82,,percent of total billed charges,,,4960.8,90,,percent of total billed charges,,,4685.2,85,,percent of total billed charges,,4156.05,5236.4, PLEURX PERITONEAL CATHETER,30050028,CDM,,,270,RC,inpatient,,5484.38,5484.38,,4656.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4135.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4661.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4826.25,88,,percent of total billed charges,,,,,,,,,4190.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4990.79,91,,percent of total billed charges,,,5210.16,95,,percent of total billed charges,,,4552.04,83,,percent of total billed charges,,,4552.04,83,,percent of total billed charges,,,,,,,,,,,,,,,4552.04,83,,percent of total billed charges,,,5210.16,95,,percent of total billed charges,,,4935.94,90,,percent of total billed charges,,,4935.94,90,,percent of total billed charges,,,4497.19,82,,percent of total billed charges,,,4935.94,90,,percent of total billed charges,,,4661.72,85,,percent of total billed charges,,4135.22,5210.16, *SENSOR SPO2 NEONATAL,30080003,CDM,,,270,RC,inpatient,,142.8,142.8,,121.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,107.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,121.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,125.66,88,,percent of total billed charges,,,,,,,,,109.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,129.95,91,,percent of total billed charges,,,135.66,95,,percent of total billed charges,,,118.52,83,,percent of total billed charges,,,118.52,83,,percent of total billed charges,,,,,,,,,,,,,,,118.52,83,,percent of total billed charges,,,135.66,95,,percent of total billed charges,,,128.52,90,,percent of total billed charges,,,128.52,90,,percent of total billed charges,,,117.1,82,,percent of total billed charges,,,128.52,90,,percent of total billed charges,,,121.38,85,,percent of total billed charges,,107.67,135.66, *OBSTETRICAL VACUUM DELIVERY KIT 60MM,30080026,CDM,,,270,RC,inpatient,,168,168,,142.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,126.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,142.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,147.84,88,,percent of total billed charges,,,,,,,,,128.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,152.88,91,,percent of total billed charges,,,159.6,95,,percent of total billed charges,,,139.44,83,,percent of total billed charges,,,139.44,83,,percent of total billed charges,,,,,,,,,,,,,,,139.44,83,,percent of total billed charges,,,159.6,95,,percent of total billed charges,,,151.2,90,,percent of total billed charges,,,151.2,90,,percent of total billed charges,,,137.76,82,,percent of total billed charges,,,151.2,90,,percent of total billed charges,,,142.8,85,,percent of total billed charges,,126.67,159.6, INTRAUTERINE PRESSURE MONITOR - INTRON,30080031,CDM,,,270,RC,inpatient,,225,225,,191.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,169.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,191.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198,88,,percent of total billed charges,,,,,,,,,171.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,204.75,91,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,,,,,,,,,,,,,186.75,83,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,184.5,82,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,191.25,85,,percent of total billed charges,,169.65,213.75, BREAST PUMP ACCESSORY KIT,30080039,CDM,,,270,RC,inpatient,,191.42,191.42,,162.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,144.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,162.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,168.45,88,,percent of total billed charges,,,,,,,,,146.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,174.19,91,,percent of total billed charges,,,181.85,95,,percent of total billed charges,,,158.88,83,,percent of total billed charges,,,158.88,83,,percent of total billed charges,,,,,,,,,,,,,,,158.88,83,,percent of total billed charges,,,181.85,95,,percent of total billed charges,,,172.28,90,,percent of total billed charges,,,172.28,90,,percent of total billed charges,,,156.96,82,,percent of total billed charges,,,172.28,90,,percent of total billed charges,,,162.71,85,,percent of total billed charges,,144.33,181.85, NIPPLE SHIELD CONTACT 20MM,30080052,CDM,,,270,RC,inpatient,,36.63,36.63,,31.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32.23,88,,percent of total billed charges,,,,,,,,,27.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33.33,91,,percent of total billed charges,,,34.8,95,,percent of total billed charges,,,30.4,83,,percent of total billed charges,,,30.4,83,,percent of total billed charges,,,,,,,,,,,,,,,30.4,83,,percent of total billed charges,,,34.8,95,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,30.04,82,,percent of total billed charges,,,32.97,90,,percent of total billed charges,,,31.14,85,,percent of total billed charges,,27.62,34.8, *ELECTRODE ECG SMART TRACE NEO/PED,30080056,CDM,,,270,RC,inpatient,,29.07,29.07,,24.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25.58,88,,percent of total billed charges,,,,,,,,,22.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26.45,91,,percent of total billed charges,,,27.62,95,,percent of total billed charges,,,24.13,83,,percent of total billed charges,,,24.13,83,,percent of total billed charges,,,,,,,,,,,,,,,24.13,83,,percent of total billed charges,,,27.62,95,,percent of total billed charges,,,26.16,90,,percent of total billed charges,,,26.16,90,,percent of total billed charges,,,23.84,82,,percent of total billed charges,,,26.16,90,,percent of total billed charges,,,24.71,85,,percent of total billed charges,,21.92,27.62, MASK CPAP NEONATE 50MM DISPOSABLE,30080057,CDM,,,270,RC,inpatient,,52.19,52.19,,44.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45.93,88,,percent of total billed charges,,,,,,,,,39.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47.49,91,,percent of total billed charges,,,49.58,95,,percent of total billed charges,,,43.32,83,,percent of total billed charges,,,43.32,83,,percent of total billed charges,,,,,,,,,,,,,,,43.32,83,,percent of total billed charges,,,49.58,95,,percent of total billed charges,,,46.97,90,,percent of total billed charges,,,46.97,90,,percent of total billed charges,,,42.8,82,,percent of total billed charges,,,46.97,90,,percent of total billed charges,,,44.36,85,,percent of total billed charges,,39.35,49.58, MASK CPAP NEONATE 60MM DISPOSABLE,30080058,CDM,,,270,RC,inpatient,,56.22,56.22,,47.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.47,88,,percent of total billed charges,,,,,,,,,42.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,51.16,91,,percent of total billed charges,,,53.41,95,,percent of total billed charges,,,46.66,83,,percent of total billed charges,,,46.66,83,,percent of total billed charges,,,,,,,,,,,,,,,46.66,83,,percent of total billed charges,,,53.41,95,,percent of total billed charges,,,50.6,90,,percent of total billed charges,,,50.6,90,,percent of total billed charges,,,46.1,82,,percent of total billed charges,,,50.6,90,,percent of total billed charges,,,47.79,85,,percent of total billed charges,,42.39,53.41, KIT RESUS. T - PIECE CIRCUIT NEOPUFF,30080059,CDM,,,270,RC,inpatient,,55.25,55.25,,46.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,41.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,46.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,48.62,88,,percent of total billed charges,,,,,,,,,42.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.28,91,,percent of total billed charges,,,52.49,95,,percent of total billed charges,,,45.86,83,,percent of total billed charges,,,45.86,83,,percent of total billed charges,,,,,,,,,,,,,,,45.86,83,,percent of total billed charges,,,52.49,95,,percent of total billed charges,,,49.73,90,,percent of total billed charges,,,49.73,90,,percent of total billed charges,,,45.31,82,,percent of total billed charges,,,49.73,90,,percent of total billed charges,,,46.96,85,,percent of total billed charges,,41.66,52.49, AIRWAY LMA UNIQUE SIZE 1,30080064,CDM,,,270,RC,inpatient,,114.48,114.48,,97.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,86.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,97.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,100.74,88,,percent of total billed charges,,,,,,,,,87.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,104.18,91,,percent of total billed charges,,,108.76,95,,percent of total billed charges,,,95.02,83,,percent of total billed charges,,,95.02,83,,percent of total billed charges,,,,,,,,,,,,,,,95.02,83,,percent of total billed charges,,,108.76,95,,percent of total billed charges,,,103.03,90,,percent of total billed charges,,,103.03,90,,percent of total billed charges,,,93.87,82,,percent of total billed charges,,,103.03,90,,percent of total billed charges,,,97.31,85,,percent of total billed charges,,86.32,108.76, *BREAST PUMP MEDELA HARMONY MANUAL,30080065,CDM,,,270,RC,inpatient,,146,146,,123.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,110.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,124.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,128.48,88,,percent of total billed charges,,,,,,,,,111.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,132.86,91,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,121.18,83,,percent of total billed charges,,,,,,,,,,,,,,,121.18,83,,percent of total billed charges,,,138.7,95,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,119.72,82,,percent of total billed charges,,,131.4,90,,percent of total billed charges,,,124.1,85,,percent of total billed charges,,110.08,138.7, KIWI OMNICUP W/TRACTION FORCE INDICATOR,30080085,CDM,,,270,RC,inpatient,,256.8,256.8,,218.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,193.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,218.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,225.98,88,,percent of total billed charges,,,,,,,,,196.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,233.69,91,,percent of total billed charges,,,243.96,95,,percent of total billed charges,,,213.14,83,,percent of total billed charges,,,213.14,83,,percent of total billed charges,,,,,,,,,,,,,,,213.14,83,,percent of total billed charges,,,243.96,95,,percent of total billed charges,,,231.12,90,,percent of total billed charges,,,231.12,90,,percent of total billed charges,,,210.58,82,,percent of total billed charges,,,231.12,90,,percent of total billed charges,,,218.28,85,,percent of total billed charges,,193.63,243.96, INTUBATION STYLET 2.5 - 4.5MM,30080086,CDM,,,270,RC,inpatient,,42.93,42.93,,36.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,36.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,37.78,88,,percent of total billed charges,,,,,,,,,32.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,39.07,91,,percent of total billed charges,,,40.78,95,,percent of total billed charges,,,35.63,83,,percent of total billed charges,,,35.63,83,,percent of total billed charges,,,,,,,,,,,,,,,35.63,83,,percent of total billed charges,,,40.78,95,,percent of total billed charges,,,38.64,90,,percent of total billed charges,,,38.64,90,,percent of total billed charges,,,35.2,82,,percent of total billed charges,,,38.64,90,,percent of total billed charges,,,36.49,85,,percent of total billed charges,,32.37,40.78, QWIK CONNECT PLUS SPIRAL ELECTRODE,30080087,CDM,,,270,RC,inpatient,,31.1,31.1,,26.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27.37,88,,percent of total billed charges,,,,,,,,,23.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28.3,91,,percent of total billed charges,,,29.55,95,,percent of total billed charges,,,25.81,83,,percent of total billed charges,,,25.81,83,,percent of total billed charges,,,,,,,,,,,,,,,25.81,83,,percent of total billed charges,,,29.55,95,,percent of total billed charges,,,27.99,90,,percent of total billed charges,,,27.99,90,,percent of total billed charges,,,25.5,82,,percent of total billed charges,,,27.99,90,,percent of total billed charges,,,26.44,85,,percent of total billed charges,,23.45,29.55, KOALA INTERUTERINE PRESSURE CATHETER,30080088,CDM,,,270,RC,inpatient,,299.55,299.55,,254.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,225.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,254.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,263.6,88,,percent of total billed charges,,,,,,,,,228.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,272.59,91,,percent of total billed charges,,,284.57,95,,percent of total billed charges,,,248.63,83,,percent of total billed charges,,,248.63,83,,percent of total billed charges,,,,,,,,,,,,,,,248.63,83,,percent of total billed charges,,,284.57,95,,percent of total billed charges,,,269.6,90,,percent of total billed charges,,,269.6,90,,percent of total billed charges,,,245.63,82,,percent of total billed charges,,,269.6,90,,percent of total billed charges,,,254.62,85,,percent of total billed charges,,225.86,284.57, ELECTRODE ATTCHMENT,30080090,CDM,,,270,RC,inpatient,,3.33,3.33,,2.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2.93,88,,percent of total billed charges,,,,,,,,,2.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.03,91,,percent of total billed charges,,,3.16,95,,percent of total billed charges,,,2.76,83,,percent of total billed charges,,,2.76,83,,percent of total billed charges,,,,,,,,,,,,,,,2.76,83,,percent of total billed charges,,,3.16,95,,percent of total billed charges,,,3,90,,percent of total billed charges,,,3,90,,percent of total billed charges,,,2.73,82,,percent of total billed charges,,,3,90,,percent of total billed charges,,,2.83,85,,percent of total billed charges,,2.51,3.16, SMALL BORE EXTENSION SET,30080091,CDM,,,270,RC,inpatient,,17.73,17.73,,15.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.6,88,,percent of total billed charges,,,,,,,,,13.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.13,91,,percent of total billed charges,,,16.84,95,,percent of total billed charges,,,14.72,83,,percent of total billed charges,,,14.72,83,,percent of total billed charges,,,,,,,,,,,,,,,14.72,83,,percent of total billed charges,,,16.84,95,,percent of total billed charges,,,15.96,90,,percent of total billed charges,,,15.96,90,,percent of total billed charges,,,14.54,82,,percent of total billed charges,,,15.96,90,,percent of total billed charges,,,15.07,85,,percent of total billed charges,,13.37,16.84, BALLOON TAMPANADE CATH POST PARTUM,30080096,CDM,,,270,RC,inpatient,,812,812,,689.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,612.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,690.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,714.56,88,,percent of total billed charges,,,,,,,,,620.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,738.92,91,,percent of total billed charges,,,771.4,95,,percent of total billed charges,,,673.96,83,,percent of total billed charges,,,673.96,83,,percent of total billed charges,,,,,,,,,,,,,,,673.96,83,,percent of total billed charges,,,771.4,95,,percent of total billed charges,,,730.8,90,,percent of total billed charges,,,730.8,90,,percent of total billed charges,,,665.84,82,,percent of total billed charges,,,730.8,90,,percent of total billed charges,,,690.2,85,,percent of total billed charges,,612.25,771.4, NEOTECH MECONIUM ASPRIATOR,30080099,CDM,,,270,RC,inpatient,,33.41,33.41,,28.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29.4,88,,percent of total billed charges,,,,,,,,,25.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30.4,91,,percent of total billed charges,,,31.74,95,,percent of total billed charges,,,27.73,83,,percent of total billed charges,,,27.73,83,,percent of total billed charges,,,,,,,,,,,,,,,27.73,83,,percent of total billed charges,,,31.74,95,,percent of total billed charges,,,30.07,90,,percent of total billed charges,,,30.07,90,,percent of total billed charges,,,27.4,82,,percent of total billed charges,,,30.07,90,,percent of total billed charges,,,28.4,85,,percent of total billed charges,,25.19,31.74, *SENSOR SPO2 INFANT,30080102,CDM,,,270,RC,inpatient,,92.43,92.43,,78.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,69.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,78.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,81.34,88,,percent of total billed charges,,,,,,,,,70.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,84.11,91,,percent of total billed charges,,,87.81,95,,percent of total billed charges,,,76.72,83,,percent of total billed charges,,,76.72,83,,percent of total billed charges,,,,,,,,,,,,,,,76.72,83,,percent of total billed charges,,,87.81,95,,percent of total billed charges,,,83.19,90,,percent of total billed charges,,,83.19,90,,percent of total billed charges,,,75.79,82,,percent of total billed charges,,,83.19,90,,percent of total billed charges,,,78.57,85,,percent of total billed charges,,69.69,87.81, TENDERCARE HYDROGEL PADS,30080103,CDM,,,270,RC,inpatient,,10.35,10.35,,8.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9.11,88,,percent of total billed charges,,,,,,,,,7.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.42,91,,percent of total billed charges,,,9.83,95,,percent of total billed charges,,,8.59,83,,percent of total billed charges,,,8.59,83,,percent of total billed charges,,,,,,,,,,,,,,,8.59,83,,percent of total billed charges,,,9.83,95,,percent of total billed charges,,,9.32,90,,percent of total billed charges,,,9.32,90,,percent of total billed charges,,,8.49,82,,percent of total billed charges,,,9.32,90,,percent of total billed charges,,,8.8,85,,percent of total billed charges,,7.8,9.83, THERASHELLS BREAST SHELLS,30080104,CDM,,,270,RC,inpatient,,68.85,68.85,,58.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60.59,88,,percent of total billed charges,,,,,,,,,52.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62.65,91,,percent of total billed charges,,,65.41,95,,percent of total billed charges,,,57.15,83,,percent of total billed charges,,,57.15,83,,percent of total billed charges,,,,,,,,,,,,,,,57.15,83,,percent of total billed charges,,,65.41,95,,percent of total billed charges,,,61.97,90,,percent of total billed charges,,,61.97,90,,percent of total billed charges,,,56.46,82,,percent of total billed charges,,,61.97,90,,percent of total billed charges,,,58.52,85,,percent of total billed charges,,51.91,65.41, FISHER&PAYKEL NEO WRAP,30080106,CDM,,,270,RC,inpatient,,23.13,23.13,,19.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.35,88,,percent of total billed charges,,,,,,,,,17.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.05,91,,percent of total billed charges,,,21.97,95,,percent of total billed charges,,,19.2,83,,percent of total billed charges,,,19.2,83,,percent of total billed charges,,,,,,,,,,,,,,,19.2,83,,percent of total billed charges,,,21.97,95,,percent of total billed charges,,,20.82,90,,percent of total billed charges,,,20.82,90,,percent of total billed charges,,,18.97,82,,percent of total billed charges,,,20.82,90,,percent of total billed charges,,,19.66,85,,percent of total billed charges,,17.44,21.97, COOK CERVICAL RIPENING BALLOON W/STYLET,30080115,CDM,,,270,RC,inpatient,,316.88,316.88,,269.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,238.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,269.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,278.85,88,,percent of total billed charges,,,,,,,,,242.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,288.36,91,,percent of total billed charges,,,301.04,95,,percent of total billed charges,,,263.01,83,,percent of total billed charges,,,263.01,83,,percent of total billed charges,,,,,,,,,,,,,,,263.01,83,,percent of total billed charges,,,301.04,95,,percent of total billed charges,,,285.19,90,,percent of total billed charges,,,285.19,90,,percent of total billed charges,,,259.84,82,,percent of total billed charges,,,285.19,90,,percent of total billed charges,,,269.35,85,,percent of total billed charges,,238.93,301.04, CIRCUIT T-PIECE NEONATAL,30080119,CDM,,,270,RC,inpatient,,90.38,90.38,,76.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,76.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,79.53,88,,percent of total billed charges,,,,,,,,,69.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.25,91,,percent of total billed charges,,,85.86,95,,percent of total billed charges,,,75.02,83,,percent of total billed charges,,,75.02,83,,percent of total billed charges,,,,,,,,,,,,,,,75.02,83,,percent of total billed charges,,,85.86,95,,percent of total billed charges,,,81.34,90,,percent of total billed charges,,,81.34,90,,percent of total billed charges,,,74.11,82,,percent of total billed charges,,,81.34,90,,percent of total billed charges,,,76.82,85,,percent of total billed charges,,68.15,85.86, TRANSWARMER TRANSPORT MATTRESS,30080122,CDM,,,270,RC,inpatient,,198,198,,168.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,149.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,168.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,174.24,88,,percent of total billed charges,,,,,,,,,151.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,180.18,91,,percent of total billed charges,,,188.1,95,,percent of total billed charges,,,164.34,83,,percent of total billed charges,,,164.34,83,,percent of total billed charges,,,,,,,,,,,,,,,164.34,83,,percent of total billed charges,,,188.1,95,,percent of total billed charges,,,178.2,90,,percent of total billed charges,,,178.2,90,,percent of total billed charges,,,162.36,82,,percent of total billed charges,,,178.2,90,,percent of total billed charges,,,168.3,85,,percent of total billed charges,,149.29,188.1, BILIBAND EYE PROTECTION REG.,30080123,CDM,,,270,RC,inpatient,,31.43,31.43,,26.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27.66,88,,percent of total billed charges,,,,,,,,,24.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28.6,91,,percent of total billed charges,,,29.86,95,,percent of total billed charges,,,26.09,83,,percent of total billed charges,,,26.09,83,,percent of total billed charges,,,,,,,,,,,,,,,26.09,83,,percent of total billed charges,,,29.86,95,,percent of total billed charges,,,28.29,90,,percent of total billed charges,,,28.29,90,,percent of total billed charges,,,25.77,82,,percent of total billed charges,,,28.29,90,,percent of total billed charges,,,26.72,85,,percent of total billed charges,,23.7,29.86, MITYSOFT BELL CUP VACUUM-ASSIST DELIVERY,30080124,CDM,,,270,RC,inpatient,,358.22,358.22,,304.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,270.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,304.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,315.23,88,,percent of total billed charges,,,,,,,,,273.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,325.98,91,,percent of total billed charges,,,340.31,95,,percent of total billed charges,,,297.32,83,,percent of total billed charges,,,297.32,83,,percent of total billed charges,,,,,,,,,,,,,,,297.32,83,,percent of total billed charges,,,340.31,95,,percent of total billed charges,,,322.4,90,,percent of total billed charges,,,322.4,90,,percent of total billed charges,,,293.74,82,,percent of total billed charges,,,322.4,90,,percent of total billed charges,,,304.49,85,,percent of total billed charges,,270.1,340.31, TRAY UMBILICAL VENOUS CATHETER,30080126,CDM,,,270,RC,inpatient,,351.54,351.54,,298.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,265.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,298.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,309.36,88,,percent of total billed charges,,,,,,,,,268.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,319.9,91,,percent of total billed charges,,,333.96,95,,percent of total billed charges,,,291.78,83,,percent of total billed charges,,,291.78,83,,percent of total billed charges,,,,,,,,,,,,,,,291.78,83,,percent of total billed charges,,,333.96,95,,percent of total billed charges,,,316.39,90,,percent of total billed charges,,,316.39,90,,percent of total billed charges,,,288.26,82,,percent of total billed charges,,,316.39,90,,percent of total billed charges,,,298.81,85,,percent of total billed charges,,265.06,333.96, SENSOR SPO2 INF-3,30080129,CDM,,,270,RC,inpatient,,163.3,163.3,,138.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,123.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,138.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,143.7,88,,percent of total billed charges,,,,,,,,,124.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,148.6,91,,percent of total billed charges,,,155.14,95,,percent of total billed charges,,,135.54,83,,percent of total billed charges,,,135.54,83,,percent of total billed charges,,,,,,,,,,,,,,,135.54,83,,percent of total billed charges,,,155.14,95,,percent of total billed charges,,,146.97,90,,percent of total billed charges,,,146.97,90,,percent of total billed charges,,,133.91,82,,percent of total billed charges,,,146.97,90,,percent of total billed charges,,,138.81,85,,percent of total billed charges,,123.13,155.14, ELECTRODE ARRAY LABOR VIEW,30080130,CDM,,,270,RC,inpatient,,483,483,,410.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,364.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,410.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,425.04,88,,percent of total billed charges,,,,,,,,,369.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,439.53,91,,percent of total billed charges,,,458.85,95,,percent of total billed charges,,,400.89,83,,percent of total billed charges,,,400.89,83,,percent of total billed charges,,,,,,,,,,,,,,,400.89,83,,percent of total billed charges,,,458.85,95,,percent of total billed charges,,,434.7,90,,percent of total billed charges,,,434.7,90,,percent of total billed charges,,,396.06,82,,percent of total billed charges,,,434.7,90,,percent of total billed charges,,,410.55,85,,percent of total billed charges,,364.18,458.85, INCENTIVE SPIROMETER,30120001,CDM,,,270,RC,inpatient,,23.2,23.2,,19.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.42,88,,percent of total billed charges,,,,,,,,,17.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.11,91,,percent of total billed charges,,,22.04,95,,percent of total billed charges,,,19.26,83,,percent of total billed charges,,,19.26,83,,percent of total billed charges,,,,,,,,,,,,,,,19.26,83,,percent of total billed charges,,,22.04,95,,percent of total billed charges,,,20.88,90,,percent of total billed charges,,,20.88,90,,percent of total billed charges,,,19.02,82,,percent of total billed charges,,,20.88,90,,percent of total billed charges,,,19.72,85,,percent of total billed charges,,17.49,22.04, RESUSCITATOR W/ MANOMETER,30120007,CDM,,,270,RC,inpatient,,437.5,437.5,,371.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,329.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,371.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,385,88,,percent of total billed charges,,,,,,,,,334.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,398.13,91,,percent of total billed charges,,,415.63,95,,percent of total billed charges,,,363.13,83,,percent of total billed charges,,,363.13,83,,percent of total billed charges,,,,,,,,,,,,,,,363.13,83,,percent of total billed charges,,,415.63,95,,percent of total billed charges,,,393.75,90,,percent of total billed charges,,,393.75,90,,percent of total billed charges,,,358.75,82,,percent of total billed charges,,,393.75,90,,percent of total billed charges,,,371.88,85,,percent of total billed charges,,329.88,415.63, ACAPELLA DM BLUE MOUTHPIECE,30120017,CDM,,,270,RC,inpatient,,322.5,322.5,,273.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,243.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,274.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,283.8,88,,percent of total billed charges,,,,,,,,,246.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,293.48,91,,percent of total billed charges,,,306.38,95,,percent of total billed charges,,,267.68,83,,percent of total billed charges,,,267.68,83,,percent of total billed charges,,,,,,,,,,,,,,,267.68,83,,percent of total billed charges,,,306.38,95,,percent of total billed charges,,,290.25,90,,percent of total billed charges,,,290.25,90,,percent of total billed charges,,,264.45,82,,percent of total billed charges,,,290.25,90,,percent of total billed charges,,,274.13,85,,percent of total billed charges,,243.17,306.38, ACAPELLA DM GREEN MOUTHPIECE,30120018,CDM,,,270,RC,inpatient,,321.05,321.05,,272.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,242.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,272.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,282.52,88,,percent of total billed charges,,,,,,,,,245.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,292.16,91,,percent of total billed charges,,,305,95,,percent of total billed charges,,,266.47,83,,percent of total billed charges,,,266.47,83,,percent of total billed charges,,,,,,,,,,,,,,,266.47,83,,percent of total billed charges,,,305,95,,percent of total billed charges,,,288.95,90,,percent of total billed charges,,,288.95,90,,percent of total billed charges,,,263.26,82,,percent of total billed charges,,,288.95,90,,percent of total billed charges,,,272.89,85,,percent of total billed charges,,242.07,305, HIGH FLO CAN,30120021,CDM,,,270,RC,inpatient,,26.1,26.1,,22.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22.97,88,,percent of total billed charges,,,,,,,,,19.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23.75,91,,percent of total billed charges,,,24.8,95,,percent of total billed charges,,,21.66,83,,percent of total billed charges,,,21.66,83,,percent of total billed charges,,,,,,,,,,,,,,,21.66,83,,percent of total billed charges,,,24.8,95,,percent of total billed charges,,,23.49,90,,percent of total billed charges,,,23.49,90,,percent of total billed charges,,,21.4,82,,percent of total billed charges,,,23.49,90,,percent of total billed charges,,,22.19,85,,percent of total billed charges,,19.68,24.8, HIGH FLO HUM,30120022,CDM,,,270,RC,inpatient,,35.64,35.64,,30.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31.36,88,,percent of total billed charges,,,,,,,,,27.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32.43,91,,percent of total billed charges,,,33.86,95,,percent of total billed charges,,,29.58,83,,percent of total billed charges,,,29.58,83,,percent of total billed charges,,,,,,,,,,,,,,,29.58,83,,percent of total billed charges,,,33.86,95,,percent of total billed charges,,,32.08,90,,percent of total billed charges,,,32.08,90,,percent of total billed charges,,,29.22,82,,percent of total billed charges,,,32.08,90,,percent of total billed charges,,,30.29,85,,percent of total billed charges,,26.87,33.86, AMBU BAG PEDIATRIC-PLUS,30120025,CDM,,,270,RC,inpatient,,191.7,191.7,,162.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,144.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,162.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,168.7,88,,percent of total billed charges,,,,,,,,,146.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,174.45,91,,percent of total billed charges,,,182.12,95,,percent of total billed charges,,,159.11,83,,percent of total billed charges,,,159.11,83,,percent of total billed charges,,,,,,,,,,,,,,,159.11,83,,percent of total billed charges,,,182.12,95,,percent of total billed charges,,,172.53,90,,percent of total billed charges,,,172.53,90,,percent of total billed charges,,,157.19,82,,percent of total billed charges,,,172.53,90,,percent of total billed charges,,,162.95,85,,percent of total billed charges,,144.54,182.12, *MASK VENTURI DUAL DIAL ADULT,30120032,CDM,,,270,RC,inpatient,,10.17,10.17,,8.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8.95,88,,percent of total billed charges,,,,,,,,,7.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.25,91,,percent of total billed charges,,,9.66,95,,percent of total billed charges,,,8.44,83,,percent of total billed charges,,,8.44,83,,percent of total billed charges,,,,,,,,,,,,,,,8.44,83,,percent of total billed charges,,,9.66,95,,percent of total billed charges,,,9.15,90,,percent of total billed charges,,,9.15,90,,percent of total billed charges,,,8.34,82,,percent of total billed charges,,,9.15,90,,percent of total billed charges,,,8.64,85,,percent of total billed charges,,7.67,9.66, EZ PAP POSITIVE AIRWAY,30120033,CDM,,,270,RC,inpatient,,169.22,169.22,,143.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,127.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,143.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,148.91,88,,percent of total billed charges,,,,,,,,,129.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,153.99,91,,percent of total billed charges,,,160.76,95,,percent of total billed charges,,,140.45,83,,percent of total billed charges,,,140.45,83,,percent of total billed charges,,,,,,,,,,,,,,,140.45,83,,percent of total billed charges,,,160.76,95,,percent of total billed charges,,,152.3,90,,percent of total billed charges,,,152.3,90,,percent of total billed charges,,,138.76,82,,percent of total billed charges,,,152.3,90,,percent of total billed charges,,,143.84,85,,percent of total billed charges,,127.59,160.76, HIGH-FLO SET,30120041,CDM,,,270,RC,inpatient,,25.38,25.38,,21.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22.33,88,,percent of total billed charges,,,,,,,,,19.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23.1,91,,percent of total billed charges,,,24.11,95,,percent of total billed charges,,,21.07,83,,percent of total billed charges,,,21.07,83,,percent of total billed charges,,,,,,,,,,,,,,,21.07,83,,percent of total billed charges,,,24.11,95,,percent of total billed charges,,,22.84,90,,percent of total billed charges,,,22.84,90,,percent of total billed charges,,,20.81,82,,percent of total billed charges,,,22.84,90,,percent of total billed charges,,,21.57,85,,percent of total billed charges,,19.14,24.11, JET NEBULIZER 350ML,30120042,CDM,,,270,RC,inpatient,,14.31,14.31,,12.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12.59,88,,percent of total billed charges,,,,,,,,,10.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.02,91,,percent of total billed charges,,,13.59,95,,percent of total billed charges,,,11.88,83,,percent of total billed charges,,,11.88,83,,percent of total billed charges,,,,,,,,,,,,,,,11.88,83,,percent of total billed charges,,,13.59,95,,percent of total billed charges,,,12.88,90,,percent of total billed charges,,,12.88,90,,percent of total billed charges,,,11.73,82,,percent of total billed charges,,,12.88,90,,percent of total billed charges,,,12.16,85,,percent of total billed charges,,10.79,13.59, VENTILATORS DISPOSABLE,30120043,CDM,,,270,RC,inpatient,,575.75,575.75,,488.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,434.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,489.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,506.66,88,,percent of total billed charges,,,,,,,,,439.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,523.93,91,,percent of total billed charges,,,546.96,95,,percent of total billed charges,,,477.87,83,,percent of total billed charges,,,477.87,83,,percent of total billed charges,,,,,,,,,,,,,,,477.87,83,,percent of total billed charges,,,546.96,95,,percent of total billed charges,,,518.18,90,,percent of total billed charges,,,518.18,90,,percent of total billed charges,,,472.12,82,,percent of total billed charges,,,518.18,90,,percent of total billed charges,,,489.39,85,,percent of total billed charges,,434.12,546.96, MASK VPAP SMALL,30120044,CDM,,,270,RC,inpatient,,207.53,207.53,,176.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,156.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,176.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,182.63,88,,percent of total billed charges,,,,,,,,,158.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,188.85,91,,percent of total billed charges,,,197.15,95,,percent of total billed charges,,,172.25,83,,percent of total billed charges,,,172.25,83,,percent of total billed charges,,,,,,,,,,,,,,,172.25,83,,percent of total billed charges,,,197.15,95,,percent of total billed charges,,,186.78,90,,percent of total billed charges,,,186.78,90,,percent of total billed charges,,,170.17,82,,percent of total billed charges,,,186.78,90,,percent of total billed charges,,,176.4,85,,percent of total billed charges,,156.48,197.15, MASK VPAP MEDIUM,30120045,CDM,,,270,RC,inpatient,,214.65,214.65,,182.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,161.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,182.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,188.89,88,,percent of total billed charges,,,,,,,,,163.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,195.33,91,,percent of total billed charges,,,203.92,95,,percent of total billed charges,,,178.16,83,,percent of total billed charges,,,178.16,83,,percent of total billed charges,,,,,,,,,,,,,,,178.16,83,,percent of total billed charges,,,203.92,95,,percent of total billed charges,,,193.19,90,,percent of total billed charges,,,193.19,90,,percent of total billed charges,,,176.01,82,,percent of total billed charges,,,193.19,90,,percent of total billed charges,,,182.45,85,,percent of total billed charges,,161.85,203.92, MASK VPAP LARGE,30120046,CDM,,,270,RC,inpatient,,214.65,214.65,,182.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,161.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,182.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,188.89,88,,percent of total billed charges,,,,,,,,,163.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,195.33,91,,percent of total billed charges,,,203.92,95,,percent of total billed charges,,,178.16,83,,percent of total billed charges,,,178.16,83,,percent of total billed charges,,,,,,,,,,,,,,,178.16,83,,percent of total billed charges,,,203.92,95,,percent of total billed charges,,,193.19,90,,percent of total billed charges,,,193.19,90,,percent of total billed charges,,,176.01,82,,percent of total billed charges,,,193.19,90,,percent of total billed charges,,,182.45,85,,percent of total billed charges,,161.85,203.92, VPAP CIRCUIT,30120047,CDM,,,270,RC,inpatient,,63.75,63.75,,54.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56.1,88,,percent of total billed charges,,,,,,,,,48.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58.01,91,,percent of total billed charges,,,60.56,95,,percent of total billed charges,,,52.91,83,,percent of total billed charges,,,52.91,83,,percent of total billed charges,,,,,,,,,,,,,,,52.91,83,,percent of total billed charges,,,60.56,95,,percent of total billed charges,,,57.38,90,,percent of total billed charges,,,57.38,90,,percent of total billed charges,,,52.28,82,,percent of total billed charges,,,57.38,90,,percent of total billed charges,,,54.19,85,,percent of total billed charges,,48.07,60.56, MASK FACE TENT DISP,30120049,CDM,,,270,RC,inpatient,,4.68,4.68,,3.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.12,88,,percent of total billed charges,,,,,,,,,3.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.26,91,,percent of total billed charges,,,4.45,95,,percent of total billed charges,,,3.88,83,,percent of total billed charges,,,3.88,83,,percent of total billed charges,,,,,,,,,,,,,,,3.88,83,,percent of total billed charges,,,4.45,95,,percent of total billed charges,,,4.21,90,,percent of total billed charges,,,4.21,90,,percent of total billed charges,,,3.84,82,,percent of total billed charges,,,4.21,90,,percent of total billed charges,,,3.98,85,,percent of total billed charges,,3.53,4.45, MASK AERO UNDER CHIN PEDIATRIC ELONG.,30120055,CDM,,,270,RC,inpatient,,4.23,4.23,,3.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.72,88,,percent of total billed charges,,,,,,,,,3.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.85,91,,percent of total billed charges,,,4.02,95,,percent of total billed charges,,,3.51,83,,percent of total billed charges,,,3.51,83,,percent of total billed charges,,,,,,,,,,,,,,,3.51,83,,percent of total billed charges,,,4.02,95,,percent of total billed charges,,,3.81,90,,percent of total billed charges,,,3.81,90,,percent of total billed charges,,,3.47,82,,percent of total billed charges,,,3.81,90,,percent of total billed charges,,,3.6,85,,percent of total billed charges,,3.19,4.02, NASAL ASPIRATOR DEVICE,30120056,CDM,,,270,RC,inpatient,,17.19,17.19,,14.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.13,88,,percent of total billed charges,,,,,,,,,13.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.64,91,,percent of total billed charges,,,16.33,95,,percent of total billed charges,,,14.27,83,,percent of total billed charges,,,14.27,83,,percent of total billed charges,,,,,,,,,,,,,,,14.27,83,,percent of total billed charges,,,16.33,95,,percent of total billed charges,,,15.47,90,,percent of total billed charges,,,15.47,90,,percent of total billed charges,,,14.1,82,,percent of total billed charges,,,15.47,90,,percent of total billed charges,,,14.61,85,,percent of total billed charges,,12.96,16.33, EZ PAP SYSTEM W/MEDIUM MASK,30120057,CDM,,,270,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2, EZ PAP SYSTEM W/MOUTHPIECE,30120058,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, HME FILTER W/GAS SAMPLING PORT,30120059,CDM,,,270,RC,inpatient,,17.1,17.1,,14.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15.05,88,,percent of total billed charges,,,,,,,,,13.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15.56,91,,percent of total billed charges,,,16.25,95,,percent of total billed charges,,,14.19,83,,percent of total billed charges,,,14.19,83,,percent of total billed charges,,,,,,,,,,,,,,,14.19,83,,percent of total billed charges,,,16.25,95,,percent of total billed charges,,,15.39,90,,percent of total billed charges,,,15.39,90,,percent of total billed charges,,,14.02,82,,percent of total billed charges,,,15.39,90,,percent of total billed charges,,,14.54,85,,percent of total billed charges,,12.89,16.25, MASK NEBULIZER SYSTEM ADULT,30120060,CDM,,,270,RC,inpatient,,107.28,107.28,,91.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,80.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,91.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,94.41,88,,percent of total billed charges,,,,,,,,,81.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,97.62,91,,percent of total billed charges,,,101.92,95,,percent of total billed charges,,,89.04,83,,percent of total billed charges,,,89.04,83,,percent of total billed charges,,,,,,,,,,,,,,,89.04,83,,percent of total billed charges,,,101.92,95,,percent of total billed charges,,,96.55,90,,percent of total billed charges,,,96.55,90,,percent of total billed charges,,,87.97,82,,percent of total billed charges,,,96.55,90,,percent of total billed charges,,,91.19,85,,percent of total billed charges,,80.89,101.92, *HEART NEB CIRCUIT,30120061,CDM,,,270,RC,inpatient,,53.72,53.72,,45.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,40.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,47.27,88,,percent of total billed charges,,,,,,,,,41.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,48.89,91,,percent of total billed charges,,,51.03,95,,percent of total billed charges,,,44.59,83,,percent of total billed charges,,,44.59,83,,percent of total billed charges,,,,,,,,,,,,,,,44.59,83,,percent of total billed charges,,,51.03,95,,percent of total billed charges,,,48.35,90,,percent of total billed charges,,,48.35,90,,percent of total billed charges,,,44.05,82,,percent of total billed charges,,,48.35,90,,percent of total billed charges,,,45.66,85,,percent of total billed charges,,40.5,51.03, SENSOR FINGER NEONATE,30120062,CDM,,,270,RC,inpatient,,83.9,83.9,,71.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,63.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,71.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.83,88,,percent of total billed charges,,,,,,,,,64.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,76.35,91,,percent of total billed charges,,,79.71,95,,percent of total billed charges,,,69.64,83,,percent of total billed charges,,,69.64,83,,percent of total billed charges,,,,,,,,,,,,,,,69.64,83,,percent of total billed charges,,,79.71,95,,percent of total billed charges,,,75.51,90,,percent of total billed charges,,,75.51,90,,percent of total billed charges,,,68.8,82,,percent of total billed charges,,,75.51,90,,percent of total billed charges,,,71.32,85,,percent of total billed charges,,63.26,79.71, MASK BIPAP/CPAP ADULT MED. FULL FACE,30120064,CDM,,,270,RC,inpatient,,197.63,197.63,,167.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,149.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,167.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,173.91,88,,percent of total billed charges,,,,,,,,,150.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,179.84,91,,percent of total billed charges,,,187.75,95,,percent of total billed charges,,,164.03,83,,percent of total billed charges,,,164.03,83,,percent of total billed charges,,,,,,,,,,,,,,,164.03,83,,percent of total billed charges,,,187.75,95,,percent of total billed charges,,,177.87,90,,percent of total billed charges,,,177.87,90,,percent of total billed charges,,,162.06,82,,percent of total billed charges,,,177.87,90,,percent of total billed charges,,,167.99,85,,percent of total billed charges,,149.01,187.75, VENT CROSSVENT CIR,30120065,CDM,,,270,RC,inpatient,,79.48,79.48,,67.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,59.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,67.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,69.94,88,,percent of total billed charges,,,,,,,,,60.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,72.33,91,,percent of total billed charges,,,75.51,95,,percent of total billed charges,,,65.97,83,,percent of total billed charges,,,65.97,83,,percent of total billed charges,,,,,,,,,,,,,,,65.97,83,,percent of total billed charges,,,75.51,95,,percent of total billed charges,,,71.53,90,,percent of total billed charges,,,71.53,90,,percent of total billed charges,,,65.17,82,,percent of total billed charges,,,71.53,90,,percent of total billed charges,,,67.56,85,,percent of total billed charges,,59.93,75.51, VENT VISION MASK S,30120068,CDM,,,270,RC,inpatient,,197.63,197.63,,167.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,149.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,167.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,173.91,88,,percent of total billed charges,,,,,,,,,150.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,179.84,91,,percent of total billed charges,,,187.75,95,,percent of total billed charges,,,164.03,83,,percent of total billed charges,,,164.03,83,,percent of total billed charges,,,,,,,,,,,,,,,164.03,83,,percent of total billed charges,,,187.75,95,,percent of total billed charges,,,177.87,90,,percent of total billed charges,,,177.87,90,,percent of total billed charges,,,162.06,82,,percent of total billed charges,,,177.87,90,,percent of total billed charges,,,167.99,85,,percent of total billed charges,,149.01,187.75, VENT VISION MASK M,30120069,CDM,,,270,RC,inpatient,,197.7,197.7,,167.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,149.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,168.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,173.98,88,,percent of total billed charges,,,,,,,,,151.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,179.91,91,,percent of total billed charges,,,187.82,95,,percent of total billed charges,,,164.09,83,,percent of total billed charges,,,164.09,83,,percent of total billed charges,,,,,,,,,,,,,,,164.09,83,,percent of total billed charges,,,187.82,95,,percent of total billed charges,,,177.93,90,,percent of total billed charges,,,177.93,90,,percent of total billed charges,,,162.11,82,,percent of total billed charges,,,177.93,90,,percent of total billed charges,,,168.05,85,,percent of total billed charges,,149.07,187.82, VENT VISION MASK L,30120070,CDM,,,270,RC,inpatient,,211.88,211.88,,179.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,159.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,180.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,186.45,88,,percent of total billed charges,,,,,,,,,161.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,192.81,91,,percent of total billed charges,,,201.29,95,,percent of total billed charges,,,175.86,83,,percent of total billed charges,,,175.86,83,,percent of total billed charges,,,,,,,,,,,,,,,175.86,83,,percent of total billed charges,,,201.29,95,,percent of total billed charges,,,190.69,90,,percent of total billed charges,,,190.69,90,,percent of total billed charges,,,173.74,82,,percent of total billed charges,,,190.69,90,,percent of total billed charges,,,180.1,85,,percent of total billed charges,,159.76,201.29, VENT VISION CIRCUIT,30120071,CDM,,,270,RC,inpatient,,96.8,96.8,,82.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,72.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,82.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,85.18,88,,percent of total billed charges,,,,,,,,,73.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,88.09,91,,percent of total billed charges,,,91.96,95,,percent of total billed charges,,,80.34,83,,percent of total billed charges,,,80.34,83,,percent of total billed charges,,,,,,,,,,,,,,,80.34,83,,percent of total billed charges,,,91.96,95,,percent of total billed charges,,,87.12,90,,percent of total billed charges,,,87.12,90,,percent of total billed charges,,,79.38,82,,percent of total billed charges,,,87.12,90,,percent of total billed charges,,,82.28,85,,percent of total billed charges,,72.99,91.96, MASK AERO CHAMBER SM,30120073,CDM,,,270,RC,inpatient,,107.68,107.68,,91.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,81.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,91.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,94.76,88,,percent of total billed charges,,,,,,,,,82.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,97.99,91,,percent of total billed charges,,,102.3,95,,percent of total billed charges,,,89.37,83,,percent of total billed charges,,,89.37,83,,percent of total billed charges,,,,,,,,,,,,,,,89.37,83,,percent of total billed charges,,,102.3,95,,percent of total billed charges,,,96.91,90,,percent of total billed charges,,,96.91,90,,percent of total billed charges,,,88.3,82,,percent of total billed charges,,,96.91,90,,percent of total billed charges,,,91.53,85,,percent of total billed charges,,81.19,102.3, MASK AERO CHAMBER MED,30120074,CDM,,,270,RC,inpatient,,107.68,107.68,,91.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,81.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,91.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,94.76,88,,percent of total billed charges,,,,,,,,,82.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,97.99,91,,percent of total billed charges,,,102.3,95,,percent of total billed charges,,,89.37,83,,percent of total billed charges,,,89.37,83,,percent of total billed charges,,,,,,,,,,,,,,,89.37,83,,percent of total billed charges,,,102.3,95,,percent of total billed charges,,,96.91,90,,percent of total billed charges,,,96.91,90,,percent of total billed charges,,,88.3,82,,percent of total billed charges,,,96.91,90,,percent of total billed charges,,,91.53,85,,percent of total billed charges,,81.19,102.3, MASK AERO CHAMBER LGE,30120075,CDM,,,270,RC,inpatient,,111.12,111.12,,94.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,83.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,94.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,97.79,88,,percent of total billed charges,,,,,,,,,84.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.12,91,,percent of total billed charges,,,105.56,95,,percent of total billed charges,,,92.23,83,,percent of total billed charges,,,92.23,83,,percent of total billed charges,,,,,,,,,,,,,,,92.23,83,,percent of total billed charges,,,105.56,95,,percent of total billed charges,,,100.01,90,,percent of total billed charges,,,100.01,90,,percent of total billed charges,,,91.12,82,,percent of total billed charges,,,100.01,90,,percent of total billed charges,,,94.45,85,,percent of total billed charges,,83.78,105.56, MASK OXYMASK ADULT PLUS,30120078,CDM,,,270,RC,inpatient,,38.94,38.94,,33.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34.27,88,,percent of total billed charges,,,,,,,,,29.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35.44,91,,percent of total billed charges,,,36.99,95,,percent of total billed charges,,,32.32,83,,percent of total billed charges,,,32.32,83,,percent of total billed charges,,,,,,,,,,,,,,,32.32,83,,percent of total billed charges,,,36.99,95,,percent of total billed charges,,,35.05,90,,percent of total billed charges,,,35.05,90,,percent of total billed charges,,,31.93,82,,percent of total billed charges,,,35.05,90,,percent of total billed charges,,,33.1,85,,percent of total billed charges,,29.36,36.99, TRACHE TEE OXYGENATOR,30120079,CDM,,,270,RC,inpatient,,5.9,5.9,,5.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5.19,88,,percent of total billed charges,,,,,,,,,4.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5.37,91,,percent of total billed charges,,,5.61,95,,percent of total billed charges,,,4.9,83,,percent of total billed charges,,,4.9,83,,percent of total billed charges,,,,,,,,,,,,,,,4.9,83,,percent of total billed charges,,,5.61,95,,percent of total billed charges,,,5.31,90,,percent of total billed charges,,,5.31,90,,percent of total billed charges,,,4.84,82,,percent of total billed charges,,,5.31,90,,percent of total billed charges,,,5.02,85,,percent of total billed charges,,4.45,5.61, BREATHING CIRCUIT FOR IVENT 201,30120081,CDM,,,270,RC,inpatient,,109.51,109.51,,92.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,82.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,93.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,96.37,88,,percent of total billed charges,,,,,,,,,83.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,99.65,91,,percent of total billed charges,,,104.03,95,,percent of total billed charges,,,90.89,83,,percent of total billed charges,,,90.89,83,,percent of total billed charges,,,,,,,,,,,,,,,90.89,83,,percent of total billed charges,,,104.03,95,,percent of total billed charges,,,98.56,90,,percent of total billed charges,,,98.56,90,,percent of total billed charges,,,89.8,82,,percent of total billed charges,,,98.56,90,,percent of total billed charges,,,93.08,85,,percent of total billed charges,,82.57,104.03, VENT VISION MASK LARGE,30120082,CDM,,,270,RC,inpatient,,54.78,54.78,,46.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,41.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,46.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,48.21,88,,percent of total billed charges,,,,,,,,,41.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,49.85,91,,percent of total billed charges,,,52.04,95,,percent of total billed charges,,,45.47,83,,percent of total billed charges,,,45.47,83,,percent of total billed charges,,,,,,,,,,,,,,,45.47,83,,percent of total billed charges,,,52.04,95,,percent of total billed charges,,,49.3,90,,percent of total billed charges,,,49.3,90,,percent of total billed charges,,,44.92,82,,percent of total billed charges,,,49.3,90,,percent of total billed charges,,,46.56,85,,percent of total billed charges,,41.3,52.04, ABBOTT VASCULAR SUPERA 5.5X100X120,30143000,CDM,,,278,RC,inpatient,,18713.5,18713.5,,15887.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14109.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15906.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16467.88,88,,percent of total billed charges,,,,,,,,,14297.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17029.29,91,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,,,,,,,,,,,,,15532.21,83,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15345.07,82,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15906.48,85,,percent of total billed charges,,14109.98,17777.83, ABBOTT VASCULAR SUPERA 6X100X120,30143001,CDM,,,278,RC,inpatient,,18713.5,18713.5,,15887.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14109.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15906.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16467.88,88,,percent of total billed charges,,,,,,,,,14297.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17029.29,91,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,,,,,,,,,,,,,15532.21,83,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15345.07,82,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15906.48,85,,percent of total billed charges,,14109.98,17777.83, ABBOTT VASCULAR SUPERA 5.5X80X120,30143002,CDM,,,278,RC,inpatient,,18713.5,18713.5,,15887.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14109.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15906.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16467.88,88,,percent of total billed charges,,,,,,,,,14297.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17029.29,91,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,,,,,,,,,,,,,15532.21,83,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15345.07,82,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15906.48,85,,percent of total billed charges,,14109.98,17777.83, ABBOTT VASCULAR SUPERA 5.0X100X120,30143003,CDM,,,278,RC,inpatient,,18713.5,18713.5,,15887.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14109.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15906.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16467.88,88,,percent of total billed charges,,,,,,,,,14297.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17029.29,91,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,,,,,,,,,,,,,15532.21,83,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15345.07,82,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15906.48,85,,percent of total billed charges,,14109.98,17777.83, ABBOTT VASCULAR SUPERA 6X60X120,30143004,CDM,,,278,RC,inpatient,,18713.5,18713.5,,15887.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14109.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15906.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16467.88,88,,percent of total billed charges,,,,,,,,,14297.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17029.29,91,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,,,,,,,,,,,,,15532.21,83,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15345.07,82,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15906.48,85,,percent of total billed charges,,14109.98,17777.83, ABBOTT VASCULAR SUPERA 5.0X80X120,30143005,CDM,,,278,RC,inpatient,,17274,17274,,14665.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13024.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14682.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15201.12,88,,percent of total billed charges,,,,,,,,,13197.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15719.34,91,,percent of total billed charges,,,16410.3,95,,percent of total billed charges,,,14337.42,83,,percent of total billed charges,,,14337.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14337.42,83,,percent of total billed charges,,,16410.3,95,,percent of total billed charges,,,15546.6,90,,percent of total billed charges,,,15546.6,90,,percent of total billed charges,,,14164.68,82,,percent of total billed charges,,,15546.6,90,,percent of total billed charges,,,14682.9,85,,percent of total billed charges,,13024.6,16410.3, ABBOTT VASCULAR SUPERA 6X40X120,30143006,CDM,,,278,RC,inpatient,,18713.5,18713.5,,15887.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14109.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15906.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16467.88,88,,percent of total billed charges,,,,,,,,,14297.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17029.29,91,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,15532.21,83,,percent of total billed charges,,,,,,,,,,,,,,,15532.21,83,,percent of total billed charges,,,17777.83,95,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15345.07,82,,percent of total billed charges,,,16842.15,90,,percent of total billed charges,,,15906.48,85,,percent of total billed charges,,14109.98,17777.83, AMPLATZ SNARE GOOSENECK 6X102X120X15,30143007,CDM,,,270,RC,inpatient,,2017.99,2017.99,,1713.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1521.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1715.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1775.83,88,,percent of total billed charges,,,,,,,,,1541.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1836.37,91,,percent of total billed charges,,,1917.09,95,,percent of total billed charges,,,1674.93,83,,percent of total billed charges,,,1674.93,83,,percent of total billed charges,,,,,,,,,,,,,,,1674.93,83,,percent of total billed charges,,,1917.09,95,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1654.75,82,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1715.29,85,,percent of total billed charges,,1521.56,1917.09, AMPLATZ SNARE GOOSENECK 6X102X120X20,30143008,CDM,,,270,RC,inpatient,,2017.99,2017.99,,1713.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1521.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1715.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1775.83,88,,percent of total billed charges,,,,,,,,,1541.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1836.37,91,,percent of total billed charges,,,1917.09,95,,percent of total billed charges,,,1674.93,83,,percent of total billed charges,,,1674.93,83,,percent of total billed charges,,,,,,,,,,,,,,,1674.93,83,,percent of total billed charges,,,1917.09,95,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1654.75,82,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1715.29,85,,percent of total billed charges,,1521.56,1917.09, AMPLATZ SNARE GOOSENECK 6X102X120X25,30143009,CDM,,,270,RC,inpatient,,2017.99,2017.99,,1713.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1521.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1715.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1775.83,88,,percent of total billed charges,,,,,,,,,1541.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1836.37,91,,percent of total billed charges,,,1917.09,95,,percent of total billed charges,,,1674.93,83,,percent of total billed charges,,,1674.93,83,,percent of total billed charges,,,,,,,,,,,,,,,1674.93,83,,percent of total billed charges,,,1917.09,95,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1654.75,82,,percent of total billed charges,,,1816.19,90,,percent of total billed charges,,,1715.29,85,,percent of total billed charges,,1521.56,1917.09, VIABAHN 7F X 6MM X 10CM,30143010,CDM,,,270,RC,inpatient,,25499.5,25499.5,,21649.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19226.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21674.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22439.56,88,,percent of total billed charges,,,,,,,,,19481.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23204.55,91,,percent of total billed charges,,,24224.53,95,,percent of total billed charges,,,21164.59,83,,percent of total billed charges,,,21164.59,83,,percent of total billed charges,,,,,,,,,,,,,,,21164.59,83,,percent of total billed charges,,,24224.53,95,,percent of total billed charges,,,22949.55,90,,percent of total billed charges,,,22949.55,90,,percent of total billed charges,,,20909.59,82,,percent of total billed charges,,,22949.55,90,,percent of total billed charges,,,21674.58,85,,percent of total billed charges,,19226.62,24224.53, VIABAHN 8F X 8MM X 5CM,30143011,CDM,,,270,RC,inpatient,,23712,23712,,20131.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17878.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20155.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20866.56,88,,percent of total billed charges,,,,,,,,,18115.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21577.92,91,,percent of total billed charges,,,22526.4,95,,percent of total billed charges,,,19680.96,83,,percent of total billed charges,,,19680.96,83,,percent of total billed charges,,,,,,,,,,,,,,,19680.96,83,,percent of total billed charges,,,22526.4,95,,percent of total billed charges,,,21340.8,90,,percent of total billed charges,,,21340.8,90,,percent of total billed charges,,,19443.84,82,,percent of total billed charges,,,21340.8,90,,percent of total billed charges,,,20155.2,85,,percent of total billed charges,,17878.85,22526.4, VIABAHN 8F X 10MM X 5CM,30143012,CDM,,,270,RC,inpatient,,23712,23712,,20131.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17878.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20155.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20866.56,88,,percent of total billed charges,,,,,,,,,18115.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21577.92,91,,percent of total billed charges,,,22526.4,95,,percent of total billed charges,,,19680.96,83,,percent of total billed charges,,,19680.96,83,,percent of total billed charges,,,,,,,,,,,,,,,19680.96,83,,percent of total billed charges,,,22526.4,95,,percent of total billed charges,,,21340.8,90,,percent of total billed charges,,,21340.8,90,,percent of total billed charges,,,19443.84,82,,percent of total billed charges,,,21340.8,90,,percent of total billed charges,,,20155.2,85,,percent of total billed charges,,17878.85,22526.4, VIABAHN 8F X 11MM X 59MM,30143013,CDM,,,270,RC,inpatient,,26507,26507,,22504.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19986.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22530.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23326.16,88,,percent of total billed charges,,,,,,,,,20251.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24121.37,91,,percent of total billed charges,,,25181.65,95,,percent of total billed charges,,,22000.81,83,,percent of total billed charges,,,22000.81,83,,percent of total billed charges,,,,,,,,,,,,,,,22000.81,83,,percent of total billed charges,,,25181.65,95,,percent of total billed charges,,,23856.3,90,,percent of total billed charges,,,23856.3,90,,percent of total billed charges,,,21735.74,82,,percent of total billed charges,,,23856.3,90,,percent of total billed charges,,,22530.95,85,,percent of total billed charges,,19986.28,25181.65, VIABAHN 8F X 11MM X 79MM,30143014,CDM,,,270,RC,inpatient,,26507,26507,,22504.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19986.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22530.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23326.16,88,,percent of total billed charges,,,,,,,,,20251.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24121.37,91,,percent of total billed charges,,,25181.65,95,,percent of total billed charges,,,22000.81,83,,percent of total billed charges,,,22000.81,83,,percent of total billed charges,,,,,,,,,,,,,,,22000.81,83,,percent of total billed charges,,,25181.65,95,,percent of total billed charges,,,23856.3,90,,percent of total billed charges,,,23856.3,90,,percent of total billed charges,,,21735.74,82,,percent of total billed charges,,,23856.3,90,,percent of total billed charges,,,22530.95,85,,percent of total billed charges,,19986.28,25181.65, ROTH FOREIGN BODY NET 2.5MM,30180002,CDM,,,270,RC,inpatient,,605.93,605.93,,514.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,456.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,515.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,533.22,88,,percent of total billed charges,,,,,,,,,462.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,551.4,91,,percent of total billed charges,,,575.63,95,,percent of total billed charges,,,502.92,83,,percent of total billed charges,,,502.92,83,,percent of total billed charges,,,,,,,,,,,,,,,502.92,83,,percent of total billed charges,,,575.63,95,,percent of total billed charges,,,545.34,90,,percent of total billed charges,,,545.34,90,,percent of total billed charges,,,496.86,82,,percent of total billed charges,,,545.34,90,,percent of total billed charges,,,515.04,85,,percent of total billed charges,,456.87,575.63, CLO TEST,30180003,CDM,,,270,RC,inpatient,,90.18,90.18,,76.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,76.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,79.36,88,,percent of total billed charges,,,,,,,,,68.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.06,91,,percent of total billed charges,,,85.67,95,,percent of total billed charges,,,74.85,83,,percent of total billed charges,,,74.85,83,,percent of total billed charges,,,,,,,,,,,,,,,74.85,83,,percent of total billed charges,,,85.67,95,,percent of total billed charges,,,81.16,90,,percent of total billed charges,,,81.16,90,,percent of total billed charges,,,73.95,82,,percent of total billed charges,,,81.16,90,,percent of total billed charges,,,76.65,85,,percent of total billed charges,,68,85.67, LAP CHOLE KIT,30180004,CDM,,,270,RC,inpatient,,2280.01,2280.01,,1935.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1719.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1938.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2006.41,88,,percent of total billed charges,,,,,,,,,1741.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2074.81,91,,percent of total billed charges,,,2166.01,95,,percent of total billed charges,,,1892.41,83,,percent of total billed charges,,,1892.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1892.41,83,,percent of total billed charges,,,2166.01,95,,percent of total billed charges,,,2052.01,90,,percent of total billed charges,,,2052.01,90,,percent of total billed charges,,,1869.61,82,,percent of total billed charges,,,2052.01,90,,percent of total billed charges,,,1938.01,85,,percent of total billed charges,,1719.13,2166.01, TROCAR ENDO DILATING TIP 7/8,30180007,CDM,,,270,RC,inpatient,,195.04,195.04,,165.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,165.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,171.64,88,,percent of total billed charges,,,,,,,,,149.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,177.49,91,,percent of total billed charges,,,185.29,95,,percent of total billed charges,,,161.88,83,,percent of total billed charges,,,161.88,83,,percent of total billed charges,,,,,,,,,,,,,,,161.88,83,,percent of total billed charges,,,185.29,95,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,159.93,82,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,165.78,85,,percent of total billed charges,,147.06,185.29, LIGAMAX CLIP APPLIER 5MM,30180008,CDM,,,270,RC,inpatient,,943.06,943.06,,800.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,711.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,801.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,829.89,88,,percent of total billed charges,,,,,,,,,720.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,858.18,91,,percent of total billed charges,,,895.91,95,,percent of total billed charges,,,782.74,83,,percent of total billed charges,,,782.74,83,,percent of total billed charges,,,,,,,,,,,,,,,782.74,83,,percent of total billed charges,,,895.91,95,,percent of total billed charges,,,848.75,90,,percent of total billed charges,,,848.75,90,,percent of total billed charges,,,773.31,82,,percent of total billed charges,,,848.75,90,,percent of total billed charges,,,801.6,85,,percent of total billed charges,,711.07,895.91, STAPLER EEA INTRALUMINAL 25MM,30180009,CDM,,,270,RC,inpatient,,2023.58,2023.58,,1718.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1525.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1720.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1780.75,88,,percent of total billed charges,,,,,,,,,1546.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1841.46,91,,percent of total billed charges,,,1922.4,95,,percent of total billed charges,,,1679.57,83,,percent of total billed charges,,,1679.57,83,,percent of total billed charges,,,,,,,,,,,,,,,1679.57,83,,percent of total billed charges,,,1922.4,95,,percent of total billed charges,,,1821.22,90,,percent of total billed charges,,,1821.22,90,,percent of total billed charges,,,1659.34,82,,percent of total billed charges,,,1821.22,90,,percent of total billed charges,,,1720.04,85,,percent of total billed charges,,1525.78,1922.4, STAPLER EEA INTRALUMINAL 29MM,30180010,CDM,,,270,RC,inpatient,,1805.83,1805.83,,1533.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1361.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1534.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1589.13,88,,percent of total billed charges,,,,,,,,,1379.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1643.31,91,,percent of total billed charges,,,1715.54,95,,percent of total billed charges,,,1498.84,83,,percent of total billed charges,,,1498.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1498.84,83,,percent of total billed charges,,,1715.54,95,,percent of total billed charges,,,1625.25,90,,percent of total billed charges,,,1625.25,90,,percent of total billed charges,,,1480.78,82,,percent of total billed charges,,,1625.25,90,,percent of total billed charges,,,1534.96,85,,percent of total billed charges,,1361.6,1715.54, STAPLER TA CUTTER CURVED,30180012,CDM,,,270,RC,inpatient,,2924.03,2924.03,,2482.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2204.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2485.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2573.15,88,,percent of total billed charges,,,,,,,,,2233.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2660.87,91,,percent of total billed charges,,,2777.83,95,,percent of total billed charges,,,2426.94,83,,percent of total billed charges,,,2426.94,83,,percent of total billed charges,,,,,,,,,,,,,,,2426.94,83,,percent of total billed charges,,,2777.83,95,,percent of total billed charges,,,2631.63,90,,percent of total billed charges,,,2631.63,90,,percent of total billed charges,,,2397.7,82,,percent of total billed charges,,,2631.63,90,,percent of total billed charges,,,2485.43,85,,percent of total billed charges,,2204.72,2777.83, STAPLER LIGACLIP ENDO ERCA M/L 10MM,30180013,CDM,,,270,RC,inpatient,,597.33,597.33,,507.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,450.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,507.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,525.65,88,,percent of total billed charges,,,,,,,,,456.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,543.57,91,,percent of total billed charges,,,567.46,95,,percent of total billed charges,,,495.78,83,,percent of total billed charges,,,495.78,83,,percent of total billed charges,,,,,,,,,,,,,,,495.78,83,,percent of total billed charges,,,567.46,95,,percent of total billed charges,,,537.6,90,,percent of total billed charges,,,537.6,90,,percent of total billed charges,,,489.81,82,,percent of total billed charges,,,537.6,90,,percent of total billed charges,,,507.73,85,,percent of total billed charges,,450.39,567.46, NEEDLE VERES PNEUMO 150MM,30180014,CDM,,,270,RC,inpatient,,98.88,98.88,,83.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,74.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,84.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,87.01,88,,percent of total billed charges,,,,,,,,,75.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,89.98,91,,percent of total billed charges,,,93.94,95,,percent of total billed charges,,,82.07,83,,percent of total billed charges,,,82.07,83,,percent of total billed charges,,,,,,,,,,,,,,,82.07,83,,percent of total billed charges,,,93.94,95,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,81.08,82,,percent of total billed charges,,,88.99,90,,percent of total billed charges,,,84.05,85,,percent of total billed charges,,74.56,93.94, STAPLER HEMORRHOID 33MM,30180015,CDM,,,270,RC,inpatient,,2583.95,2583.95,,2193.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1948.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2196.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2273.88,88,,percent of total billed charges,,,,,,,,,1974.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2351.39,91,,percent of total billed charges,,,2454.75,95,,percent of total billed charges,,,2144.68,83,,percent of total billed charges,,,2144.68,83,,percent of total billed charges,,,,,,,,,,,,,,,2144.68,83,,percent of total billed charges,,,2454.75,95,,percent of total billed charges,,,2325.56,90,,percent of total billed charges,,,2325.56,90,,percent of total billed charges,,,2118.84,82,,percent of total billed charges,,,2325.56,90,,percent of total billed charges,,,2196.36,85,,percent of total billed charges,,1948.3,2454.75, STAPLER GIA RELOAD 55MM,30180016,CDM,,,270,RC,inpatient,,365.19,365.19,,310.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,275.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,310.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,321.37,88,,percent of total billed charges,,,,,,,,,279.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,332.32,91,,percent of total billed charges,,,346.93,95,,percent of total billed charges,,,303.11,83,,percent of total billed charges,,,303.11,83,,percent of total billed charges,,,,,,,,,,,,,,,303.11,83,,percent of total billed charges,,,346.93,95,,percent of total billed charges,,,328.67,90,,percent of total billed charges,,,328.67,90,,percent of total billed charges,,,299.46,82,,percent of total billed charges,,,328.67,90,,percent of total billed charges,,,310.41,85,,percent of total billed charges,,275.35,346.93, STAPLER GIA RELOAD 75MM,30180017,CDM,,,270,RC,inpatient,,514.61,514.61,,436.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,388.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,437.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,452.86,88,,percent of total billed charges,,,,,,,,,393.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,468.3,91,,percent of total billed charges,,,488.88,95,,percent of total billed charges,,,427.13,83,,percent of total billed charges,,,427.13,83,,percent of total billed charges,,,,,,,,,,,,,,,427.13,83,,percent of total billed charges,,,488.88,95,,percent of total billed charges,,,463.15,90,,percent of total billed charges,,,463.15,90,,percent of total billed charges,,,421.98,82,,percent of total billed charges,,,463.15,90,,percent of total billed charges,,,437.42,85,,percent of total billed charges,,388.02,488.88, STAPLER GIA CUTTER 75MM,30180019,CDM,,,270,RC,inpatient,,896.07,896.07,,760.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,675.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,761.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,788.54,88,,percent of total billed charges,,,,,,,,,684.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,815.42,91,,percent of total billed charges,,,851.27,95,,percent of total billed charges,,,743.74,83,,percent of total billed charges,,,743.74,83,,percent of total billed charges,,,,,,,,,,,,,,,743.74,83,,percent of total billed charges,,,851.27,95,,percent of total billed charges,,,806.46,90,,percent of total billed charges,,,806.46,90,,percent of total billed charges,,,734.78,82,,percent of total billed charges,,,806.46,90,,percent of total billed charges,,,761.66,85,,percent of total billed charges,,675.64,851.27, STAPLER GIA ENDO RELOAD 45MM THIN,30180021,CDM,,,270,RC,inpatient,,884.59,884.59,,751.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,666.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,751.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,778.44,88,,percent of total billed charges,,,,,,,,,675.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,804.98,91,,percent of total billed charges,,,840.36,95,,percent of total billed charges,,,734.21,83,,percent of total billed charges,,,734.21,83,,percent of total billed charges,,,,,,,,,,,,,,,734.21,83,,percent of total billed charges,,,840.36,95,,percent of total billed charges,,,796.13,90,,percent of total billed charges,,,796.13,90,,percent of total billed charges,,,725.36,82,,percent of total billed charges,,,796.13,90,,percent of total billed charges,,,751.9,85,,percent of total billed charges,,666.98,840.36, STAPLER TA PROX LIN 30MM,30180024,CDM,,,270,RC,inpatient,,635.9,635.9,,539.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,479.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,540.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,559.59,88,,percent of total billed charges,,,,,,,,,485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,578.67,91,,percent of total billed charges,,,604.11,95,,percent of total billed charges,,,527.8,83,,percent of total billed charges,,,527.8,83,,percent of total billed charges,,,,,,,,,,,,,,,527.8,83,,percent of total billed charges,,,604.11,95,,percent of total billed charges,,,572.31,90,,percent of total billed charges,,,572.31,90,,percent of total billed charges,,,521.44,82,,percent of total billed charges,,,572.31,90,,percent of total billed charges,,,540.52,85,,percent of total billed charges,,479.47,604.11, STAPLER TA PROX LIN 60MM BLUE,30180025,CDM,,,270,RC,inpatient,,645.1,645.1,,547.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,486.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,548.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,567.69,88,,percent of total billed charges,,,,,,,,,492.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,587.04,91,,percent of total billed charges,,,612.85,95,,percent of total billed charges,,,535.43,83,,percent of total billed charges,,,535.43,83,,percent of total billed charges,,,,,,,,,,,,,,,535.43,83,,percent of total billed charges,,,612.85,95,,percent of total billed charges,,,580.59,90,,percent of total billed charges,,,580.59,90,,percent of total billed charges,,,528.98,82,,percent of total billed charges,,,580.59,90,,percent of total billed charges,,,548.34,85,,percent of total billed charges,,486.41,612.85, STAPLER TA PROX LIN 60MM GREEN,30180026,CDM,,,270,RC,inpatient,,671.86,671.86,,570.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,506.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,571.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,591.24,88,,percent of total billed charges,,,,,,,,,513.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,611.39,91,,percent of total billed charges,,,638.27,95,,percent of total billed charges,,,557.64,83,,percent of total billed charges,,,557.64,83,,percent of total billed charges,,,,,,,,,,,,,,,557.64,83,,percent of total billed charges,,,638.27,95,,percent of total billed charges,,,604.67,90,,percent of total billed charges,,,604.67,90,,percent of total billed charges,,,550.93,82,,percent of total billed charges,,,604.67,90,,percent of total billed charges,,,571.08,85,,percent of total billed charges,,506.58,638.27, DRAIN SATATOGA SUMP 28FR,30180029,CDM,,,270,RC,inpatient,,114.96,114.96,,97.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,86.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,97.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,101.16,88,,percent of total billed charges,,,,,,,,,87.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,104.61,91,,percent of total billed charges,,,109.21,95,,percent of total billed charges,,,95.42,83,,percent of total billed charges,,,95.42,83,,percent of total billed charges,,,,,,,,,,,,,,,95.42,83,,percent of total billed charges,,,109.21,95,,percent of total billed charges,,,103.46,90,,percent of total billed charges,,,103.46,90,,percent of total billed charges,,,94.27,82,,percent of total billed charges,,,103.46,90,,percent of total billed charges,,,97.72,85,,percent of total billed charges,,86.68,109.21, STAPLER RELOADS FOR 60MM BLUE,30180030,CDM,,,270,RC,inpatient,,355.13,355.13,,301.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,267.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,301.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,312.51,88,,percent of total billed charges,,,,,,,,,271.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,323.17,91,,percent of total billed charges,,,337.37,95,,percent of total billed charges,,,294.76,83,,percent of total billed charges,,,294.76,83,,percent of total billed charges,,,,,,,,,,,,,,,294.76,83,,percent of total billed charges,,,337.37,95,,percent of total billed charges,,,319.62,90,,percent of total billed charges,,,319.62,90,,percent of total billed charges,,,291.21,82,,percent of total billed charges,,,319.62,90,,percent of total billed charges,,,301.86,85,,percent of total billed charges,,267.77,337.37, STAPLER TA CUTTER 90MM,30180031,CDM,,,270,RC,inpatient,,731.45,731.45,,621,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,551.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,621.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,643.68,88,,percent of total billed charges,,,,,,,,,558.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,665.62,91,,percent of total billed charges,,,694.88,95,,percent of total billed charges,,,607.1,83,,percent of total billed charges,,,607.1,83,,percent of total billed charges,,,,,,,,,,,,,,,607.1,83,,percent of total billed charges,,,694.88,95,,percent of total billed charges,,,658.31,90,,percent of total billed charges,,,658.31,90,,percent of total billed charges,,,599.79,82,,percent of total billed charges,,,658.31,90,,percent of total billed charges,,,621.73,85,,percent of total billed charges,,551.51,694.88, FLUID WARMER COVER OPEN TOP 44 X 44,30180036,CDM,,,270,RC,inpatient,,225,225,,191.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,169.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,191.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198,88,,percent of total billed charges,,,,,,,,,171.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,204.75,91,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,,,,,,,,,,,,,186.75,83,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,184.5,82,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,191.25,85,,percent of total billed charges,,169.65,213.75, ENDO POUCH RETRIEVER 10MM,30180039,CDM,,,270,RC,inpatient,,300,300,,254.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,226.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,255,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,264,88,,percent of total billed charges,,,,,,,,,229.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,273,91,,percent of total billed charges,,,285,95,,percent of total billed charges,,,249,83,,percent of total billed charges,,,249,83,,percent of total billed charges,,,,,,,,,,,,,,,249,83,,percent of total billed charges,,,285,95,,percent of total billed charges,,,270,90,,percent of total billed charges,,,270,90,,percent of total billed charges,,,246,82,,percent of total billed charges,,,270,90,,percent of total billed charges,,,255,85,,percent of total billed charges,,226.2,285, LAPAFLATOR TUBING HIGH FLOW,30180051,CDM,,,270,RC,inpatient,,63.75,63.75,,54.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56.1,88,,percent of total billed charges,,,,,,,,,48.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58.01,91,,percent of total billed charges,,,60.56,95,,percent of total billed charges,,,52.91,83,,percent of total billed charges,,,52.91,83,,percent of total billed charges,,,,,,,,,,,,,,,52.91,83,,percent of total billed charges,,,60.56,95,,percent of total billed charges,,,57.38,90,,percent of total billed charges,,,57.38,90,,percent of total billed charges,,,52.28,82,,percent of total billed charges,,,57.38,90,,percent of total billed charges,,,54.19,85,,percent of total billed charges,,48.07,60.56, STRYKER SUCTION IRRIGATOR,30180056,CDM,,,270,RC,inpatient,,452.17,452.17,,383.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,340.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,384.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,397.91,88,,percent of total billed charges,,,,,,,,,345.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,411.47,91,,percent of total billed charges,,,429.56,95,,percent of total billed charges,,,375.3,83,,percent of total billed charges,,,375.3,83,,percent of total billed charges,,,,,,,,,,,,,,,375.3,83,,percent of total billed charges,,,429.56,95,,percent of total billed charges,,,406.95,90,,percent of total billed charges,,,406.95,90,,percent of total billed charges,,,370.78,82,,percent of total billed charges,,,406.95,90,,percent of total billed charges,,,384.34,85,,percent of total billed charges,,340.94,429.56, LAPROSCOPIC MORCELLATOR,30180060,CDM,,,270,RC,inpatient,,3411.2,3411.2,,2896.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2572.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2899.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3001.86,88,,percent of total billed charges,,,,,,,,,2606.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3104.19,91,,percent of total billed charges,,,3240.64,95,,percent of total billed charges,,,2831.3,83,,percent of total billed charges,,,2831.3,83,,percent of total billed charges,,,,,,,,,,,,,,,2831.3,83,,percent of total billed charges,,,3240.64,95,,percent of total billed charges,,,3070.08,90,,percent of total billed charges,,,3070.08,90,,percent of total billed charges,,,2797.18,82,,percent of total billed charges,,,3070.08,90,,percent of total billed charges,,,2899.52,85,,percent of total billed charges,,2572.04,3240.64, ELECTRODE TWIZZLE TIP,30180061,CDM,,,270,RC,inpatient,,2343.9,2343.9,,1989.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1767.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1992.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2062.63,88,,percent of total billed charges,,,,,,,,,1790.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2132.95,91,,percent of total billed charges,,,2226.71,95,,percent of total billed charges,,,1945.44,83,,percent of total billed charges,,,1945.44,83,,percent of total billed charges,,,,,,,,,,,,,,,1945.44,83,,percent of total billed charges,,,2226.71,95,,percent of total billed charges,,,2109.51,90,,percent of total billed charges,,,2109.51,90,,percent of total billed charges,,,1922,82,,percent of total billed charges,,,2109.51,90,,percent of total billed charges,,,1992.32,85,,percent of total billed charges,,1767.3,2226.71, ELECTRODE LOOP,30180062,CDM,,,270,RC,inpatient,,2145,2145,,1821.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1617.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1823.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1887.6,88,,percent of total billed charges,,,,,,,,,1638.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1951.95,91,,percent of total billed charges,,,2037.75,95,,percent of total billed charges,,,1780.35,83,,percent of total billed charges,,,1780.35,83,,percent of total billed charges,,,,,,,,,,,,,,,1780.35,83,,percent of total billed charges,,,2037.75,95,,percent of total billed charges,,,1930.5,90,,percent of total billed charges,,,1930.5,90,,percent of total billed charges,,,1758.9,82,,percent of total billed charges,,,1930.5,90,,percent of total billed charges,,,1823.25,85,,percent of total billed charges,,1617.33,2037.75, ELECTRODE 0-DEG VAPORIZING,30180063,CDM,,,270,RC,inpatient,,2607.35,2607.35,,2213.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1965.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2216.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2294.47,88,,percent of total billed charges,,,,,,,,,1992.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2372.69,91,,percent of total billed charges,,,2476.98,95,,percent of total billed charges,,,2164.1,83,,percent of total billed charges,,,2164.1,83,,percent of total billed charges,,,,,,,,,,,,,,,2164.1,83,,percent of total billed charges,,,2476.98,95,,percent of total billed charges,,,2346.62,90,,percent of total billed charges,,,2346.62,90,,percent of total billed charges,,,2138.03,82,,percent of total billed charges,,,2346.62,90,,percent of total billed charges,,,2216.25,85,,percent of total billed charges,,1965.94,2476.98, MESH PERFIX PLUG MEDIUM,30180070,CDM,,,270,RC,inpatient,,942.5,942.5,,800.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,710.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,801.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,829.4,88,,percent of total billed charges,,,,,,,,,720.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,857.68,91,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,,,,,,,,,,,,,782.28,83,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,772.85,82,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,801.13,85,,percent of total billed charges,,710.65,895.38, S&N CONQUEST FX FEM COMP SZ16,30180074,CDM,,,278,RC,inpatient,,8788,8788,,7461.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6626.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7469.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7733.44,88,,percent of total billed charges,,,,,,,,,6714.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7997.08,91,,percent of total billed charges,,,8348.6,95,,percent of total billed charges,,,7294.04,83,,percent of total billed charges,,,7294.04,83,,percent of total billed charges,,,,,,,,,,,,,,,7294.04,83,,percent of total billed charges,,,8348.6,95,,percent of total billed charges,,,7909.2,90,,percent of total billed charges,,,7909.2,90,,percent of total billed charges,,,7206.16,82,,percent of total billed charges,,,7909.2,90,,percent of total billed charges,,,7469.8,85,,percent of total billed charges,,6626.15,8348.6, TROCAR ENDO BLADELESS 5MM,30180102,CDM,,,270,RC,inpatient,,195.04,195.04,,165.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,165.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,171.64,88,,percent of total billed charges,,,,,,,,,149.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,177.49,91,,percent of total billed charges,,,185.29,95,,percent of total billed charges,,,161.88,83,,percent of total billed charges,,,161.88,83,,percent of total billed charges,,,,,,,,,,,,,,,161.88,83,,percent of total billed charges,,,185.29,95,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,159.93,82,,percent of total billed charges,,,175.54,90,,percent of total billed charges,,,165.78,85,,percent of total billed charges,,147.06,185.29, PROLIFT POSTERIOR,30180124,CDM,,,270,RC,inpatient,,9392.5,9392.5,,7974.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7081.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7983.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8265.4,88,,percent of total billed charges,,,,,,,,,7175.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8547.18,91,,percent of total billed charges,,,8922.88,95,,percent of total billed charges,,,7795.78,83,,percent of total billed charges,,,7795.78,83,,percent of total billed charges,,,,,,,,,,,,,,,7795.78,83,,percent of total billed charges,,,8922.88,95,,percent of total billed charges,,,8453.25,90,,percent of total billed charges,,,8453.25,90,,percent of total billed charges,,,7701.85,82,,percent of total billed charges,,,8453.25,90,,percent of total billed charges,,,7983.63,85,,percent of total billed charges,,7081.95,8922.88, PROLIFT TOTAL,30180125,CDM,,,270,RC,inpatient,,12512.5,12512.5,,10623.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9434.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10635.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11011,88,,percent of total billed charges,,,,,,,,,9559.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11386.38,91,,percent of total billed charges,,,11886.88,95,,percent of total billed charges,,,10385.38,83,,percent of total billed charges,,,10385.38,83,,percent of total billed charges,,,,,,,,,,,,,,,10385.38,83,,percent of total billed charges,,,11886.88,95,,percent of total billed charges,,,11261.25,90,,percent of total billed charges,,,11261.25,90,,percent of total billed charges,,,10260.25,82,,percent of total billed charges,,,11261.25,90,,percent of total billed charges,,,10635.63,85,,percent of total billed charges,,9434.43,11886.88, TVTO SYSTEM TENSION-FREE,30180131,CDM,,,270,RC,inpatient,,10865.6,10865.6,,9224.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8192.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9235.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9561.73,88,,percent of total billed charges,,,,,,,,,8301.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9887.7,91,,percent of total billed charges,,,10322.32,95,,percent of total billed charges,,,9018.45,83,,percent of total billed charges,,,9018.45,83,,percent of total billed charges,,,,,,,,,,,,,,,9018.45,83,,percent of total billed charges,,,10322.32,95,,percent of total billed charges,,,9779.04,90,,percent of total billed charges,,,9779.04,90,,percent of total billed charges,,,8909.79,82,,percent of total billed charges,,,9779.04,90,,percent of total billed charges,,,9235.76,85,,percent of total billed charges,,8192.66,10322.32, COBLATOR WAND,30180134,CDM,,,270,RC,inpatient,,2007.85,2007.85,,1704.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1513.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1706.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1766.91,88,,percent of total billed charges,,,,,,,,,1534,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1827.14,91,,percent of total billed charges,,,1907.46,95,,percent of total billed charges,,,1666.52,83,,percent of total billed charges,,,1666.52,83,,percent of total billed charges,,,,,,,,,,,,,,,1666.52,83,,percent of total billed charges,,,1907.46,95,,percent of total billed charges,,,1807.07,90,,percent of total billed charges,,,1807.07,90,,percent of total billed charges,,,1646.44,82,,percent of total billed charges,,,1807.07,90,,percent of total billed charges,,,1706.67,85,,percent of total billed charges,,1513.92,1907.46, LAPROSCOPIC CHOLANGIOGRAM CATHETER 19GA,30180143,CDM,,,270,RC,inpatient,,261.75,261.75,,222.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.34,88,,percent of total billed charges,,,,,,,,,199.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.19,91,,percent of total billed charges,,,248.66,95,,percent of total billed charges,,,217.25,83,,percent of total billed charges,,,217.25,83,,percent of total billed charges,,,,,,,,,,,,,,,217.25,83,,percent of total billed charges,,,248.66,95,,percent of total billed charges,,,235.58,90,,percent of total billed charges,,,235.58,90,,percent of total billed charges,,,214.64,82,,percent of total billed charges,,,235.58,90,,percent of total billed charges,,,222.49,85,,percent of total billed charges,,197.36,248.66, PROLIFT ANTERIOR,30180144,CDM,,,270,RC,inpatient,,9912.5,9912.5,,8415.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7474.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8425.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8723,88,,percent of total billed charges,,,,,,,,,7573.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9020.38,91,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,,,,,,,,,,,,,8227.38,83,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8128.25,82,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8425.63,85,,percent of total billed charges,,7474.03,9416.88, ESSURE BIRTH CONTROL SYSTEM,30180152,CDM,,,270,RC,inpatient,,6012.5,6012.5,,5104.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4533.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5110.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5291,88,,percent of total billed charges,,,,,,,,,4593.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5471.38,91,,percent of total billed charges,,,5711.88,95,,percent of total billed charges,,,4990.38,83,,percent of total billed charges,,,4990.38,83,,percent of total billed charges,,,,,,,,,,,,,,,4990.38,83,,percent of total billed charges,,,5711.88,95,,percent of total billed charges,,,5411.25,90,,percent of total billed charges,,,5411.25,90,,percent of total billed charges,,,4930.25,82,,percent of total billed charges,,,5411.25,90,,percent of total billed charges,,,5110.63,85,,percent of total billed charges,,4533.43,5711.88, CONTRAST OMNIPAQUE-300 10ML,30180154,CDM,,,270,RC,inpatient,,138.14,138.14,,117.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,104.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,117.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,121.56,88,,percent of total billed charges,,,,,,,,,105.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,125.71,91,,percent of total billed charges,,,131.23,95,,percent of total billed charges,,,114.66,83,,percent of total billed charges,,,114.66,83,,percent of total billed charges,,,,,,,,,,,,,,,114.66,83,,percent of total billed charges,,,131.23,95,,percent of total billed charges,,,124.33,90,,percent of total billed charges,,,124.33,90,,percent of total billed charges,,,113.27,82,,percent of total billed charges,,,124.33,90,,percent of total billed charges,,,117.42,85,,percent of total billed charges,,104.16,131.23, VERICES INJECTOR NEEDLE ACU-JECT,30180155,CDM,,,270,RC,inpatient,,300,300,,254.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,226.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,255,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,264,88,,percent of total billed charges,,,,,,,,,229.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,273,91,,percent of total billed charges,,,285,95,,percent of total billed charges,,,249,83,,percent of total billed charges,,,249,83,,percent of total billed charges,,,,,,,,,,,,,,,249,83,,percent of total billed charges,,,285,95,,percent of total billed charges,,,270,90,,percent of total billed charges,,,270,90,,percent of total billed charges,,,246,82,,percent of total billed charges,,,270,90,,percent of total billed charges,,,255,85,,percent of total billed charges,,226.2,285, GYNECARE TVT SECURE SYSTEM,30180180,CDM,,,270,RC,inpatient,,6476.93,6476.93,,5498.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4883.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5505.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5699.7,88,,percent of total billed charges,,,,,,,,,4948.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5894.01,91,,percent of total billed charges,,,6153.08,95,,percent of total billed charges,,,5375.85,83,,percent of total billed charges,,,5375.85,83,,percent of total billed charges,,,,,,,,,,,,,,,5375.85,83,,percent of total billed charges,,,6153.08,95,,percent of total billed charges,,,5829.24,90,,percent of total billed charges,,,5829.24,90,,percent of total billed charges,,,5311.08,82,,percent of total billed charges,,,5829.24,90,,percent of total billed charges,,,5505.39,85,,percent of total billed charges,,4883.61,6153.08, NERVE BLOCK PAIN PACK,30180199,CDM,,,270,RC,inpatient,,148,148,,125.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,111.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,125.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,130.24,88,,percent of total billed charges,,,,,,,,,113.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,134.68,91,,percent of total billed charges,,,140.6,95,,percent of total billed charges,,,122.84,83,,percent of total billed charges,,,122.84,83,,percent of total billed charges,,,,,,,,,,,,,,,122.84,83,,percent of total billed charges,,,140.6,95,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,121.36,82,,percent of total billed charges,,,133.2,90,,percent of total billed charges,,,125.8,85,,percent of total billed charges,,111.59,140.6, TUBE EAR PAPARELLA 1 VENT,30180200,CDM,,,270,RC,inpatient,,176.8,176.8,,150.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,133.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,150.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,155.58,88,,percent of total billed charges,,,,,,,,,135.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.89,91,,percent of total billed charges,,,167.96,95,,percent of total billed charges,,,146.74,83,,percent of total billed charges,,,146.74,83,,percent of total billed charges,,,,,,,,,,,,,,,146.74,83,,percent of total billed charges,,,167.96,95,,percent of total billed charges,,,159.12,90,,percent of total billed charges,,,159.12,90,,percent of total billed charges,,,144.98,82,,percent of total billed charges,,,159.12,90,,percent of total billed charges,,,150.28,85,,percent of total billed charges,,133.31,167.96, CONTRAST RENOGRAFIN-30 50ML,30180211,CDM,,,270,RC,inpatient,,28.26,28.26,,23.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24.87,88,,percent of total billed charges,,,,,,,,,21.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25.72,91,,percent of total billed charges,,,26.85,95,,percent of total billed charges,,,23.46,83,,percent of total billed charges,,,23.46,83,,percent of total billed charges,,,,,,,,,,,,,,,23.46,83,,percent of total billed charges,,,26.85,95,,percent of total billed charges,,,25.43,90,,percent of total billed charges,,,25.43,90,,percent of total billed charges,,,23.17,82,,percent of total billed charges,,,25.43,90,,percent of total billed charges,,,24.02,85,,percent of total billed charges,,21.31,26.85, CARTER THOMASON CLOSURE SYSTEM,30180213,CDM,,,270,RC,inpatient,,808.5,808.5,,686.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,609.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,687.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,711.48,88,,percent of total billed charges,,,,,,,,,617.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,735.74,91,,percent of total billed charges,,,768.08,95,,percent of total billed charges,,,671.06,83,,percent of total billed charges,,,671.06,83,,percent of total billed charges,,,,,,,,,,,,,,,671.06,83,,percent of total billed charges,,,768.08,95,,percent of total billed charges,,,727.65,90,,percent of total billed charges,,,727.65,90,,percent of total billed charges,,,662.97,82,,percent of total billed charges,,,727.65,90,,percent of total billed charges,,,687.23,85,,percent of total billed charges,,609.61,768.08, TRAY LAP CHOLE FLEX,30180214,CDM,,,270,RC,inpatient,,1747.22,1747.22,,1483.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1317.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1485.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1537.55,88,,percent of total billed charges,,,,,,,,,1334.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1589.97,91,,percent of total billed charges,,,1659.86,95,,percent of total billed charges,,,1450.19,83,,percent of total billed charges,,,1450.19,83,,percent of total billed charges,,,,,,,,,,,,,,,1450.19,83,,percent of total billed charges,,,1659.86,95,,percent of total billed charges,,,1572.5,90,,percent of total billed charges,,,1572.5,90,,percent of total billed charges,,,1432.72,82,,percent of total billed charges,,,1572.5,90,,percent of total billed charges,,,1485.14,85,,percent of total billed charges,,1317.4,1659.86, S&N COFIELD-2 ECCRNTRIC HEAD 24MM,30180228,CDM,,,278,RC,inpatient,,7635.42,7635.42,,6482.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5757.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6490.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6719.17,88,,percent of total billed charges,,,,,,,,,5833.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6948.23,91,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,,,,,,,,,,,,,6337.4,83,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6261.04,82,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6490.11,85,,percent of total billed charges,,5757.11,7253.65, MESH DAVOL FLAT 2 X 4,30180237,CDM,,,270,RC,inpatient,,342.53,342.53,,290.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,258.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,291.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,301.43,88,,percent of total billed charges,,,,,,,,,261.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,311.7,91,,percent of total billed charges,,,325.4,95,,percent of total billed charges,,,284.3,83,,percent of total billed charges,,,284.3,83,,percent of total billed charges,,,,,,,,,,,,,,,284.3,83,,percent of total billed charges,,,325.4,95,,percent of total billed charges,,,308.28,90,,percent of total billed charges,,,308.28,90,,percent of total billed charges,,,280.87,82,,percent of total billed charges,,,308.28,90,,percent of total billed charges,,,291.15,85,,percent of total billed charges,,258.27,325.4, S&N COFIELD-2 ECCRNTRIC HEAD 46MM,30180243,CDM,,,278,RC,inpatient,,7635.42,7635.42,,6482.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5757.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6490.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6719.17,88,,percent of total billed charges,,,,,,,,,5833.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6948.23,91,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,,,,,,,,,,,,,6337.4,83,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6261.04,82,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6490.11,85,,percent of total billed charges,,5757.11,7253.65, STAPLER RELOADS FOR 60MM GREEN,30180249,CDM,,,270,RC,inpatient,,345.53,345.53,,293.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,260.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,293.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,304.07,88,,percent of total billed charges,,,,,,,,,263.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,314.43,91,,percent of total billed charges,,,328.25,95,,percent of total billed charges,,,286.79,83,,percent of total billed charges,,,286.79,83,,percent of total billed charges,,,,,,,,,,,,,,,286.79,83,,percent of total billed charges,,,328.25,95,,percent of total billed charges,,,310.98,90,,percent of total billed charges,,,310.98,90,,percent of total billed charges,,,283.33,82,,percent of total billed charges,,,310.98,90,,percent of total billed charges,,,293.7,85,,percent of total billed charges,,260.53,328.25, CATHETER RACZ 24IN 610MM,30180250,CDM,,,270,RC,inpatient,,533.61,533.61,,453.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,402.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,453.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,469.58,88,,percent of total billed charges,,,,,,,,,407.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,485.59,91,,percent of total billed charges,,,506.93,95,,percent of total billed charges,,,442.9,83,,percent of total billed charges,,,442.9,83,,percent of total billed charges,,,,,,,,,,,,,,,442.9,83,,percent of total billed charges,,,506.93,95,,percent of total billed charges,,,480.25,90,,percent of total billed charges,,,480.25,90,,percent of total billed charges,,,437.56,82,,percent of total billed charges,,,480.25,90,,percent of total billed charges,,,453.57,85,,percent of total billed charges,,402.34,506.93, GYRUS CUTTING FORCEP 33CM,30180251,CDM,,,270,RC,inpatient,,3146,3146,,2670.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2372.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2674.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2768.48,88,,percent of total billed charges,,,,,,,,,2403.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2862.86,91,,percent of total billed charges,,,2988.7,95,,percent of total billed charges,,,2611.18,83,,percent of total billed charges,,,2611.18,83,,percent of total billed charges,,,,,,,,,,,,,,,2611.18,83,,percent of total billed charges,,,2988.7,95,,percent of total billed charges,,,2831.4,90,,percent of total billed charges,,,2831.4,90,,percent of total billed charges,,,2579.72,82,,percent of total billed charges,,,2831.4,90,,percent of total billed charges,,,2674.1,85,,percent of total billed charges,,2372.08,2988.7, GYRUS PLASMA SEAL FORCEP 25CM,30180252,CDM,,,270,RC,inpatient,,1943.5,1943.5,,1650.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1465.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1651.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1710.28,88,,percent of total billed charges,,,,,,,,,1484.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1768.59,91,,percent of total billed charges,,,1846.33,95,,percent of total billed charges,,,1613.11,83,,percent of total billed charges,,,1613.11,83,,percent of total billed charges,,,,,,,,,,,,,,,1613.11,83,,percent of total billed charges,,,1846.33,95,,percent of total billed charges,,,1749.15,90,,percent of total billed charges,,,1749.15,90,,percent of total billed charges,,,1593.67,82,,percent of total billed charges,,,1749.15,90,,percent of total billed charges,,,1651.98,85,,percent of total billed charges,,1465.4,1846.33, GYRUS PKS SEAL,30180257,CDM,,,270,RC,inpatient,,2822.3,2822.3,,2396.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2128.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2398.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2483.62,88,,percent of total billed charges,,,,,,,,,2156.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2568.29,91,,percent of total billed charges,,,2681.19,95,,percent of total billed charges,,,2342.51,83,,percent of total billed charges,,,2342.51,83,,percent of total billed charges,,,,,,,,,,,,,,,2342.51,83,,percent of total billed charges,,,2681.19,95,,percent of total billed charges,,,2540.07,90,,percent of total billed charges,,,2540.07,90,,percent of total billed charges,,,2314.29,82,,percent of total billed charges,,,2540.07,90,,percent of total billed charges,,,2398.96,85,,percent of total billed charges,,2128.01,2681.19, DRAPE UROLOGICAL 23-1/2,30180294,CDM,,,270,RC,inpatient,,38.07,38.07,,32.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.5,88,,percent of total billed charges,,,,,,,,,29.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34.64,91,,percent of total billed charges,,,36.17,95,,percent of total billed charges,,,31.6,83,,percent of total billed charges,,,31.6,83,,percent of total billed charges,,,,,,,,,,,,,,,31.6,83,,percent of total billed charges,,,36.17,95,,percent of total billed charges,,,34.26,90,,percent of total billed charges,,,34.26,90,,percent of total billed charges,,,31.22,82,,percent of total billed charges,,,34.26,90,,percent of total billed charges,,,32.36,85,,percent of total billed charges,,28.7,36.17, S&N COFIELD-2 ECCRNTRIC HEAD 18MM,30180304,CDM,,,278,RC,inpatient,,7635.42,7635.42,,6482.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5757.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6490.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6719.17,88,,percent of total billed charges,,,,,,,,,5833.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6948.23,91,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,,,,,,,,,,,,,6337.4,83,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6261.04,82,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6490.11,85,,percent of total billed charges,,5757.11,7253.65, FILSHIE CLIP,30180307,CDM,,,270,RC,inpatient,,534.66,534.66,,453.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,403.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,454.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,470.5,88,,percent of total billed charges,,,,,,,,,408.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,486.54,91,,percent of total billed charges,,,507.93,95,,percent of total billed charges,,,443.77,83,,percent of total billed charges,,,443.77,83,,percent of total billed charges,,,,,,,,,,,,,,,443.77,83,,percent of total billed charges,,,507.93,95,,percent of total billed charges,,,481.19,90,,percent of total billed charges,,,481.19,90,,percent of total billed charges,,,438.42,82,,percent of total billed charges,,,481.19,90,,percent of total billed charges,,,454.46,85,,percent of total billed charges,,403.13,507.93, TUBING ARTHROSCOPY IRRIGATION,30180314,CDM,,,270,RC,inpatient,,315,315,,267.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,237.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,267.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,277.2,88,,percent of total billed charges,,,,,,,,,240.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,286.65,91,,percent of total billed charges,,,299.25,95,,percent of total billed charges,,,261.45,83,,percent of total billed charges,,,261.45,83,,percent of total billed charges,,,,,,,,,,,,,,,261.45,83,,percent of total billed charges,,,299.25,95,,percent of total billed charges,,,283.5,90,,percent of total billed charges,,,283.5,90,,percent of total billed charges,,,258.3,82,,percent of total billed charges,,,283.5,90,,percent of total billed charges,,,267.75,85,,percent of total billed charges,,237.51,299.25, SURGICEL 2 X 14,30180316,CDM,,,270,RC,inpatient,,1323.81,1323.81,,1123.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,998.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1125.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1164.95,88,,percent of total billed charges,,,,,,,,,1011.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1204.67,91,,percent of total billed charges,,,1257.62,95,,percent of total billed charges,,,1098.76,83,,percent of total billed charges,,,1098.76,83,,percent of total billed charges,,,,,,,,,,,,,,,1098.76,83,,percent of total billed charges,,,1257.62,95,,percent of total billed charges,,,1191.43,90,,percent of total billed charges,,,1191.43,90,,percent of total billed charges,,,1085.52,82,,percent of total billed charges,,,1191.43,90,,percent of total billed charges,,,1125.24,85,,percent of total billed charges,,998.15,1257.62, LEEP PATIENT RETURN PAD,30180317,CDM,,,270,RC,inpatient,,71.3,71.3,,60.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,53.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,60.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,62.74,88,,percent of total billed charges,,,,,,,,,54.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,64.88,91,,percent of total billed charges,,,67.74,95,,percent of total billed charges,,,59.18,83,,percent of total billed charges,,,59.18,83,,percent of total billed charges,,,,,,,,,,,,,,,59.18,83,,percent of total billed charges,,,67.74,95,,percent of total billed charges,,,64.17,90,,percent of total billed charges,,,64.17,90,,percent of total billed charges,,,58.47,82,,percent of total billed charges,,,64.17,90,,percent of total billed charges,,,60.61,85,,percent of total billed charges,,53.76,67.74, LEEP ELECTRODE HANDPIECE,30180318,CDM,,,270,RC,inpatient,,38.61,38.61,,32.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33.98,88,,percent of total billed charges,,,,,,,,,29.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35.14,91,,percent of total billed charges,,,36.68,95,,percent of total billed charges,,,32.05,83,,percent of total billed charges,,,32.05,83,,percent of total billed charges,,,,,,,,,,,,,,,32.05,83,,percent of total billed charges,,,36.68,95,,percent of total billed charges,,,34.75,90,,percent of total billed charges,,,34.75,90,,percent of total billed charges,,,31.66,82,,percent of total billed charges,,,34.75,90,,percent of total billed charges,,,32.82,85,,percent of total billed charges,,29.11,36.68, S&N CONQUEST FX FEM COMP SZ15,30180325,CDM,,,278,RC,inpatient,,8788,8788,,7461.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6626.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7469.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7733.44,88,,percent of total billed charges,,,,,,,,,6714.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7997.08,91,,percent of total billed charges,,,8348.6,95,,percent of total billed charges,,,7294.04,83,,percent of total billed charges,,,7294.04,83,,percent of total billed charges,,,,,,,,,,,,,,,7294.04,83,,percent of total billed charges,,,8348.6,95,,percent of total billed charges,,,7909.2,90,,percent of total billed charges,,,7909.2,90,,percent of total billed charges,,,7206.16,82,,percent of total billed charges,,,7909.2,90,,percent of total billed charges,,,7469.8,85,,percent of total billed charges,,6626.15,8348.6, CONTRAST RENOGRAFIN-60 50ML,30180327,CDM,,,270,RC,inpatient,,24.03,24.03,,20.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.15,88,,percent of total billed charges,,,,,,,,,18.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.87,91,,percent of total billed charges,,,22.83,95,,percent of total billed charges,,,19.94,83,,percent of total billed charges,,,19.94,83,,percent of total billed charges,,,,,,,,,,,,,,,19.94,83,,percent of total billed charges,,,22.83,95,,percent of total billed charges,,,21.63,90,,percent of total billed charges,,,21.63,90,,percent of total billed charges,,,19.7,82,,percent of total billed charges,,,21.63,90,,percent of total billed charges,,,20.43,85,,percent of total billed charges,,18.12,22.83, NOVASURE DISPOSABLE HANDPIECE,30180328,CDM,,,270,RC,inpatient,,6467.5,6467.5,,5490.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4876.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5497.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5691.4,88,,percent of total billed charges,,,,,,,,,4941.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5885.43,91,,percent of total billed charges,,,6144.13,95,,percent of total billed charges,,,5368.03,83,,percent of total billed charges,,,5368.03,83,,percent of total billed charges,,,,,,,,,,,,,,,5368.03,83,,percent of total billed charges,,,6144.13,95,,percent of total billed charges,,,5820.75,90,,percent of total billed charges,,,5820.75,90,,percent of total billed charges,,,5303.35,82,,percent of total billed charges,,,5820.75,90,,percent of total billed charges,,,5497.38,85,,percent of total billed charges,,4876.5,6144.13, LEEP REDI KIT,30180335,CDM,,,270,RC,inpatient,,253.05,253.05,,214.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,190.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,215.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,222.68,88,,percent of total billed charges,,,,,,,,,193.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,230.28,91,,percent of total billed charges,,,240.4,95,,percent of total billed charges,,,210.03,83,,percent of total billed charges,,,210.03,83,,percent of total billed charges,,,,,,,,,,,,,,,210.03,83,,percent of total billed charges,,,240.4,95,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,207.5,82,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,215.09,85,,percent of total billed charges,,190.8,240.4, MESH DAVOL FLAT 10 X 14,30180344,CDM,,,270,RC,inpatient,,665.7,665.7,,565.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,501.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,565.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,585.82,88,,percent of total billed charges,,,,,,,,,508.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,605.79,91,,percent of total billed charges,,,632.42,95,,percent of total billed charges,,,552.53,83,,percent of total billed charges,,,552.53,83,,percent of total billed charges,,,,,,,,,,,,,,,552.53,83,,percent of total billed charges,,,632.42,95,,percent of total billed charges,,,599.13,90,,percent of total billed charges,,,599.13,90,,percent of total billed charges,,,545.87,82,,percent of total billed charges,,,599.13,90,,percent of total billed charges,,,565.85,85,,percent of total billed charges,,501.94,632.42, NOVASURE DEVICE KIT,30180348,CDM,,,270,RC,inpatient,,7290.83,7290.83,,6189.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5497.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6197.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6415.93,88,,percent of total billed charges,,,,,,,,,5570.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6634.66,91,,percent of total billed charges,,,6926.29,95,,percent of total billed charges,,,6051.39,83,,percent of total billed charges,,,6051.39,83,,percent of total billed charges,,,,,,,,,,,,,,,6051.39,83,,percent of total billed charges,,,6926.29,95,,percent of total billed charges,,,6561.75,90,,percent of total billed charges,,,6561.75,90,,percent of total billed charges,,,5978.48,82,,percent of total billed charges,,,6561.75,90,,percent of total billed charges,,,6197.21,85,,percent of total billed charges,,5497.29,6926.29, S&N COFIELD-2 ECCRNTRIC HEAD 20MM,30180358,CDM,,,278,RC,inpatient,,7635.42,7635.42,,6482.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5757.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6490.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6719.17,88,,percent of total billed charges,,,,,,,,,5833.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6948.23,91,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,6337.4,83,,percent of total billed charges,,,,,,,,,,,,,,,6337.4,83,,percent of total billed charges,,,7253.65,95,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6261.04,82,,percent of total billed charges,,,6871.88,90,,percent of total billed charges,,,6490.11,85,,percent of total billed charges,,5757.11,7253.65, ZIMMER GIGLI SAW BLADE,30180362,CDM,,,270,RC,inpatient,,169.09,169.09,,143.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,127.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,143.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,148.8,88,,percent of total billed charges,,,,,,,,,129.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,153.87,91,,percent of total billed charges,,,160.64,95,,percent of total billed charges,,,140.34,83,,percent of total billed charges,,,140.34,83,,percent of total billed charges,,,,,,,,,,,,,,,140.34,83,,percent of total billed charges,,,160.64,95,,percent of total billed charges,,,152.18,90,,percent of total billed charges,,,152.18,90,,percent of total billed charges,,,138.65,82,,percent of total billed charges,,,152.18,90,,percent of total billed charges,,,143.73,85,,percent of total billed charges,,127.49,160.64, SURECLIP 22MM HEMOSTATSIS CLIP,30180363,CDM,,,270,RC,inpatient,,978.15,978.15,,830.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,737.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,831.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,860.77,88,,percent of total billed charges,,,,,,,,,747.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,890.12,91,,percent of total billed charges,,,929.24,95,,percent of total billed charges,,,811.86,83,,percent of total billed charges,,,811.86,83,,percent of total billed charges,,,,,,,,,,,,,,,811.86,83,,percent of total billed charges,,,929.24,95,,percent of total billed charges,,,880.34,90,,percent of total billed charges,,,880.34,90,,percent of total billed charges,,,802.08,82,,percent of total billed charges,,,880.34,90,,percent of total billed charges,,,831.43,85,,percent of total billed charges,,737.53,929.24, COBLATOR WAND FLEX ULTRA,30180367,CDM,,,270,RC,inpatient,,1430,1430,,1214.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1078.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1215.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1258.4,88,,percent of total billed charges,,,,,,,,,1092.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1301.3,91,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,,,,,,,,,,,,,1186.9,83,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1172.6,82,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1215.5,85,,percent of total billed charges,,1078.22,1358.5, CATH THORACIC STRAIGHT 24F 8.0M,30180371,CDM,,,270,RC,inpatient,,45.73,45.73,,38.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.24,88,,percent of total billed charges,,,,,,,,,34.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41.61,91,,percent of total billed charges,,,43.44,95,,percent of total billed charges,,,37.96,83,,percent of total billed charges,,,37.96,83,,percent of total billed charges,,,,,,,,,,,,,,,37.96,83,,percent of total billed charges,,,43.44,95,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,37.5,82,,percent of total billed charges,,,41.16,90,,percent of total billed charges,,,38.87,85,,percent of total billed charges,,34.48,43.44, STRYKER SHAVER PLUS 5.0,30180373,CDM,,,270,RC,inpatient,,410.45,410.45,,348.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,309.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,348.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,361.2,88,,percent of total billed charges,,,,,,,,,313.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,373.51,91,,percent of total billed charges,,,389.93,95,,percent of total billed charges,,,340.67,83,,percent of total billed charges,,,340.67,83,,percent of total billed charges,,,,,,,,,,,,,,,340.67,83,,percent of total billed charges,,,389.93,95,,percent of total billed charges,,,369.41,90,,percent of total billed charges,,,369.41,90,,percent of total billed charges,,,336.57,82,,percent of total billed charges,,,369.41,90,,percent of total billed charges,,,348.88,85,,percent of total billed charges,,309.48,389.93, CRYO SHOULDER CUFF,30180381,CDM,,,270,RC,inpatient,,329.78,329.78,,279.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,248.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,280.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,290.21,88,,percent of total billed charges,,,,,,,,,251.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,300.1,91,,percent of total billed charges,,,313.29,95,,percent of total billed charges,,,273.72,83,,percent of total billed charges,,,273.72,83,,percent of total billed charges,,,,,,,,,,,,,,,273.72,83,,percent of total billed charges,,,313.29,95,,percent of total billed charges,,,296.8,90,,percent of total billed charges,,,296.8,90,,percent of total billed charges,,,270.42,82,,percent of total billed charges,,,296.8,90,,percent of total billed charges,,,280.31,85,,percent of total billed charges,,248.65,313.29, SYNTHES SCREW CORTEX 3.5X14MM,30180382,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X16MM,30180383,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X18MM,30180384,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X22MM,30180385,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, *PAIN PUMP 250ML 5 CATH (DUPLICATE),30180392,CDM,,,270,RC,inpatient,,701,701,,595.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,528.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,595.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,616.88,88,,percent of total billed charges,,,,,,,,,535.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,637.91,91,,percent of total billed charges,,,665.95,95,,percent of total billed charges,,,581.83,83,,percent of total billed charges,,,581.83,83,,percent of total billed charges,,,,,,,,,,,,,,,581.83,83,,percent of total billed charges,,,665.95,95,,percent of total billed charges,,,630.9,90,,percent of total billed charges,,,630.9,90,,percent of total billed charges,,,574.82,82,,percent of total billed charges,,,630.9,90,,percent of total billed charges,,,595.85,85,,percent of total billed charges,,528.55,665.95, STRYKER BLADE XL WIDE 34.5 X 12,30180393,CDM,,,270,RC,inpatient,,307.28,307.28,,260.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,231.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,261.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,270.41,88,,percent of total billed charges,,,,,,,,,234.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,279.62,91,,percent of total billed charges,,,291.92,95,,percent of total billed charges,,,255.04,83,,percent of total billed charges,,,255.04,83,,percent of total billed charges,,,,,,,,,,,,,,,255.04,83,,percent of total billed charges,,,291.92,95,,percent of total billed charges,,,276.55,90,,percent of total billed charges,,,276.55,90,,percent of total billed charges,,,251.97,82,,percent of total billed charges,,,276.55,90,,percent of total billed charges,,,261.19,85,,percent of total billed charges,,231.69,291.92, CRYO ANKLE CUFF,30180394,CDM,,,270,RC,inpatient,,274.8,274.8,,233.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,207.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,233.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,241.82,88,,percent of total billed charges,,,,,,,,,209.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,250.07,91,,percent of total billed charges,,,261.06,95,,percent of total billed charges,,,228.08,83,,percent of total billed charges,,,228.08,83,,percent of total billed charges,,,,,,,,,,,,,,,228.08,83,,percent of total billed charges,,,261.06,95,,percent of total billed charges,,,247.32,90,,percent of total billed charges,,,247.32,90,,percent of total billed charges,,,225.34,82,,percent of total billed charges,,,247.32,90,,percent of total billed charges,,,233.58,85,,percent of total billed charges,,207.2,261.06, CRYO KNEE CUFF S,30180395,CDM,,,270,RC,inpatient,,274.8,274.8,,233.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,207.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,233.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,241.82,88,,percent of total billed charges,,,,,,,,,209.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,250.07,91,,percent of total billed charges,,,261.06,95,,percent of total billed charges,,,228.08,83,,percent of total billed charges,,,228.08,83,,percent of total billed charges,,,,,,,,,,,,,,,228.08,83,,percent of total billed charges,,,261.06,95,,percent of total billed charges,,,247.32,90,,percent of total billed charges,,,247.32,90,,percent of total billed charges,,,225.34,82,,percent of total billed charges,,,247.32,90,,percent of total billed charges,,,233.58,85,,percent of total billed charges,,207.2,261.06, CRYO KNEE CUFF M,30180396,CDM,,,270,RC,inpatient,,269.33,269.33,,228.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,203.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,228.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,237.01,88,,percent of total billed charges,,,,,,,,,205.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,245.09,91,,percent of total billed charges,,,255.86,95,,percent of total billed charges,,,223.54,83,,percent of total billed charges,,,223.54,83,,percent of total billed charges,,,,,,,,,,,,,,,223.54,83,,percent of total billed charges,,,255.86,95,,percent of total billed charges,,,242.4,90,,percent of total billed charges,,,242.4,90,,percent of total billed charges,,,220.85,82,,percent of total billed charges,,,242.4,90,,percent of total billed charges,,,228.93,85,,percent of total billed charges,,203.07,255.86, CRYO KNEE CUFF L,30180397,CDM,,,270,RC,inpatient,,255.38,255.38,,216.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,192.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,217.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,224.73,88,,percent of total billed charges,,,,,,,,,195.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,232.4,91,,percent of total billed charges,,,242.61,95,,percent of total billed charges,,,211.97,83,,percent of total billed charges,,,211.97,83,,percent of total billed charges,,,,,,,,,,,,,,,211.97,83,,percent of total billed charges,,,242.61,95,,percent of total billed charges,,,229.84,90,,percent of total billed charges,,,229.84,90,,percent of total billed charges,,,209.41,82,,percent of total billed charges,,,229.84,90,,percent of total billed charges,,,217.07,85,,percent of total billed charges,,192.56,242.61, CRYO SHOULDER CUFF W/ XL STRAP,30180399,CDM,,,270,RC,inpatient,,312.75,312.75,,265.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,235.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,265.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,275.22,88,,percent of total billed charges,,,,,,,,,238.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,284.6,91,,percent of total billed charges,,,297.11,95,,percent of total billed charges,,,259.58,83,,percent of total billed charges,,,259.58,83,,percent of total billed charges,,,,,,,,,,,,,,,259.58,83,,percent of total billed charges,,,297.11,95,,percent of total billed charges,,,281.48,90,,percent of total billed charges,,,281.48,90,,percent of total billed charges,,,256.46,82,,percent of total billed charges,,,281.48,90,,percent of total billed charges,,,265.84,85,,percent of total billed charges,,235.81,297.11, CRYO CUFF IC COOLER,30180400,CDM,,,270,RC,inpatient,,383.6,383.6,,325.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,289.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,326.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,337.57,88,,percent of total billed charges,,,,,,,,,293.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,349.08,91,,percent of total billed charges,,,364.42,95,,percent of total billed charges,,,318.39,83,,percent of total billed charges,,,318.39,83,,percent of total billed charges,,,,,,,,,,,,,,,318.39,83,,percent of total billed charges,,,364.42,95,,percent of total billed charges,,,345.24,90,,percent of total billed charges,,,345.24,90,,percent of total billed charges,,,314.55,82,,percent of total billed charges,,,345.24,90,,percent of total billed charges,,,326.06,85,,percent of total billed charges,,289.23,364.42, AV IMPULSE PAD REG,30180402,CDM,,,270,RC,inpatient,,408.77,408.77,,347.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,308.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,347.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,359.72,88,,percent of total billed charges,,,,,,,,,312.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,371.98,91,,percent of total billed charges,,,388.33,95,,percent of total billed charges,,,339.28,83,,percent of total billed charges,,,339.28,83,,percent of total billed charges,,,,,,,,,,,,,,,339.28,83,,percent of total billed charges,,,388.33,95,,percent of total billed charges,,,367.89,90,,percent of total billed charges,,,367.89,90,,percent of total billed charges,,,335.19,82,,percent of total billed charges,,,367.89,90,,percent of total billed charges,,,347.45,85,,percent of total billed charges,,308.21,388.33, AV IMPULSE PAD LG,30180403,CDM,,,270,RC,inpatient,,408.77,408.77,,347.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,308.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,347.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,359.72,88,,percent of total billed charges,,,,,,,,,312.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,371.98,91,,percent of total billed charges,,,388.33,95,,percent of total billed charges,,,339.28,83,,percent of total billed charges,,,339.28,83,,percent of total billed charges,,,,,,,,,,,,,,,339.28,83,,percent of total billed charges,,,388.33,95,,percent of total billed charges,,,367.89,90,,percent of total billed charges,,,367.89,90,,percent of total billed charges,,,335.19,82,,percent of total billed charges,,,367.89,90,,percent of total billed charges,,,347.45,85,,percent of total billed charges,,308.21,388.33, CPM UNIVERSAL PAD SET,30180404,CDM,,,270,RC,inpatient,,144,144,,122.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,108.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,122.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,126.72,88,,percent of total billed charges,,,,,,,,,110.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,131.04,91,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,,,,,,,,,,,,,119.52,83,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,118.08,82,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,122.4,85,,percent of total billed charges,,108.58,136.8, ARTHROSCOPY TUBING,30180405,CDM,,,270,RC,inpatient,,463.7,463.7,,393.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,349.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,394.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,408.06,88,,percent of total billed charges,,,,,,,,,354.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,421.97,91,,percent of total billed charges,,,440.52,95,,percent of total billed charges,,,384.87,83,,percent of total billed charges,,,384.87,83,,percent of total billed charges,,,,,,,,,,,,,,,384.87,83,,percent of total billed charges,,,440.52,95,,percent of total billed charges,,,417.33,90,,percent of total billed charges,,,417.33,90,,percent of total billed charges,,,380.23,82,,percent of total billed charges,,,417.33,90,,percent of total billed charges,,,394.15,85,,percent of total billed charges,,349.63,440.52, SHOULDER ABDUCTION SLING - MED,30180407,CDM,,,270,RC,inpatient,,36.99,36.99,,31.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32.55,88,,percent of total billed charges,,,,,,,,,28.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33.66,91,,percent of total billed charges,,,35.14,95,,percent of total billed charges,,,30.7,83,,percent of total billed charges,,,30.7,83,,percent of total billed charges,,,,,,,,,,,,,,,30.7,83,,percent of total billed charges,,,35.14,95,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,30.33,82,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,31.44,85,,percent of total billed charges,,27.89,35.14, SHOULDER ABDUCTION SLING - LGE,30180408,CDM,,,270,RC,inpatient,,36.99,36.99,,31.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32.55,88,,percent of total billed charges,,,,,,,,,28.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33.66,91,,percent of total billed charges,,,35.14,95,,percent of total billed charges,,,30.7,83,,percent of total billed charges,,,30.7,83,,percent of total billed charges,,,,,,,,,,,,,,,30.7,83,,percent of total billed charges,,,35.14,95,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,30.33,82,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,31.44,85,,percent of total billed charges,,27.89,35.14, STRYKER BUR 4.0 FLUTED,30180433,CDM,,,270,RC,inpatient,,492.49,492.49,,418.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,371.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,418.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,433.39,88,,percent of total billed charges,,,,,,,,,376.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,448.17,91,,percent of total billed charges,,,467.87,95,,percent of total billed charges,,,408.77,83,,percent of total billed charges,,,408.77,83,,percent of total billed charges,,,,,,,,,,,,,,,408.77,83,,percent of total billed charges,,,467.87,95,,percent of total billed charges,,,443.24,90,,percent of total billed charges,,,443.24,90,,percent of total billed charges,,,403.84,82,,percent of total billed charges,,,443.24,90,,percent of total billed charges,,,418.62,85,,percent of total billed charges,,371.34,467.87, STRYKER BUR 5.0 FLUTED,30180434,CDM,,,270,RC,inpatient,,492.49,492.49,,418.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,371.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,418.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,433.39,88,,percent of total billed charges,,,,,,,,,376.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,448.17,91,,percent of total billed charges,,,467.87,95,,percent of total billed charges,,,408.77,83,,percent of total billed charges,,,408.77,83,,percent of total billed charges,,,,,,,,,,,,,,,408.77,83,,percent of total billed charges,,,467.87,95,,percent of total billed charges,,,443.24,90,,percent of total billed charges,,,443.24,90,,percent of total billed charges,,,403.84,82,,percent of total billed charges,,,443.24,90,,percent of total billed charges,,,418.62,85,,percent of total billed charges,,371.34,467.87, S&N ENDO FAST KIT CURVED,30180440,CDM,,,270,RC,inpatient,,1956.5,1956.5,,1661.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1475.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1663.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1721.72,88,,percent of total billed charges,,,,,,,,,1494.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1780.42,91,,percent of total billed charges,,,1858.68,95,,percent of total billed charges,,,1623.9,83,,percent of total billed charges,,,1623.9,83,,percent of total billed charges,,,,,,,,,,,,,,,1623.9,83,,percent of total billed charges,,,1858.68,95,,percent of total billed charges,,,1760.85,90,,percent of total billed charges,,,1760.85,90,,percent of total billed charges,,,1604.33,82,,percent of total billed charges,,,1760.85,90,,percent of total billed charges,,,1663.03,85,,percent of total billed charges,,1475.2,1858.68, S&N ENDO SUTURE CUTTER,30180442,CDM,,,270,RC,inpatient,,913.9,913.9,,775.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,689.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,776.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,804.23,88,,percent of total billed charges,,,,,,,,,698.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,831.65,91,,percent of total billed charges,,,868.21,95,,percent of total billed charges,,,758.54,83,,percent of total billed charges,,,758.54,83,,percent of total billed charges,,,,,,,,,,,,,,,758.54,83,,percent of total billed charges,,,868.21,95,,percent of total billed charges,,,822.51,90,,percent of total billed charges,,,822.51,90,,percent of total billed charges,,,749.4,82,,percent of total billed charges,,,822.51,90,,percent of total billed charges,,,776.82,85,,percent of total billed charges,,689.08,868.21, SYNTHES SCREW CORTEX 3.5X20MM,30180448,CDM,,,278,RC,inpatient,,267.75,267.75,,227.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,201.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,227.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,235.62,88,,percent of total billed charges,,,,,,,,,204.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,243.65,91,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,,,,,,,,,,,,,222.23,83,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,219.56,82,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,227.59,85,,percent of total billed charges,,201.88,254.36, SYNTHES SCREW CANCEL F-THD 4.0X22MM,30180449,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, DEPUY FRACTURE HEAD HIP BALL 53MM,30180462,CDM,,,278,RC,inpatient,,4693.78,4693.78,,3985.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3539.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3989.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4130.53,88,,percent of total billed charges,,,,,,,,,3586.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4271.34,91,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3895.84,83,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3848.9,82,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3989.71,85,,percent of total billed charges,,3539.11,4459.09, DEPUY SPACER 12/14 MMLGT +5,30180463,CDM,,,278,RC,inpatient,,1935.57,1935.57,,1643.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1459.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1645.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1703.3,88,,percent of total billed charges,,,,,,,,,1478.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1761.37,91,,percent of total billed charges,,,1838.79,95,,percent of total billed charges,,,1606.52,83,,percent of total billed charges,,,1606.52,83,,percent of total billed charges,,,,,,,,,,,,,,,1606.52,83,,percent of total billed charges,,,1838.79,95,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1587.17,82,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1645.23,85,,percent of total billed charges,,1459.42,1838.79, GYRUS PLASMA SPATULA,30180466,CDM,,,270,RC,inpatient,,2509,2509,,2130.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1891.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2132.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2207.92,88,,percent of total billed charges,,,,,,,,,1916.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2283.19,91,,percent of total billed charges,,,2383.55,95,,percent of total billed charges,,,2082.47,83,,percent of total billed charges,,,2082.47,83,,percent of total billed charges,,,,,,,,,,,,,,,2082.47,83,,percent of total billed charges,,,2383.55,95,,percent of total billed charges,,,2258.1,90,,percent of total billed charges,,,2258.1,90,,percent of total billed charges,,,2057.38,82,,percent of total billed charges,,,2258.1,90,,percent of total billed charges,,,2132.65,85,,percent of total billed charges,,1891.79,2383.55, DEPUY STEM SUMMIT PRESSFIT SZ4,30180469,CDM,,,278,RC,inpatient,,11591.45,11591.45,,9841.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8739.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9852.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10200.48,88,,percent of total billed charges,,,,,,,,,8855.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10548.22,91,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,,,,,,,,,,,,,9620.9,83,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9504.99,82,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9852.73,85,,percent of total billed charges,,8739.95,11011.88, DEPUY BIPOLAR CUP 45MM,30180470,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, DEPUY FEMORAL HEAD 28 +1.5,30180471,CDM,,,278,RC,inpatient,,7289.17,7289.17,,6188.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5496.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6195.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6414.47,88,,percent of total billed charges,,,,,,,,,5568.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6633.14,91,,percent of total billed charges,,,6924.71,95,,percent of total billed charges,,,6050.01,83,,percent of total billed charges,,,6050.01,83,,percent of total billed charges,,,,,,,,,,,,,,,6050.01,83,,percent of total billed charges,,,6924.71,95,,percent of total billed charges,,,6560.25,90,,percent of total billed charges,,,6560.25,90,,percent of total billed charges,,,5977.12,82,,percent of total billed charges,,,6560.25,90,,percent of total billed charges,,,6195.79,85,,percent of total billed charges,,5496.03,6924.71, SYNTHES SCREW LOCKING 3.5X18MM,30180476,CDM,,,278,RC,inpatient,,1217.84,1217.84,,1033.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,918.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1035.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1071.7,88,,percent of total billed charges,,,,,,,,,930.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1108.23,91,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1010.81,83,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,998.63,82,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1035.16,85,,percent of total billed charges,,918.25,1156.95, SYNTHES SCREW LOCKING 3.5X20MM,30180477,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, SYNTHES SCREW LOCKING 3.5X30MM,30180478,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, SYNTHES PLATE LCP 8-HOLE 3.5MM,30180480,CDM,,,278,RC,inpatient,,3193.45,3193.45,,2711.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2714.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2810.24,88,,percent of total billed charges,,,,,,,,,2439.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2906.04,91,,percent of total billed charges,,,3033.78,95,,percent of total billed charges,,,2650.56,83,,percent of total billed charges,,,2650.56,83,,percent of total billed charges,,,,,,,,,,,,,,,2650.56,83,,percent of total billed charges,,,3033.78,95,,percent of total billed charges,,,2874.11,90,,percent of total billed charges,,,2874.11,90,,percent of total billed charges,,,2618.63,82,,percent of total billed charges,,,2874.11,90,,percent of total billed charges,,,2714.43,85,,percent of total billed charges,,2407.86,3033.78, ARTHREX FIBERTAPE #2,30180501,CDM,,,270,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, SYNTHES SCREW CORTEX 3.5X12MM,30180503,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X30MM,30180504,CDM,,,278,RC,inpatient,,267.75,267.75,,227.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,201.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,227.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,235.62,88,,percent of total billed charges,,,,,,,,,204.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,243.65,91,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,,,,,,,,,,,,,222.23,83,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,219.56,82,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,227.59,85,,percent of total billed charges,,201.88,254.36, MAGNUM WIRE WITH NEEDLE,30180509,CDM,,,270,RC,inpatient,,225,225,,191.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,169.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,191.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198,88,,percent of total billed charges,,,,,,,,,171.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,204.75,91,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,,,,,,,,,,,,,186.75,83,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,184.5,82,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,191.25,85,,percent of total billed charges,,169.65,213.75, S&N ENDO ARTHROPIERCE STR,30180511,CDM,,,278,RC,inpatient,,5569.2,5569.2,,4728.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4199.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4733.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4900.9,88,,percent of total billed charges,,,,,,,,,4254.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5067.97,91,,percent of total billed charges,,,5290.74,95,,percent of total billed charges,,,4622.44,83,,percent of total billed charges,,,4622.44,83,,percent of total billed charges,,,,,,,,,,,,,,,4622.44,83,,percent of total billed charges,,,5290.74,95,,percent of total billed charges,,,5012.28,90,,percent of total billed charges,,,5012.28,90,,percent of total billed charges,,,4566.74,82,,percent of total billed charges,,,5012.28,90,,percent of total billed charges,,,4733.82,85,,percent of total billed charges,,4199.18,5290.74, ARTHREX KNOT PUSHER CUTTER,30180518,CDM,,,270,RC,inpatient,,875,875,,742.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,659.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,743.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,770,88,,percent of total billed charges,,,,,,,,,668.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,796.25,91,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,,,,,,,,,,,,,726.25,83,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,717.5,82,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,743.75,85,,percent of total billed charges,,659.75,831.25, ARTHREX MENISCUS CINCH,30180523,CDM,,,270,RC,inpatient,,1852.5,1852.5,,1572.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1396.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1574.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1630.2,88,,percent of total billed charges,,,,,,,,,1415.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1685.78,91,,percent of total billed charges,,,1759.88,95,,percent of total billed charges,,,1537.58,83,,percent of total billed charges,,,1537.58,83,,percent of total billed charges,,,,,,,,,,,,,,,1537.58,83,,percent of total billed charges,,,1759.88,95,,percent of total billed charges,,,1667.25,90,,percent of total billed charges,,,1667.25,90,,percent of total billed charges,,,1519.05,82,,percent of total billed charges,,,1667.25,90,,percent of total billed charges,,,1574.63,85,,percent of total billed charges,,1396.79,1759.88, ARTHREX SUTURE LASSO 30 STR,30180524,CDM,,,270,RC,inpatient,,910,910,,772.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,686.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,773.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,800.8,88,,percent of total billed charges,,,,,,,,,695.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,828.1,91,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,,,,,,,,,,,,,755.3,83,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,819,90,,percent of total billed charges,,,819,90,,percent of total billed charges,,,746.2,82,,percent of total billed charges,,,819,90,,percent of total billed charges,,,773.5,85,,percent of total billed charges,,686.14,864.5, ARTHREX SUTURE LASSO 90 LEFT,30180526,CDM,,,270,RC,inpatient,,910,910,,772.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,686.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,773.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,800.8,88,,percent of total billed charges,,,,,,,,,695.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,828.1,91,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,,,,,,,,,,,,,755.3,83,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,819,90,,percent of total billed charges,,,819,90,,percent of total billed charges,,,746.2,82,,percent of total billed charges,,,819,90,,percent of total billed charges,,,773.5,85,,percent of total billed charges,,686.14,864.5, ARTHREX SUTURE LASSO 90 RIGHT,30180527,CDM,,,270,RC,inpatient,,910,910,,772.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,686.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,773.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,800.8,88,,percent of total billed charges,,,,,,,,,695.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,828.1,91,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,,,,,,,,,,,,,755.3,83,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,819,90,,percent of total billed charges,,,819,90,,percent of total billed charges,,,746.2,82,,percent of total billed charges,,,819,90,,percent of total billed charges,,,773.5,85,,percent of total billed charges,,686.14,864.5, ARTHREX SUTURE LASSO 25 LEFT,30180528,CDM,,,270,RC,inpatient,,910,910,,772.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,686.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,773.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,800.8,88,,percent of total billed charges,,,,,,,,,695.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,828.1,91,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,,,,,,,,,,,,,755.3,83,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,819,90,,percent of total billed charges,,,819,90,,percent of total billed charges,,,746.2,82,,percent of total billed charges,,,819,90,,percent of total billed charges,,,773.5,85,,percent of total billed charges,,686.14,864.5, ARTHREX SUTURE LASSO 25 RIGHT,30180529,CDM,,,270,RC,inpatient,,910,910,,772.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,686.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,773.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,800.8,88,,percent of total billed charges,,,,,,,,,695.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,828.1,91,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,,,,,,,,,,,,,755.3,83,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,819,90,,percent of total billed charges,,,819,90,,percent of total billed charges,,,746.2,82,,percent of total billed charges,,,819,90,,percent of total billed charges,,,773.5,85,,percent of total billed charges,,686.14,864.5, ARTHREX FIBERWIRE 2MM 18,30180531,CDM,,,270,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2, SYNTHES SCREW CORTEX 3.5X38MM,30180533,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, DEPUY PINNACLE CUP 54MM,30180540,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY HOLE ELININATOR-PS,30180541,CDM,,,278,RC,inpatient,,1557.27,1557.27,,1322.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1174.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1323.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1370.4,88,,percent of total billed charges,,,,,,,,,1189.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1417.12,91,,percent of total billed charges,,,1479.41,95,,percent of total billed charges,,,1292.53,83,,percent of total billed charges,,,1292.53,83,,percent of total billed charges,,,,,,,,,,,,,,,1292.53,83,,percent of total billed charges,,,1479.41,95,,percent of total billed charges,,,1401.54,90,,percent of total billed charges,,,1401.54,90,,percent of total billed charges,,,1276.96,82,,percent of total billed charges,,,1401.54,90,,percent of total billed charges,,,1323.68,85,,percent of total billed charges,,1174.18,1479.41, DEPUY LINER ALTRX +4 NEUT 36 X 54,30180542,CDM,,,278,RC,inpatient,,14161.81,14161.81,,12023.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10678,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12037.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12462.39,88,,percent of total billed charges,,,,,,,,,10819.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12887.25,91,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,,,,,,,,,,,,,11754.3,83,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,11612.68,82,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12037.54,85,,percent of total billed charges,,10678,13453.72, DEPUY FEMORAL HEAD 36MM +8.5,30180543,CDM,,,278,RC,inpatient,,15642.97,15642.97,,13280.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11794.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13296.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13765.81,88,,percent of total billed charges,,,,,,,,,11951.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14235.1,91,,percent of total billed charges,,,14860.82,95,,percent of total billed charges,,,12983.67,83,,percent of total billed charges,,,12983.67,83,,percent of total billed charges,,,,,,,,,,,,,,,12983.67,83,,percent of total billed charges,,,14860.82,95,,percent of total billed charges,,,14078.67,90,,percent of total billed charges,,,14078.67,90,,percent of total billed charges,,,12827.24,82,,percent of total billed charges,,,14078.67,90,,percent of total billed charges,,,13296.52,85,,percent of total billed charges,,11794.8,14860.82, DEPUY STEM CORAIL STD SZ11,30180544,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY FEMUR POROUS LT SZ4,30180547,CDM,,,278,RC,inpatient,,36155.73,36155.73,,30696.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27261.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30732.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31817.04,88,,percent of total billed charges,,,,,,,,,27622.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32901.71,91,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,,,,,,,,,,,,,30009.26,83,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,29647.7,82,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,30732.37,85,,percent of total billed charges,,27261.42,34347.94, DEPUY INSERT SIGMA XLK 4 X 8,30180548,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY FEMUR POROUS RT SZ4,30180550,CDM,,,278,RC,inpatient,,36155.73,36155.73,,30696.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27261.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30732.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31817.04,88,,percent of total billed charges,,,,,,,,,27622.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32901.71,91,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,,,,,,,,,,,,,30009.26,83,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,29647.7,82,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,30732.37,85,,percent of total billed charges,,27261.42,34347.94, CRYO HAND/WRIST CUFF,30180552,CDM,,,270,RC,inpatient,,269.33,269.33,,228.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,203.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,228.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,237.01,88,,percent of total billed charges,,,,,,,,,205.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,245.09,91,,percent of total billed charges,,,255.86,95,,percent of total billed charges,,,223.54,83,,percent of total billed charges,,,223.54,83,,percent of total billed charges,,,,,,,,,,,,,,,223.54,83,,percent of total billed charges,,,255.86,95,,percent of total billed charges,,,242.4,90,,percent of total billed charges,,,242.4,90,,percent of total billed charges,,,220.85,82,,percent of total billed charges,,,242.4,90,,percent of total billed charges,,,228.93,85,,percent of total billed charges,,203.07,255.86, ENCORE TIBIAL INSERT POLY,30180555,CDM,,,270,RC,inpatient,,7787,7787,,6611.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5871.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6618.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6852.56,88,,percent of total billed charges,,,,,,,,,5949.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7086.17,91,,percent of total billed charges,,,7397.65,95,,percent of total billed charges,,,6463.21,83,,percent of total billed charges,,,6463.21,83,,percent of total billed charges,,,,,,,,,,,,,,,6463.21,83,,percent of total billed charges,,,7397.65,95,,percent of total billed charges,,,7008.3,90,,percent of total billed charges,,,7008.3,90,,percent of total billed charges,,,6385.34,82,,percent of total billed charges,,,7008.3,90,,percent of total billed charges,,,6618.95,85,,percent of total billed charges,,5871.4,7397.65, ENCORE FEMUR RT SZ4,30180556,CDM,,,270,RC,inpatient,,16135.28,16135.28,,13698.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12166,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13714.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14199.05,88,,percent of total billed charges,,,,,,,,,12327.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14683.1,91,,percent of total billed charges,,,15328.52,95,,percent of total billed charges,,,13392.28,83,,percent of total billed charges,,,13392.28,83,,percent of total billed charges,,,,,,,,,,,,,,,13392.28,83,,percent of total billed charges,,,15328.52,95,,percent of total billed charges,,,14521.75,90,,percent of total billed charges,,,14521.75,90,,percent of total billed charges,,,13230.93,82,,percent of total billed charges,,,14521.75,90,,percent of total billed charges,,,13714.99,85,,percent of total billed charges,,12166,15328.52, ENCORE TIBIA RT SZ4,30180557,CDM,,,270,RC,inpatient,,10351.25,10351.25,,8788.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7804.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8798.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9109.1,88,,percent of total billed charges,,,,,,,,,7908.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9419.64,91,,percent of total billed charges,,,9833.69,95,,percent of total billed charges,,,8591.54,83,,percent of total billed charges,,,8591.54,83,,percent of total billed charges,,,,,,,,,,,,,,,8591.54,83,,percent of total billed charges,,,9833.69,95,,percent of total billed charges,,,9316.13,90,,percent of total billed charges,,,9316.13,90,,percent of total billed charges,,,8488.03,82,,percent of total billed charges,,,9316.13,90,,percent of total billed charges,,,8798.56,85,,percent of total billed charges,,7804.84,9833.69, ENCORE PATELLA 29MM,30180558,CDM,,,270,RC,inpatient,,4486.95,4486.95,,3809.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3383.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3813.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3948.52,88,,percent of total billed charges,,,,,,,,,3428.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4083.12,91,,percent of total billed charges,,,4262.6,95,,percent of total billed charges,,,3724.17,83,,percent of total billed charges,,,3724.17,83,,percent of total billed charges,,,,,,,,,,,,,,,3724.17,83,,percent of total billed charges,,,4262.6,95,,percent of total billed charges,,,4038.26,90,,percent of total billed charges,,,4038.26,90,,percent of total billed charges,,,3679.3,82,,percent of total billed charges,,,4038.26,90,,percent of total billed charges,,,3813.91,85,,percent of total billed charges,,3383.16,4262.6, ENCORE SAW BLADE,30180559,CDM,,,270,RC,inpatient,,751.45,751.45,,637.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,566.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,638.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,661.28,88,,percent of total billed charges,,,,,,,,,574.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,683.82,91,,percent of total billed charges,,,713.88,95,,percent of total billed charges,,,623.7,83,,percent of total billed charges,,,623.7,83,,percent of total billed charges,,,,,,,,,,,,,,,623.7,83,,percent of total billed charges,,,713.88,95,,percent of total billed charges,,,676.31,90,,percent of total billed charges,,,676.31,90,,percent of total billed charges,,,616.19,82,,percent of total billed charges,,,676.31,90,,percent of total billed charges,,,638.73,85,,percent of total billed charges,,566.59,713.88, CONTRAST OMNIPAQUE-300 50ML,30180565,CDM,,,270,RC,inpatient,,349.28,349.28,,296.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,263.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,296.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,307.37,88,,percent of total billed charges,,,,,,,,,266.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,317.84,91,,percent of total billed charges,,,331.82,95,,percent of total billed charges,,,289.9,83,,percent of total billed charges,,,289.9,83,,percent of total billed charges,,,,,,,,,,,,,,,289.9,83,,percent of total billed charges,,,331.82,95,,percent of total billed charges,,,314.35,90,,percent of total billed charges,,,314.35,90,,percent of total billed charges,,,286.41,82,,percent of total billed charges,,,314.35,90,,percent of total billed charges,,,296.89,85,,percent of total billed charges,,263.36,331.82, S&N ENDO FAST KIT STRAIGHT,30180566,CDM,,,270,RC,inpatient,,1392.5,1392.5,,1182.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1049.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1183.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1225.4,88,,percent of total billed charges,,,,,,,,,1063.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1267.18,91,,percent of total billed charges,,,1322.88,95,,percent of total billed charges,,,1155.78,83,,percent of total billed charges,,,1155.78,83,,percent of total billed charges,,,,,,,,,,,,,,,1155.78,83,,percent of total billed charges,,,1322.88,95,,percent of total billed charges,,,1253.25,90,,percent of total billed charges,,,1253.25,90,,percent of total billed charges,,,1141.85,82,,percent of total billed charges,,,1253.25,90,,percent of total billed charges,,,1183.63,85,,percent of total billed charges,,1049.95,1322.88, APERFIX FEMORAL IMPLANT 9 X 29,30180567,CDM,,,270,RC,inpatient,,4182.75,4182.75,,3551.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3153.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3555.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3680.82,88,,percent of total billed charges,,,,,,,,,3195.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3806.3,91,,percent of total billed charges,,,3973.61,95,,percent of total billed charges,,,3471.68,83,,percent of total billed charges,,,3471.68,83,,percent of total billed charges,,,,,,,,,,,,,,,3471.68,83,,percent of total billed charges,,,3973.61,95,,percent of total billed charges,,,3764.48,90,,percent of total billed charges,,,3764.48,90,,percent of total billed charges,,,3429.86,82,,percent of total billed charges,,,3764.48,90,,percent of total billed charges,,,3555.34,85,,percent of total billed charges,,3153.79,3973.61, APERFIX GUIDEWIRE 14,30180568,CDM,,,270,RC,inpatient,,787.5,787.5,,668.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,593.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,669.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,693,88,,percent of total billed charges,,,,,,,,,601.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,716.63,91,,percent of total billed charges,,,748.13,95,,percent of total billed charges,,,653.63,83,,percent of total billed charges,,,653.63,83,,percent of total billed charges,,,,,,,,,,,,,,,653.63,83,,percent of total billed charges,,,748.13,95,,percent of total billed charges,,,708.75,90,,percent of total billed charges,,,708.75,90,,percent of total billed charges,,,645.75,82,,percent of total billed charges,,,708.75,90,,percent of total billed charges,,,669.38,85,,percent of total billed charges,,593.78,748.13, APERFIX TIBIAL IMPLANT 9 X 30,30180569,CDM,,,270,RC,inpatient,,2018.25,2018.25,,1713.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1521.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1715.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1776.06,88,,percent of total billed charges,,,,,,,,,1541.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1836.61,91,,percent of total billed charges,,,1917.34,95,,percent of total billed charges,,,1675.15,83,,percent of total billed charges,,,1675.15,83,,percent of total billed charges,,,,,,,,,,,,,,,1675.15,83,,percent of total billed charges,,,1917.34,95,,percent of total billed charges,,,1816.43,90,,percent of total billed charges,,,1816.43,90,,percent of total billed charges,,,1654.97,82,,percent of total billed charges,,,1816.43,90,,percent of total billed charges,,,1715.51,85,,percent of total billed charges,,1521.76,1917.34, DEPUY FEMUR CEMENTED RT SZ3,30180570,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT SIGMA XLK 4 X 10,30180571,CDM,,,278,RC,inpatient,,12163.26,12163.26,,10326.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9171.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10338.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10703.67,88,,percent of total billed charges,,,,,,,,,9292.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11068.57,91,,percent of total billed charges,,,11555.1,95,,percent of total billed charges,,,10095.51,83,,percent of total billed charges,,,10095.51,83,,percent of total billed charges,,,,,,,,,,,,,,,10095.51,83,,percent of total billed charges,,,11555.1,95,,percent of total billed charges,,,10946.93,90,,percent of total billed charges,,,10946.93,90,,percent of total billed charges,,,9973.87,82,,percent of total billed charges,,,10946.93,90,,percent of total billed charges,,,10338.77,85,,percent of total billed charges,,9171.1,11555.1, DEPUY PATELLA 3-PEG 41MM,30180572,CDM,,,278,RC,inpatient,,5578.95,5578.95,,4736.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4206.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4742.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4909.48,88,,percent of total billed charges,,,,,,,,,4262.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5076.84,91,,percent of total billed charges,,,5300,95,,percent of total billed charges,,,4630.53,83,,percent of total billed charges,,,4630.53,83,,percent of total billed charges,,,,,,,,,,,,,,,4630.53,83,,percent of total billed charges,,,5300,95,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,4574.74,82,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,4742.11,85,,percent of total billed charges,,4206.53,5300, DEPUY FEMUR CEMENTED RT SZ4,30180573,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY PINNACLE CUP 50MM,30180579,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY LINER ALTRX +4 NUET 50 X 32,30180580,CDM,,,278,RC,inpatient,,11494.99,11494.99,,9759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8667.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9770.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10115.59,88,,percent of total billed charges,,,,,,,,,8782.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10460.44,91,,percent of total billed charges,,,10920.24,95,,percent of total billed charges,,,9540.84,83,,percent of total billed charges,,,9540.84,83,,percent of total billed charges,,,,,,,,,,,,,,,9540.84,83,,percent of total billed charges,,,10920.24,95,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,9425.89,82,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,9770.74,85,,percent of total billed charges,,8667.22,10920.24, DEPUY FEMORAL HEAD 32 +5,30180581,CDM,,,278,RC,inpatient,,5683.54,5683.54,,4825.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4285.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4831.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5001.52,88,,percent of total billed charges,,,,,,,,,4342.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5172.02,91,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,,,,,,,,,,,,,4717.34,83,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4660.5,82,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4831.01,85,,percent of total billed charges,,4285.39,5399.36, DEPUY STEM CORAIL STD SZ10,30180582,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY LINER ALTRX NEUT 36 X 62,30180584,CDM,,,278,RC,inpatient,,13197.15,13197.15,,11204.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9950.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11217.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11613.49,88,,percent of total billed charges,,,,,,,,,10082.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12009.41,91,,percent of total billed charges,,,12537.29,95,,percent of total billed charges,,,10953.63,83,,percent of total billed charges,,,10953.63,83,,percent of total billed charges,,,,,,,,,,,,,,,10953.63,83,,percent of total billed charges,,,12537.29,95,,percent of total billed charges,,,11877.44,90,,percent of total billed charges,,,11877.44,90,,percent of total billed charges,,,10821.66,82,,percent of total billed charges,,,11877.44,90,,percent of total billed charges,,,11217.58,85,,percent of total billed charges,,9950.65,12537.29, DEPUY BIOLOX HEAD 36MM +1.5,30180585,CDM,,,278,RC,inpatient,,15642.67,15642.67,,13280.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11794.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13296.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13765.55,88,,percent of total billed charges,,,,,,,,,11951,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14234.83,91,,percent of total billed charges,,,14860.54,95,,percent of total billed charges,,,12983.42,83,,percent of total billed charges,,,12983.42,83,,percent of total billed charges,,,,,,,,,,,,,,,12983.42,83,,percent of total billed charges,,,14860.54,95,,percent of total billed charges,,,14078.4,90,,percent of total billed charges,,,14078.4,90,,percent of total billed charges,,,12826.99,82,,percent of total billed charges,,,14078.4,90,,percent of total billed charges,,,13296.27,85,,percent of total billed charges,,11794.57,14860.54, DEPUY STEM CORAIL STD SZ15,30180586,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY PINNACLE CUP 60MM,30180587,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY LINER ALTRX NEUT 36 X 60,30180588,CDM,,,278,RC,inpatient,,12874.42,12874.42,,10930.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9707.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10943.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11329.49,88,,percent of total billed charges,,,,,,,,,9836.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11715.72,91,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10685.77,83,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10557.02,82,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10943.26,85,,percent of total billed charges,,9707.31,12230.7, DEPUY PINNACLE CUP 56MM,30180589,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY LINER ALTRX NEUT 36 X 56,30180590,CDM,,,278,RC,inpatient,,12874.42,12874.42,,10930.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9707.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10943.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11329.49,88,,percent of total billed charges,,,,,,,,,9836.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11715.72,91,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10685.77,83,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10557.02,82,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10943.26,85,,percent of total billed charges,,9707.31,12230.7, DEPUY FEMORAL HEAD 36MM +5,30180591,CDM,,,278,RC,inpatient,,8569.34,8569.34,,7275.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6461.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7283.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7541.02,88,,percent of total billed charges,,,,,,,,,6546.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7798.1,91,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7112.55,83,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7026.86,82,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7283.94,85,,percent of total billed charges,,6461.28,8140.87, DEPUY STEM CORAIL STD SZ18,30180592,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY STEM CORAIL STD SZ13,30180593,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY FEMUR CEMENTED LT SZ3,30180600,CDM,,,278,RC,inpatient,,20746.18,20746.18,,17613.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15642.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17634.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18256.64,88,,percent of total billed charges,,,,,,,,,15850.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18879.02,91,,percent of total billed charges,,,19708.87,95,,percent of total billed charges,,,17219.33,83,,percent of total billed charges,,,17219.33,83,,percent of total billed charges,,,,,,,,,,,,,,,17219.33,83,,percent of total billed charges,,,19708.87,95,,percent of total billed charges,,,18671.56,90,,percent of total billed charges,,,18671.56,90,,percent of total billed charges,,,17011.87,82,,percent of total billed charges,,,18671.56,90,,percent of total billed charges,,,17634.25,85,,percent of total billed charges,,15642.62,19708.87, DEPUY INSERT SIGMA XLK 3 X 15,30180601,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY INSERT SIGMA XLK 3 X 8,30180602,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY PATELLA 3-PEG 35MM,30180603,CDM,,,278,RC,inpatient,,5578.95,5578.95,,4736.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4206.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4742.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4909.48,88,,percent of total billed charges,,,,,,,,,4262.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5076.84,91,,percent of total billed charges,,,5300,95,,percent of total billed charges,,,4630.53,83,,percent of total billed charges,,,4630.53,83,,percent of total billed charges,,,,,,,,,,,,,,,4630.53,83,,percent of total billed charges,,,5300,95,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,4574.74,82,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,4742.11,85,,percent of total billed charges,,4206.53,5300, DEPUY TIBIAL TRAY SZ3,30180604,CDM,,,270,RC,inpatient,,17711.46,17711.46,,15037.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13354.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15054.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15586.08,88,,percent of total billed charges,,,,,,,,,13531.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16117.43,91,,percent of total billed charges,,,16825.89,95,,percent of total billed charges,,,14700.51,83,,percent of total billed charges,,,14700.51,83,,percent of total billed charges,,,,,,,,,,,,,,,14700.51,83,,percent of total billed charges,,,16825.89,95,,percent of total billed charges,,,15940.31,90,,percent of total billed charges,,,15940.31,90,,percent of total billed charges,,,14523.4,82,,percent of total billed charges,,,15940.31,90,,percent of total billed charges,,,15054.74,85,,percent of total billed charges,,13354.44,16825.89, RELIEVA SINUS GUIDE CATHETER 0 DEGREE,30180607,CDM,,,270,RC,inpatient,,2886,2886,,2450.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2176.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2453.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2539.68,88,,percent of total billed charges,,,,,,,,,2204.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2626.26,91,,percent of total billed charges,,,2741.7,95,,percent of total billed charges,,,2395.38,83,,percent of total billed charges,,,2395.38,83,,percent of total billed charges,,,,,,,,,,,,,,,2395.38,83,,percent of total billed charges,,,2741.7,95,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2366.52,82,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2453.1,85,,percent of total billed charges,,2176.04,2741.7, RELIEVA SINUS BALLOON CATHETER 7X16,30180608,CDM,,,270,RC,inpatient,,6115.2,6115.2,,5191.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4610.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5197.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5381.38,88,,percent of total billed charges,,,,,,,,,4672.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5564.83,91,,percent of total billed charges,,,5809.44,95,,percent of total billed charges,,,5075.62,83,,percent of total billed charges,,,5075.62,83,,percent of total billed charges,,,,,,,,,,,,,,,5075.62,83,,percent of total billed charges,,,5809.44,95,,percent of total billed charges,,,5503.68,90,,percent of total billed charges,,,5503.68,90,,percent of total billed charges,,,5014.46,82,,percent of total billed charges,,,5503.68,90,,percent of total billed charges,,,5197.92,85,,percent of total billed charges,,4610.86,5809.44, RELIEVA SINUS GUIDE CATHETER M-110,30180610,CDM,,,270,RC,inpatient,,2886,2886,,2450.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2176.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2453.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2539.68,88,,percent of total billed charges,,,,,,,,,2204.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2626.26,91,,percent of total billed charges,,,2741.7,95,,percent of total billed charges,,,2395.38,83,,percent of total billed charges,,,2395.38,83,,percent of total billed charges,,,,,,,,,,,,,,,2395.38,83,,percent of total billed charges,,,2741.7,95,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2366.52,82,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2453.1,85,,percent of total billed charges,,2176.04,2741.7, RELIEVA LUMA SENTRY ILLUMINATION SYSTEM,30180612,CDM,,,270,RC,inpatient,,3346.2,3346.2,,2840.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2523.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2844.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2944.66,88,,percent of total billed charges,,,,,,,,,2556.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3045.04,91,,percent of total billed charges,,,3178.89,95,,percent of total billed charges,,,2777.35,83,,percent of total billed charges,,,2777.35,83,,percent of total billed charges,,,,,,,,,,,,,,,2777.35,83,,percent of total billed charges,,,3178.89,95,,percent of total billed charges,,,3011.58,90,,percent of total billed charges,,,3011.58,90,,percent of total billed charges,,,2743.88,82,,percent of total billed charges,,,3011.58,90,,percent of total billed charges,,,2844.27,85,,percent of total billed charges,,2523.03,3178.89, RELIEVA BALLOON INFLATION DEVICE,30180614,CDM,,,270,RC,inpatient,,521.85,521.85,,443.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,393.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,443.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,459.23,88,,percent of total billed charges,,,,,,,,,398.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,474.88,91,,percent of total billed charges,,,495.76,95,,percent of total billed charges,,,433.14,83,,percent of total billed charges,,,433.14,83,,percent of total billed charges,,,,,,,,,,,,,,,433.14,83,,percent of total billed charges,,,495.76,95,,percent of total billed charges,,,469.67,90,,percent of total billed charges,,,469.67,90,,percent of total billed charges,,,427.92,82,,percent of total billed charges,,,469.67,90,,percent of total billed charges,,,443.57,85,,percent of total billed charges,,393.47,495.76, DEPUY CROSSLINK FIN GLENOID SZ52,30180616,CDM,,,278,RC,inpatient,,14866.35,14866.35,,12621.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11209.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12636.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13082.39,88,,percent of total billed charges,,,,,,,,,11357.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13528.38,91,,percent of total billed charges,,,14123.03,95,,percent of total billed charges,,,12339.07,83,,percent of total billed charges,,,12339.07,83,,percent of total billed charges,,,,,,,,,,,,,,,12339.07,83,,percent of total billed charges,,,14123.03,95,,percent of total billed charges,,,13379.72,90,,percent of total billed charges,,,13379.72,90,,percent of total billed charges,,,12190.41,82,,percent of total billed charges,,,13379.72,90,,percent of total billed charges,,,12636.4,85,,percent of total billed charges,,11209.23,14123.03, DEPUY STEM GLOBAL HUMERAL 52 X 18,30180617,CDM,,,278,RC,inpatient,,17636.13,17636.13,,14973.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13297.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14990.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15519.79,88,,percent of total billed charges,,,,,,,,,13474,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16048.88,91,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,,,,,,,,,,,,,14637.99,83,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14461.63,82,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14990.71,85,,percent of total billed charges,,13297.64,16754.32, DEPUY STEM GLOBAL ADVANTAGE PC 12MM,30180618,CDM,,,278,RC,inpatient,,36482.49,36482.49,,30973.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27507.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31010.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32104.59,88,,percent of total billed charges,,,,,,,,,27872.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33199.07,91,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,,,,,,,,,,,,,30280.47,83,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,29915.64,82,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,31010.12,85,,percent of total billed charges,,27507.8,34658.37, DEPUY FEMUR POROUS C/R LT SZ3,30180619,CDM,,,278,RC,inpatient,,36155.73,36155.73,,30696.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27261.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30732.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31817.04,88,,percent of total billed charges,,,,,,,,,27622.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32901.71,91,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,,,,,,,,,,,,,30009.26,83,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,29647.7,82,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,30732.37,85,,percent of total billed charges,,27261.42,34347.94, DEPUY INSERT SIGMA XLK 3 X 10,30180620,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY FLUTED FEMORAL STEM 5DEG 20X125M,30180621,CDM,,,278,RC,inpatient,,8217.3,8217.3,,6976.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6195.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6984.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7231.22,88,,percent of total billed charges,,,,,,,,,6278.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7477.74,91,,percent of total billed charges,,,7806.44,95,,percent of total billed charges,,,6820.36,83,,percent of total billed charges,,,6820.36,83,,percent of total billed charges,,,,,,,,,,,,,,,6820.36,83,,percent of total billed charges,,,7806.44,95,,percent of total billed charges,,,7395.57,90,,percent of total billed charges,,,7395.57,90,,percent of total billed charges,,,6738.19,82,,percent of total billed charges,,,7395.57,90,,percent of total billed charges,,,6984.71,85,,percent of total billed charges,,6195.84,7806.44, DEPUY FEMORAL STEM BOLT,30180622,CDM,,,278,RC,inpatient,,1474.2,1474.2,,1251.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1111.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1253.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1297.3,88,,percent of total billed charges,,,,,,,,,1126.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1341.52,91,,percent of total billed charges,,,1400.49,95,,percent of total billed charges,,,1223.59,83,,percent of total billed charges,,,1223.59,83,,percent of total billed charges,,,,,,,,,,,,,,,1223.59,83,,percent of total billed charges,,,1400.49,95,,percent of total billed charges,,,1326.78,90,,percent of total billed charges,,,1326.78,90,,percent of total billed charges,,,1208.84,82,,percent of total billed charges,,,1326.78,90,,percent of total billed charges,,,1253.07,85,,percent of total billed charges,,1111.55,1400.49, DEPUY FEMUR TC3 LT SZ3,30180623,CDM,,,278,RC,inpatient,,36489.7,36489.7,,30979.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27513.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31016.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32110.94,88,,percent of total billed charges,,,,,,,,,27878.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33205.63,91,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,,,,,,,,,,,,,30286.45,83,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,29921.55,82,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,31016.25,85,,percent of total billed charges,,27513.23,34665.22, DEPUY DISTAL AUGMENT LT 4MM SZ3.0,30180624,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY POSTERIOR AUGMENT 4MM SZ3.0,30180625,CDM,,,278,RC,inpatient,,6245.14,6245.14,,5302.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4708.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5308.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5495.72,88,,percent of total billed charges,,,,,,,,,4771.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5683.08,91,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,,,,,,,,,,,,,5183.47,83,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5121.01,82,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5308.37,85,,percent of total billed charges,,4708.84,5932.88, DEPUY INSERT TC3 RP 15MM SZ3,30180626,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY MBT REVISION TIBIAL TRAY SZ5,30180627,CDM,,,278,RC,inpatient,,28838.62,28838.62,,24483.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21744.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24512.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25377.99,88,,percent of total billed charges,,,,,,,,,22032.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26243.14,91,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,,,,,,,,,,,,,23936.05,83,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,23647.67,82,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,24512.83,85,,percent of total billed charges,,21744.32,27396.69, DEPUY SLEEVE METAPHYSICAL 29MM,30180628,CDM,,,278,RC,inpatient,,12860.84,12860.84,,10918.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9697.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10931.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11317.54,88,,percent of total billed charges,,,,,,,,,9825.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11703.36,91,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10674.5,83,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10545.89,82,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10931.71,85,,percent of total billed charges,,9697.07,12217.8, DEPUY FLUTED TIBIAL ROD 14X75MM,30180629,CDM,,,278,RC,inpatient,,6279,6279,,5330.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4734.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5337.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5525.52,88,,percent of total billed charges,,,,,,,,,4797.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5713.89,91,,percent of total billed charges,,,5965.05,95,,percent of total billed charges,,,5211.57,83,,percent of total billed charges,,,5211.57,83,,percent of total billed charges,,,,,,,,,,,,,,,5211.57,83,,percent of total billed charges,,,5965.05,95,,percent of total billed charges,,,5651.1,90,,percent of total billed charges,,,5651.1,90,,percent of total billed charges,,,5148.78,82,,percent of total billed charges,,,5651.1,90,,percent of total billed charges,,,5337.15,85,,percent of total billed charges,,4734.37,5965.05, DEPUY BONE CEMENT W/ANTIBIOTIC 50-500,30180630,CDM,,,278,RC,inpatient,,1827.87,1827.87,,1551.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1378.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1553.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1608.53,88,,percent of total billed charges,,,,,,,,,1396.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1663.36,91,,percent of total billed charges,,,1736.48,95,,percent of total billed charges,,,1517.13,83,,percent of total billed charges,,,1517.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1517.13,83,,percent of total billed charges,,,1736.48,95,,percent of total billed charges,,,1645.08,90,,percent of total billed charges,,,1645.08,90,,percent of total billed charges,,,1498.85,82,,percent of total billed charges,,,1645.08,90,,percent of total billed charges,,,1553.69,85,,percent of total billed charges,,1378.21,1736.48, DEPUY BLADE STABLECUT 13 X 90 (500),30180631,CDM,,,270,RC,inpatient,,594.58,594.58,,504.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,448.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,505.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,523.23,88,,percent of total billed charges,,,,,,,,,454.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,541.07,91,,percent of total billed charges,,,564.85,95,,percent of total billed charges,,,493.5,83,,percent of total billed charges,,,493.5,83,,percent of total billed charges,,,,,,,,,,,,,,,493.5,83,,percent of total billed charges,,,564.85,95,,percent of total billed charges,,,535.12,90,,percent of total billed charges,,,535.12,90,,percent of total billed charges,,,487.56,82,,percent of total billed charges,,,535.12,90,,percent of total billed charges,,,505.39,85,,percent of total billed charges,,448.31,564.85, DEPUY FLEXABLE OSTEOTOME 10MM,30180633,CDM,,,278,RC,inpatient,,978.38,978.38,,830.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,737.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,831.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,860.97,88,,percent of total billed charges,,,,,,,,,747.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,890.33,91,,percent of total billed charges,,,929.46,95,,percent of total billed charges,,,812.06,83,,percent of total billed charges,,,812.06,83,,percent of total billed charges,,,,,,,,,,,,,,,812.06,83,,percent of total billed charges,,,929.46,95,,percent of total billed charges,,,880.54,90,,percent of total billed charges,,,880.54,90,,percent of total billed charges,,,802.27,82,,percent of total billed charges,,,880.54,90,,percent of total billed charges,,,831.62,85,,percent of total billed charges,,737.7,929.46, SYNTHES DRILL BIT QUICK COUPLING 3.2MM,30180638,CDM,,,270,RC,inpatient,,782.74,782.74,,664.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,590.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,665.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,688.81,88,,percent of total billed charges,,,,,,,,,598.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,712.29,91,,percent of total billed charges,,,743.6,95,,percent of total billed charges,,,649.67,83,,percent of total billed charges,,,649.67,83,,percent of total billed charges,,,,,,,,,,,,,,,649.67,83,,percent of total billed charges,,,743.6,95,,percent of total billed charges,,,704.47,90,,percent of total billed charges,,,704.47,90,,percent of total billed charges,,,641.85,82,,percent of total billed charges,,,704.47,90,,percent of total billed charges,,,665.33,85,,percent of total billed charges,,590.19,743.6, DEPUY PINNACLE CUP 52MM,30180665,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY LINER ALTRX +4 NEUT 36 X 52,30180666,CDM,,,278,RC,inpatient,,14161.81,14161.81,,12023.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10678,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12037.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12462.39,88,,percent of total billed charges,,,,,,,,,10819.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12887.25,91,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,,,,,,,,,,,,,11754.3,83,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,11612.68,82,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12037.54,85,,percent of total billed charges,,10678,13453.72, DEPUY SECTOR II CUP 52MM,30180667,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY PINNACLE SCREW 6.5 X 40,30180668,CDM,,,278,RC,inpatient,,1244.95,1244.95,,1056.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,938.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1058.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1095.56,88,,percent of total billed charges,,,,,,,,,951.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1132.9,91,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1033.31,83,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1020.86,82,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1058.21,85,,percent of total billed charges,,938.69,1182.7, DEPUY PINNACLE SCREW 6.5 X 15,30180669,CDM,,,278,RC,inpatient,,1244.95,1244.95,,1056.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,938.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1058.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1095.56,88,,percent of total billed charges,,,,,,,,,951.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1132.9,91,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1033.31,83,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1020.86,82,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1058.21,85,,percent of total billed charges,,938.69,1182.7, DEPUY ARTICUL/EZE BALL 36MM +8.5,30180670,CDM,,,278,RC,inpatient,,8569.34,8569.34,,7275.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6461.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7283.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7541.02,88,,percent of total billed charges,,,,,,,,,6546.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7798.1,91,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7112.55,83,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7026.86,82,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7283.94,85,,percent of total billed charges,,6461.28,8140.87, DEPUY FEMUR POROUS C/R LT SZ4,30180671,CDM,,,278,RC,inpatient,,36155.73,36155.73,,30696.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27261.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30732.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31817.04,88,,percent of total billed charges,,,,,,,,,27622.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32901.71,91,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,,,,,,,,,,,,,30009.26,83,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,29647.7,82,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,30732.37,85,,percent of total billed charges,,27261.42,34347.94, DEPUY FEMUR POROUS C/R RT SZ4N,30180672,CDM,,,278,RC,inpatient,,36155.73,36155.73,,30696.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27261.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30732.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31817.04,88,,percent of total billed charges,,,,,,,,,27622.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32901.71,91,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,,,,,,,,,,,,,30009.26,83,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,29647.7,82,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,30732.37,85,,percent of total billed charges,,27261.42,34347.94, DEPUY FEMUR CEMENTED LT SZ5,30180673,CDM,,,278,RC,inpatient,,20746.18,20746.18,,17613.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15642.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17634.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18256.64,88,,percent of total billed charges,,,,,,,,,15850.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18879.02,91,,percent of total billed charges,,,19708.87,95,,percent of total billed charges,,,17219.33,83,,percent of total billed charges,,,17219.33,83,,percent of total billed charges,,,,,,,,,,,,,,,17219.33,83,,percent of total billed charges,,,19708.87,95,,percent of total billed charges,,,18671.56,90,,percent of total billed charges,,,18671.56,90,,percent of total billed charges,,,17011.87,82,,percent of total billed charges,,,18671.56,90,,percent of total billed charges,,,17634.25,85,,percent of total billed charges,,15642.62,19708.87, DEPUY FEMUR CEMENTED RT SZ5,30180674,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY PATELLA 3-PEG 32MM,30180675,CDM,,,278,RC,inpatient,,6022.25,6022.25,,5112.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4540.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5118.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5299.58,88,,percent of total billed charges,,,,,,,,,4601,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5480.25,91,,percent of total billed charges,,,5721.14,95,,percent of total billed charges,,,4998.47,83,,percent of total billed charges,,,4998.47,83,,percent of total billed charges,,,,,,,,,,,,,,,4998.47,83,,percent of total billed charges,,,5721.14,95,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,4938.25,82,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,5118.91,85,,percent of total billed charges,,4540.78,5721.14, DEPUY SELF CENT HIP 49X28 BRN,30180676,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, DEPUY FEMORAL HEAD 28 +5,30180677,CDM,,,278,RC,inpatient,,6922.18,6922.18,,5876.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5219.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5883.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6091.52,88,,percent of total billed charges,,,,,,,,,5288.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6299.18,91,,percent of total billed charges,,,6576.07,95,,percent of total billed charges,,,5745.41,83,,percent of total billed charges,,,5745.41,83,,percent of total billed charges,,,,,,,,,,,,,,,5745.41,83,,percent of total billed charges,,,6576.07,95,,percent of total billed charges,,,6229.96,90,,percent of total billed charges,,,6229.96,90,,percent of total billed charges,,,5676.19,82,,percent of total billed charges,,,6229.96,90,,percent of total billed charges,,,5883.85,85,,percent of total billed charges,,5219.32,6576.07, S&N HEWSON SUTURE RETRIVER,30180679,CDM,,,270,RC,inpatient,,814.24,814.24,,691.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,613.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,692.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,716.53,88,,percent of total billed charges,,,,,,,,,622.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,740.96,91,,percent of total billed charges,,,773.53,95,,percent of total billed charges,,,675.82,83,,percent of total billed charges,,,675.82,83,,percent of total billed charges,,,,,,,,,,,,,,,675.82,83,,percent of total billed charges,,,773.53,95,,percent of total billed charges,,,732.82,90,,percent of total billed charges,,,732.82,90,,percent of total billed charges,,,667.68,82,,percent of total billed charges,,,732.82,90,,percent of total billed charges,,,692.1,85,,percent of total billed charges,,613.94,773.53, SYNTHES PLATE LCP 6-HOLE 69MM,30180689,CDM,,,278,RC,inpatient,,1585.68,1585.68,,1346.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1195.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1347.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1395.4,88,,percent of total billed charges,,,,,,,,,1211.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1442.97,91,,percent of total billed charges,,,1506.4,95,,percent of total billed charges,,,1316.11,83,,percent of total billed charges,,,1316.11,83,,percent of total billed charges,,,,,,,,,,,,,,,1316.11,83,,percent of total billed charges,,,1506.4,95,,percent of total billed charges,,,1427.11,90,,percent of total billed charges,,,1427.11,90,,percent of total billed charges,,,1300.26,82,,percent of total billed charges,,,1427.11,90,,percent of total billed charges,,,1347.83,85,,percent of total billed charges,,1195.6,1506.4, SYNTHES DRILL BIT 3.5MM 110MM,30180690,CDM,,,270,RC,inpatient,,852.18,852.18,,723.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,642.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,724.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,749.92,88,,percent of total billed charges,,,,,,,,,651.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,775.48,91,,percent of total billed charges,,,809.57,95,,percent of total billed charges,,,707.31,83,,percent of total billed charges,,,707.31,83,,percent of total billed charges,,,,,,,,,,,,,,,707.31,83,,percent of total billed charges,,,809.57,95,,percent of total billed charges,,,766.96,90,,percent of total billed charges,,,766.96,90,,percent of total billed charges,,,698.79,82,,percent of total billed charges,,,766.96,90,,percent of total billed charges,,,724.35,85,,percent of total billed charges,,642.54,809.57, DEPUY INSERT SIGMA XLK 2.5 X 15,30180691,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY TIBIAL TRAY SZ2.5,30180692,CDM,,,270,RC,inpatient,,18568.29,18568.29,,15764.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14000.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15783.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16340.1,88,,percent of total billed charges,,,,,,,,,14186.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16897.14,91,,percent of total billed charges,,,17639.88,95,,percent of total billed charges,,,15411.68,83,,percent of total billed charges,,,15411.68,83,,percent of total billed charges,,,,,,,,,,,,,,,15411.68,83,,percent of total billed charges,,,17639.88,95,,percent of total billed charges,,,16711.46,90,,percent of total billed charges,,,16711.46,90,,percent of total billed charges,,,15226,82,,percent of total billed charges,,,16711.46,90,,percent of total billed charges,,,15783.05,85,,percent of total billed charges,,14000.49,17639.88, DEPUY FEMORAL HEAD 36MM +1.5,30180693,CDM,,,278,RC,inpatient,,8569.34,8569.34,,7275.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6461.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7283.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7541.02,88,,percent of total billed charges,,,,,,,,,6546.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7798.1,91,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7112.55,83,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7026.86,82,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7283.94,85,,percent of total billed charges,,6461.28,8140.87, DEPUY STEM CORAIL STD SZ14,30180694,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY FEMUR POROUS RT SZ1.5,30180695,CDM,,,278,RC,inpatient,,36155.73,36155.73,,30696.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27261.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30732.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31817.04,88,,percent of total billed charges,,,,,,,,,27622.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32901.71,91,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,30009.26,83,,percent of total billed charges,,,,,,,,,,,,,,,30009.26,83,,percent of total billed charges,,,34347.94,95,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,29647.7,82,,percent of total billed charges,,,32540.16,90,,percent of total billed charges,,,30732.37,85,,percent of total billed charges,,27261.42,34347.94, DEPUY INSERT SIGMA XLK 5 X 10,30180696,CDM,,,278,RC,inpatient,,12163.26,12163.26,,10326.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9171.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10338.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10703.67,88,,percent of total billed charges,,,,,,,,,9292.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11068.57,91,,percent of total billed charges,,,11555.1,95,,percent of total billed charges,,,10095.51,83,,percent of total billed charges,,,10095.51,83,,percent of total billed charges,,,,,,,,,,,,,,,10095.51,83,,percent of total billed charges,,,11555.1,95,,percent of total billed charges,,,10946.93,90,,percent of total billed charges,,,10946.93,90,,percent of total billed charges,,,9973.87,82,,percent of total billed charges,,,10946.93,90,,percent of total billed charges,,,10338.77,85,,percent of total billed charges,,9171.1,11555.1, DEPUY TIBIAL TRAY SZ5,30180697,CDM,,,270,RC,inpatient,,17711.46,17711.46,,15037.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13354.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15054.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15586.08,88,,percent of total billed charges,,,,,,,,,13531.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16117.43,91,,percent of total billed charges,,,16825.89,95,,percent of total billed charges,,,14700.51,83,,percent of total billed charges,,,14700.51,83,,percent of total billed charges,,,,,,,,,,,,,,,14700.51,83,,percent of total billed charges,,,16825.89,95,,percent of total billed charges,,,15940.31,90,,percent of total billed charges,,,15940.31,90,,percent of total billed charges,,,14523.4,82,,percent of total billed charges,,,15940.31,90,,percent of total billed charges,,,15054.74,85,,percent of total billed charges,,13354.44,16825.89, DEPUY PFC SIG CR FEM LT SZ4N,30180698,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, SYNTHES DRILL BIT 1.8MM 310.509,30180705,CDM,,,270,RC,inpatient,,1518.14,1518.14,,1288.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1144.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1290.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1335.96,88,,percent of total billed charges,,,,,,,,,1159.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1381.51,91,,percent of total billed charges,,,1442.23,95,,percent of total billed charges,,,1260.06,83,,percent of total billed charges,,,1260.06,83,,percent of total billed charges,,,,,,,,,,,,,,,1260.06,83,,percent of total billed charges,,,1442.23,95,,percent of total billed charges,,,1366.33,90,,percent of total billed charges,,,1366.33,90,,percent of total billed charges,,,1244.87,82,,percent of total billed charges,,,1366.33,90,,percent of total billed charges,,,1290.42,85,,percent of total billed charges,,1144.68,1442.23, SYNTHES SCREW CORTEX S-T 2.4X16MM,30180710,CDM,,,278,RC,inpatient,,599.69,599.69,,509.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,452.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,509.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,527.73,88,,percent of total billed charges,,,,,,,,,458.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,545.72,91,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,,,,,,,,,,,,,497.74,83,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,491.75,82,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,509.74,85,,percent of total billed charges,,452.17,569.71, SYNTHES SCREW CORTEX S-T 2.4X22MM,30180711,CDM,,,278,RC,inpatient,,599.69,599.69,,509.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,452.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,509.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,527.73,88,,percent of total billed charges,,,,,,,,,458.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,545.72,91,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,,,,,,,,,,,,,497.74,83,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,491.75,82,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,509.74,85,,percent of total billed charges,,452.17,569.71, DEPUY INSERT SIGMA XLK 2.5 X 12.5,30180718,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, PREP KIT BONE BIOPREP,30180724,CDM,,,270,RC,inpatient,,728.27,728.27,,618.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,549.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,619.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,640.88,88,,percent of total billed charges,,,,,,,,,556.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,662.73,91,,percent of total billed charges,,,691.86,95,,percent of total billed charges,,,604.46,83,,percent of total billed charges,,,604.46,83,,percent of total billed charges,,,,,,,,,,,,,,,604.46,83,,percent of total billed charges,,,691.86,95,,percent of total billed charges,,,655.44,90,,percent of total billed charges,,,655.44,90,,percent of total billed charges,,,597.18,82,,percent of total billed charges,,,655.44,90,,percent of total billed charges,,,619.03,85,,percent of total billed charges,,549.12,691.86, DEPUY STEM GLOBAL FX PC 10MM,30180725,CDM,,,278,RC,inpatient,,38704.58,38704.58,,32860.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29183.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32898.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34060.03,88,,percent of total billed charges,,,,,,,,,29570.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35221.17,91,,percent of total billed charges,,,36769.35,95,,percent of total billed charges,,,32124.8,83,,percent of total billed charges,,,32124.8,83,,percent of total billed charges,,,,,,,,,,,,,,,32124.8,83,,percent of total billed charges,,,36769.35,95,,percent of total billed charges,,,34834.12,90,,percent of total billed charges,,,34834.12,90,,percent of total billed charges,,,31737.76,82,,percent of total billed charges,,,34834.12,90,,percent of total billed charges,,,32898.89,85,,percent of total billed charges,,29183.25,36769.35, DEPUY STEM GLOBAL HUMERAL 44 X 18,30180726,CDM,,,278,RC,inpatient,,15560.09,15560.09,,13210.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11732.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13226.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13692.88,88,,percent of total billed charges,,,,,,,,,11887.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14159.68,91,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,,,,,,,,,,,,,12914.87,83,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,12759.27,82,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,13226.08,85,,percent of total billed charges,,11732.31,14782.09, DEPUY PFC SIG CR FEM RT SZ4N,30180732,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT SIGMA XLK 3 X 12.5,30180733,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, EYE LENS IMPLANT (ALCON),30180734,CDM,,,278,RC,inpatient,,975,975,,827.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,735.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,828.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,858,88,,percent of total billed charges,,,,,,,,,744.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,887.25,91,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,,,,,,,,,,,,,809.25,83,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,799.5,82,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,828.75,85,,percent of total billed charges,,735.15,926.25, CATH URETERAL ACCESS 6FR OPEN END,30180736,CDM,,,270,RC,inpatient,,81.84,81.84,,69.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,69.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,72.02,88,,percent of total billed charges,,,,,,,,,62.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,74.47,91,,percent of total billed charges,,,77.75,95,,percent of total billed charges,,,67.93,83,,percent of total billed charges,,,67.93,83,,percent of total billed charges,,,,,,,,,,,,,,,67.93,83,,percent of total billed charges,,,77.75,95,,percent of total billed charges,,,73.66,90,,percent of total billed charges,,,73.66,90,,percent of total billed charges,,,67.11,82,,percent of total billed charges,,,73.66,90,,percent of total billed charges,,,69.56,85,,percent of total billed charges,,61.71,77.75, DEPUY STEM TRI-LOCK HI OFFSET SZ0,30180740,CDM,,,278,RC,inpatient,,40713.14,40713.14,,34565.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30697.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34606.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35827.56,88,,percent of total billed charges,,,,,,,,,31104.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37048.96,91,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33791.91,83,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,33384.77,82,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,34606.17,85,,percent of total billed charges,,30697.71,38677.48, DEPUY DURALOC CUP OPTION SZ54,30180742,CDM,,,278,RC,inpatient,,10985.85,10985.85,,9326.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8283.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9337.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9667.55,88,,percent of total billed charges,,,,,,,,,8393.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9997.12,91,,percent of total billed charges,,,10436.56,95,,percent of total billed charges,,,9118.26,83,,percent of total billed charges,,,9118.26,83,,percent of total billed charges,,,,,,,,,,,,,,,9118.26,83,,percent of total billed charges,,,10436.56,95,,percent of total billed charges,,,9887.27,90,,percent of total billed charges,,,9887.27,90,,percent of total billed charges,,,9008.4,82,,percent of total billed charges,,,9887.27,90,,percent of total billed charges,,,9337.97,85,,percent of total billed charges,,8283.33,10436.56, DEPUY ARTICUL/EZE BALL 32MM +5,30180743,CDM,,,278,RC,inpatient,,7271.29,7271.29,,6173.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5482.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6180.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6398.74,88,,percent of total billed charges,,,,,,,,,5555.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6616.87,91,,percent of total billed charges,,,6907.73,95,,percent of total billed charges,,,6035.17,83,,percent of total billed charges,,,6035.17,83,,percent of total billed charges,,,,,,,,,,,,,,,6035.17,83,,percent of total billed charges,,,6907.73,95,,percent of total billed charges,,,6544.16,90,,percent of total billed charges,,,6544.16,90,,percent of total billed charges,,,5962.46,82,,percent of total billed charges,,,6544.16,90,,percent of total billed charges,,,6180.6,85,,percent of total billed charges,,5482.55,6907.73, DEPUY STEM TRI-LOCK STD OFFSET SZ7,30180745,CDM,,,278,RC,inpatient,,40713.14,40713.14,,34565.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30697.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34606.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35827.56,88,,percent of total billed charges,,,,,,,,,31104.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37048.96,91,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33791.91,83,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,33384.77,82,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,34606.17,85,,percent of total billed charges,,30697.71,38677.48, DEPUY STEM TRI-LOCK STD OFFSET SZ6,30180746,CDM,,,278,RC,inpatient,,40713.14,40713.14,,34565.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30697.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34606.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35827.56,88,,percent of total billed charges,,,,,,,,,31104.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37048.96,91,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33791.91,83,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,33384.77,82,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,34606.17,85,,percent of total billed charges,,30697.71,38677.48, "DEPUY DURALOC INSERT 32/58,60",30180747,CDM,,,278,RC,inpatient,,8870.1,8870.1,,7530.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6688.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7539.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7805.69,88,,percent of total billed charges,,,,,,,,,6776.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8071.79,91,,percent of total billed charges,,,8426.6,95,,percent of total billed charges,,,7362.18,83,,percent of total billed charges,,,7362.18,83,,percent of total billed charges,,,,,,,,,,,,,,,7362.18,83,,percent of total billed charges,,,8426.6,95,,percent of total billed charges,,,7983.09,90,,percent of total billed charges,,,7983.09,90,,percent of total billed charges,,,7273.48,82,,percent of total billed charges,,,7983.09,90,,percent of total billed charges,,,7539.59,85,,percent of total billed charges,,6688.06,8426.6, DEPUY DURALOC CUP OPTION SZ58,30180748,CDM,,,278,RC,inpatient,,8277.04,8277.04,,7027.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6240.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7035.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7283.8,88,,percent of total billed charges,,,,,,,,,6323.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7532.11,91,,percent of total billed charges,,,7863.19,95,,percent of total billed charges,,,6869.94,83,,percent of total billed charges,,,6869.94,83,,percent of total billed charges,,,,,,,,,,,,,,,6869.94,83,,percent of total billed charges,,,7863.19,95,,percent of total billed charges,,,7449.34,90,,percent of total billed charges,,,7449.34,90,,percent of total billed charges,,,6787.17,82,,percent of total billed charges,,,7449.34,90,,percent of total billed charges,,,7035.48,85,,percent of total billed charges,,6240.89,7863.19, DEPUY ARTICUL/EZE BALL 32MM +1,30180749,CDM,,,278,RC,inpatient,,9650.62,9650.62,,8193.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7276.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8203.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8492.55,88,,percent of total billed charges,,,,,,,,,7373.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8782.06,91,,percent of total billed charges,,,9168.09,95,,percent of total billed charges,,,8010.01,83,,percent of total billed charges,,,8010.01,83,,percent of total billed charges,,,,,,,,,,,,,,,8010.01,83,,percent of total billed charges,,,9168.09,95,,percent of total billed charges,,,8685.56,90,,percent of total billed charges,,,8685.56,90,,percent of total billed charges,,,7913.51,82,,percent of total billed charges,,,8685.56,90,,percent of total billed charges,,,8203.03,85,,percent of total billed charges,,7276.57,9168.09, DEPUY STEM SUMMIT TAPER SZ6 HI OFF,30180752,CDM,,,278,RC,inpatient,,35258.28,35258.28,,29934.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26584.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29969.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31027.29,88,,percent of total billed charges,,,,,,,,,26937.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32085.03,91,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,,,,,,,,,,,,,29264.37,83,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,28911.79,82,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,29969.54,85,,percent of total billed charges,,26584.74,33495.37, DEPUY SELF CENT HIP 48X28 BRN,30180756,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, DEPUY FEMUR CEMENTED LT SZ4,30180757,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT SIGMA XLK 4 X 12.5,30180758,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY INSERT SIGMA XLK 4 X 15,30180759,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, POLYSORB SOFT TISSUE ANCHOR 2MM,30180760,CDM,,,270,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, ARTELON CMC SPACER,30180761,CDM,,,270,RC,inpatient,,12148.5,12148.5,,10314.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9159.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10326.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10690.68,88,,percent of total billed charges,,,,,,,,,9281.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11055.14,91,,percent of total billed charges,,,11541.08,95,,percent of total billed charges,,,10083.26,83,,percent of total billed charges,,,10083.26,83,,percent of total billed charges,,,,,,,,,,,,,,,10083.26,83,,percent of total billed charges,,,11541.08,95,,percent of total billed charges,,,10933.65,90,,percent of total billed charges,,,10933.65,90,,percent of total billed charges,,,9961.77,82,,percent of total billed charges,,,10933.65,90,,percent of total billed charges,,,10326.23,85,,percent of total billed charges,,9159.97,11541.08, SYNTHES ROD REAMER 2.5MM,30180764,CDM,,,270,RC,inpatient,,1172.28,1172.28,,995.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,883.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,996.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1031.61,88,,percent of total billed charges,,,,,,,,,895.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1066.77,91,,percent of total billed charges,,,1113.67,95,,percent of total billed charges,,,972.99,83,,percent of total billed charges,,,972.99,83,,percent of total billed charges,,,,,,,,,,,,,,,972.99,83,,percent of total billed charges,,,1113.67,95,,percent of total billed charges,,,1055.05,90,,percent of total billed charges,,,1055.05,90,,percent of total billed charges,,,961.27,82,,percent of total billed charges,,,1055.05,90,,percent of total billed charges,,,996.44,85,,percent of total billed charges,,883.9,1113.67, STENT URETERAL CONTOUR 6 X 22,30180773,CDM,,,270,RC,inpatient,,917.28,917.28,,778.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,691.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,779.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,807.21,88,,percent of total billed charges,,,,,,,,,700.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,834.72,91,,percent of total billed charges,,,871.42,95,,percent of total billed charges,,,761.34,83,,percent of total billed charges,,,761.34,83,,percent of total billed charges,,,,,,,,,,,,,,,761.34,83,,percent of total billed charges,,,871.42,95,,percent of total billed charges,,,825.55,90,,percent of total billed charges,,,825.55,90,,percent of total billed charges,,,752.17,82,,percent of total billed charges,,,825.55,90,,percent of total billed charges,,,779.69,85,,percent of total billed charges,,691.63,871.42, SYNTHES SCREW STARDRIVE 4.0X34MM,30180783,CDM,,,278,RC,inpatient,,2250.82,2250.82,,1910.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1697.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1913.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1980.72,88,,percent of total billed charges,,,,,,,,,1719.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2048.25,91,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1868.18,83,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1845.67,82,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1913.2,85,,percent of total billed charges,,1697.12,2138.28, SYNTHES GUIDEWIRE 3.2MM,30180784,CDM,,,278,RC,inpatient,,984.75,984.75,,836.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,742.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,837.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,866.58,88,,percent of total billed charges,,,,,,,,,752.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,896.12,91,,percent of total billed charges,,,935.51,95,,percent of total billed charges,,,817.34,83,,percent of total billed charges,,,817.34,83,,percent of total billed charges,,,,,,,,,,,,,,,817.34,83,,percent of total billed charges,,,935.51,95,,percent of total billed charges,,,886.28,90,,percent of total billed charges,,,886.28,90,,percent of total billed charges,,,807.5,82,,percent of total billed charges,,,886.28,90,,percent of total billed charges,,,837.04,85,,percent of total billed charges,,742.5,935.51, SHOULDER ABDUCTION SLING - XLGE,30180790,CDM,,,270,RC,inpatient,,36.99,36.99,,31.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32.55,88,,percent of total billed charges,,,,,,,,,28.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33.66,91,,percent of total billed charges,,,35.14,95,,percent of total billed charges,,,30.7,83,,percent of total billed charges,,,30.7,83,,percent of total billed charges,,,,,,,,,,,,,,,30.7,83,,percent of total billed charges,,,35.14,95,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,30.33,82,,percent of total billed charges,,,33.29,90,,percent of total billed charges,,,31.44,85,,percent of total billed charges,,27.89,35.14, ARTHREX CANNULA 7MM,30180792,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, HAND TRAP,30180795,CDM,,,270,RC,inpatient,,213.75,213.75,,181.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,161.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,181.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,188.1,88,,percent of total billed charges,,,,,,,,,163.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,194.51,91,,percent of total billed charges,,,203.06,95,,percent of total billed charges,,,177.41,83,,percent of total billed charges,,,177.41,83,,percent of total billed charges,,,,,,,,,,,,,,,177.41,83,,percent of total billed charges,,,203.06,95,,percent of total billed charges,,,192.38,90,,percent of total billed charges,,,192.38,90,,percent of total billed charges,,,175.28,82,,percent of total billed charges,,,192.38,90,,percent of total billed charges,,,181.69,85,,percent of total billed charges,,161.17,203.06, ARTHREX FIBERSTICK #2,30180801,CDM,,,270,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, ARTHREX CANNULA 8.25M,30180817,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, NOVASURE ABLATION KIT,30180818,CDM,,,270,RC,inpatient,,7475,7475,,6346.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5636.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6353.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6578,88,,percent of total billed charges,,,,,,,,,5710.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6802.25,91,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,,,,,,,,,,,,,6204.25,83,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6129.5,82,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6353.75,85,,percent of total billed charges,,5636.15,7101.25, STRYKER DISP 18X4 QUICK TOURN CUFF,30180819,CDM,,,270,RC,inpatient,,181.24,181.24,,153.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,136.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,154.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,159.49,88,,percent of total billed charges,,,,,,,,,138.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,164.93,91,,percent of total billed charges,,,172.18,95,,percent of total billed charges,,,150.43,83,,percent of total billed charges,,,150.43,83,,percent of total billed charges,,,,,,,,,,,,,,,150.43,83,,percent of total billed charges,,,172.18,95,,percent of total billed charges,,,163.12,90,,percent of total billed charges,,,163.12,90,,percent of total billed charges,,,148.62,82,,percent of total billed charges,,,163.12,90,,percent of total billed charges,,,154.05,85,,percent of total billed charges,,136.65,172.18, STRYKER DISP 12X2 QUICK TOURN CUFF,30180820,CDM,,,270,RC,inpatient,,122.24,122.24,,103.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,92.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,103.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,107.57,88,,percent of total billed charges,,,,,,,,,93.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,111.24,91,,percent of total billed charges,,,116.13,95,,percent of total billed charges,,,101.46,83,,percent of total billed charges,,,101.46,83,,percent of total billed charges,,,,,,,,,,,,,,,101.46,83,,percent of total billed charges,,,116.13,95,,percent of total billed charges,,,110.02,90,,percent of total billed charges,,,110.02,90,,percent of total billed charges,,,100.24,82,,percent of total billed charges,,,110.02,90,,percent of total billed charges,,,103.9,85,,percent of total billed charges,,92.17,116.13, STRYKER DISP 34X4 QUICK TOURN CUFF,30180821,CDM,,,270,RC,inpatient,,221.56,221.56,,188.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,167.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,188.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,194.97,88,,percent of total billed charges,,,,,,,,,169.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,201.62,91,,percent of total billed charges,,,210.48,95,,percent of total billed charges,,,183.89,83,,percent of total billed charges,,,183.89,83,,percent of total billed charges,,,,,,,,,,,,,,,183.89,83,,percent of total billed charges,,,210.48,95,,percent of total billed charges,,,199.4,90,,percent of total billed charges,,,199.4,90,,percent of total billed charges,,,181.68,82,,percent of total billed charges,,,199.4,90,,percent of total billed charges,,,188.33,85,,percent of total billed charges,,167.06,210.48, STRYKER DISP 44X4 QUICK TOURN CUFF,30180822,CDM,,,270,RC,inpatient,,241.96,241.96,,205.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,182.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,205.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,212.92,88,,percent of total billed charges,,,,,,,,,184.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,220.18,91,,percent of total billed charges,,,229.86,95,,percent of total billed charges,,,200.83,83,,percent of total billed charges,,,200.83,83,,percent of total billed charges,,,,,,,,,,,,,,,200.83,83,,percent of total billed charges,,,229.86,95,,percent of total billed charges,,,217.76,90,,percent of total billed charges,,,217.76,90,,percent of total billed charges,,,198.41,82,,percent of total billed charges,,,217.76,90,,percent of total billed charges,,,205.67,85,,percent of total billed charges,,182.44,229.86, STRYKER DISP 24X4 QUICK TOURN CUFF,30180823,CDM,,,270,RC,inpatient,,190.76,190.76,,161.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,143.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,162.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,167.87,88,,percent of total billed charges,,,,,,,,,145.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,173.59,91,,percent of total billed charges,,,181.22,95,,percent of total billed charges,,,158.33,83,,percent of total billed charges,,,158.33,83,,percent of total billed charges,,,,,,,,,,,,,,,158.33,83,,percent of total billed charges,,,181.22,95,,percent of total billed charges,,,171.68,90,,percent of total billed charges,,,171.68,90,,percent of total billed charges,,,156.42,82,,percent of total billed charges,,,171.68,90,,percent of total billed charges,,,162.15,85,,percent of total billed charges,,143.83,181.22, STRYKER DISP 30X4 QUICK TOURN CUFF,30180824,CDM,,,270,RC,inpatient,,206.16,206.16,,175.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,155.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,175.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,181.42,88,,percent of total billed charges,,,,,,,,,157.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,187.61,91,,percent of total billed charges,,,195.85,95,,percent of total billed charges,,,171.11,83,,percent of total billed charges,,,171.11,83,,percent of total billed charges,,,,,,,,,,,,,,,171.11,83,,percent of total billed charges,,,195.85,95,,percent of total billed charges,,,185.54,90,,percent of total billed charges,,,185.54,90,,percent of total billed charges,,,169.05,82,,percent of total billed charges,,,185.54,90,,percent of total billed charges,,,175.24,85,,percent of total billed charges,,155.44,195.85, CARTILAGE BIOPSY TRANSPORT KIT,30180828,CDM,,,270,RC,inpatient,,3692,3692,,3134.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2783.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3138.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3248.96,88,,percent of total billed charges,,,,,,,,,2820.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3359.72,91,,percent of total billed charges,,,3507.4,95,,percent of total billed charges,,,3064.36,83,,percent of total billed charges,,,3064.36,83,,percent of total billed charges,,,,,,,,,,,,,,,3064.36,83,,percent of total billed charges,,,3507.4,95,,percent of total billed charges,,,3322.8,90,,percent of total billed charges,,,3322.8,90,,percent of total billed charges,,,3027.44,82,,percent of total billed charges,,,3322.8,90,,percent of total billed charges,,,3138.2,85,,percent of total billed charges,,2783.77,3507.4, DEPUY STEM TRI-LOCK STD OFFSET SZ4,30180829,CDM,,,278,RC,inpatient,,40713.14,40713.14,,34565.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30697.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34606.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35827.56,88,,percent of total billed charges,,,,,,,,,31104.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37048.96,91,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33791.91,83,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,33384.77,82,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,34606.17,85,,percent of total billed charges,,30697.71,38677.48, DEPUY ARTICUL/EZE BALL 32MM +13,30180830,CDM,,,278,RC,inpatient,,5683.54,5683.54,,4825.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4285.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4831.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5001.52,88,,percent of total billed charges,,,,,,,,,4342.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5172.02,91,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,,,,,,,,,,,,,4717.34,83,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4660.5,82,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4831.01,85,,percent of total billed charges,,4285.39,5399.36, DEPUY PINNACLE CUP 64MM,30180831,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY LINER ALTRX NEUT 36 X 64,30180832,CDM,,,278,RC,inpatient,,13197.15,13197.15,,11204.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9950.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11217.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11613.49,88,,percent of total billed charges,,,,,,,,,10082.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12009.41,91,,percent of total billed charges,,,12537.29,95,,percent of total billed charges,,,10953.63,83,,percent of total billed charges,,,10953.63,83,,percent of total billed charges,,,,,,,,,,,,,,,10953.63,83,,percent of total billed charges,,,12537.29,95,,percent of total billed charges,,,11877.44,90,,percent of total billed charges,,,11877.44,90,,percent of total billed charges,,,10821.66,82,,percent of total billed charges,,,11877.44,90,,percent of total billed charges,,,11217.58,85,,percent of total billed charges,,9950.65,12537.29, DEPUY LINER ALTRX +4 NEUT 36 X 64,30180833,CDM,,,278,RC,inpatient,,14543.23,14543.23,,12347.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10965.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12361.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12798.04,88,,percent of total billed charges,,,,,,,,,11111.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13234.34,91,,percent of total billed charges,,,13816.07,95,,percent of total billed charges,,,12070.88,83,,percent of total billed charges,,,12070.88,83,,percent of total billed charges,,,,,,,,,,,,,,,12070.88,83,,percent of total billed charges,,,13816.07,95,,percent of total billed charges,,,13088.91,90,,percent of total billed charges,,,13088.91,90,,percent of total billed charges,,,11925.45,82,,percent of total billed charges,,,13088.91,90,,percent of total billed charges,,,12361.75,85,,percent of total billed charges,,10965.6,13816.07, DEPUY STEM CORAIL STD SZ12,30180834,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY LINER ALTRX +4 36 X 64,30180835,CDM,,,278,RC,inpatient,,14543.23,14543.23,,12347.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10965.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12361.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12798.04,88,,percent of total billed charges,,,,,,,,,11111.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13234.34,91,,percent of total billed charges,,,13816.07,95,,percent of total billed charges,,,12070.88,83,,percent of total billed charges,,,12070.88,83,,percent of total billed charges,,,,,,,,,,,,,,,12070.88,83,,percent of total billed charges,,,13816.07,95,,percent of total billed charges,,,13088.91,90,,percent of total billed charges,,,13088.91,90,,percent of total billed charges,,,11925.45,82,,percent of total billed charges,,,13088.91,90,,percent of total billed charges,,,12361.75,85,,percent of total billed charges,,10965.6,13816.07, SYNTHES DRILL BIT TAPERED 10X4MM,30180842,CDM,,,278,RC,inpatient,,1939.28,1939.28,,1646.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1462.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1648.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1706.57,88,,percent of total billed charges,,,,,,,,,1481.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1764.74,91,,percent of total billed charges,,,1842.32,95,,percent of total billed charges,,,1609.6,83,,percent of total billed charges,,,1609.6,83,,percent of total billed charges,,,,,,,,,,,,,,,1609.6,83,,percent of total billed charges,,,1842.32,95,,percent of total billed charges,,,1745.35,90,,percent of total billed charges,,,1745.35,90,,percent of total billed charges,,,1590.21,82,,percent of total billed charges,,,1745.35,90,,percent of total billed charges,,,1648.39,85,,percent of total billed charges,,1462.22,1842.32, DEPUY INSERT SIGMA XLK 5 X 15,30180843,CDM,,,278,RC,inpatient,,14248.07,14248.07,,12096.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12110.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.3,88,,percent of total billed charges,,,,,,,,,10885.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12965.74,91,,percent of total billed charges,,,13535.67,95,,percent of total billed charges,,,11825.9,83,,percent of total billed charges,,,11825.9,83,,percent of total billed charges,,,,,,,,,,,,,,,11825.9,83,,percent of total billed charges,,,13535.67,95,,percent of total billed charges,,,12823.26,90,,percent of total billed charges,,,12823.26,90,,percent of total billed charges,,,11683.42,82,,percent of total billed charges,,,12823.26,90,,percent of total billed charges,,,12110.86,85,,percent of total billed charges,,10743.04,13535.67, SYNTHES SCREW LOCKING 3.5X16MM,30180847,CDM,,,278,RC,inpatient,,1217.84,1217.84,,1033.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,918.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1035.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1071.7,88,,percent of total billed charges,,,,,,,,,930.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1108.23,91,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1010.81,83,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,998.63,82,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1035.16,85,,percent of total billed charges,,918.25,1156.95, SYNTHES DRILL BIT 2.0MM 310.21,30180849,CDM,,,270,RC,inpatient,,832.33,832.33,,706.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,627.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,707.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,732.45,88,,percent of total billed charges,,,,,,,,,635.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,757.42,91,,percent of total billed charges,,,790.71,95,,percent of total billed charges,,,690.83,83,,percent of total billed charges,,,690.83,83,,percent of total billed charges,,,,,,,,,,,,,,,690.83,83,,percent of total billed charges,,,790.71,95,,percent of total billed charges,,,749.1,90,,percent of total billed charges,,,749.1,90,,percent of total billed charges,,,682.51,82,,percent of total billed charges,,,749.1,90,,percent of total billed charges,,,707.48,85,,percent of total billed charges,,627.58,790.71, SYNTHES PLATE LCP TUBULAR 5-HOLE,30180850,CDM,,,278,RC,inpatient,,1585.68,1585.68,,1346.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1195.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1347.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1395.4,88,,percent of total billed charges,,,,,,,,,1211.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1442.97,91,,percent of total billed charges,,,1506.4,95,,percent of total billed charges,,,1316.11,83,,percent of total billed charges,,,1316.11,83,,percent of total billed charges,,,,,,,,,,,,,,,1316.11,83,,percent of total billed charges,,,1506.4,95,,percent of total billed charges,,,1427.11,90,,percent of total billed charges,,,1427.11,90,,percent of total billed charges,,,1300.26,82,,percent of total billed charges,,,1427.11,90,,percent of total billed charges,,,1347.83,85,,percent of total billed charges,,1195.6,1506.4, SYNTHES K-WIRE 2.0MM,30180851,CDM,,,278,RC,inpatient,,105.4,105.4,,89.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,79.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,89.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,92.75,88,,percent of total billed charges,,,,,,,,,80.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,95.91,91,,percent of total billed charges,,,100.13,95,,percent of total billed charges,,,87.48,83,,percent of total billed charges,,,87.48,83,,percent of total billed charges,,,,,,,,,,,,,,,87.48,83,,percent of total billed charges,,,100.13,95,,percent of total billed charges,,,94.86,90,,percent of total billed charges,,,94.86,90,,percent of total billed charges,,,86.43,82,,percent of total billed charges,,,94.86,90,,percent of total billed charges,,,89.59,85,,percent of total billed charges,,79.47,100.13, DEPUY ARTICUL/EZE BALL 32MM +17,30180856,CDM,,,278,RC,inpatient,,4752.22,4752.22,,4034.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3583.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4039.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4181.95,88,,percent of total billed charges,,,,,,,,,3630.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4324.52,91,,percent of total billed charges,,,4514.61,95,,percent of total billed charges,,,3944.34,83,,percent of total billed charges,,,3944.34,83,,percent of total billed charges,,,,,,,,,,,,,,,3944.34,83,,percent of total billed charges,,,4514.61,95,,percent of total billed charges,,,4277,90,,percent of total billed charges,,,4277,90,,percent of total billed charges,,,3896.82,82,,percent of total billed charges,,,4277,90,,percent of total billed charges,,,4039.39,85,,percent of total billed charges,,3583.17,4514.61, DEPUY STATURE AML 12MM X 6IN,30180857,CDM,,,278,RC,inpatient,,38122.11,38122.11,,32365.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28744.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32403.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33547.46,88,,percent of total billed charges,,,,,,,,,29125.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34691.12,91,,percent of total billed charges,,,36216,95,,percent of total billed charges,,,31641.35,83,,percent of total billed charges,,,31641.35,83,,percent of total billed charges,,,,,,,,,,,,,,,31641.35,83,,percent of total billed charges,,,36216,95,,percent of total billed charges,,,34309.9,90,,percent of total billed charges,,,34309.9,90,,percent of total billed charges,,,31260.13,82,,percent of total billed charges,,,34309.9,90,,percent of total billed charges,,,32403.79,85,,percent of total billed charges,,28744.07,36216, DEPUY HIP POROUS - CAPITATED (691),30180858,CDM,,,278,RC,inpatient,,30294.81,30294.81,,25720.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22842.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25750.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26659.43,88,,percent of total billed charges,,,,,,,,,23145.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27568.28,91,,percent of total billed charges,,,28780.07,95,,percent of total billed charges,,,25144.69,83,,percent of total billed charges,,,25144.69,83,,percent of total billed charges,,,,,,,,,,,,,,,25144.69,83,,percent of total billed charges,,,28780.07,95,,percent of total billed charges,,,27265.33,90,,percent of total billed charges,,,27265.33,90,,percent of total billed charges,,,24841.74,82,,percent of total billed charges,,,27265.33,90,,percent of total billed charges,,,25750.59,85,,percent of total billed charges,,22842.29,28780.07, DEPUY FEMORAL HEAD 36MM LGE METAL,30180859,CDM,,,278,RC,inpatient,,1729,1729,,1467.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1303.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1469.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1521.52,88,,percent of total billed charges,,,,,,,,,1320.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1573.39,91,,percent of total billed charges,,,1642.55,95,,percent of total billed charges,,,1435.07,83,,percent of total billed charges,,,1435.07,83,,percent of total billed charges,,,,,,,,,,,,,,,1435.07,83,,percent of total billed charges,,,1642.55,95,,percent of total billed charges,,,1556.1,90,,percent of total billed charges,,,1556.1,90,,percent of total billed charges,,,1417.78,82,,percent of total billed charges,,,1556.1,90,,percent of total billed charges,,,1469.65,85,,percent of total billed charges,,1303.67,1642.55, DEPUY LINER ALTRX X-LINK (669),30180860,CDM,,,278,RC,inpatient,,2762.5,2762.5,,2345.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2082.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2348.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2431,88,,percent of total billed charges,,,,,,,,,2110.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2513.88,91,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2292.88,83,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2265.25,82,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2348.13,85,,percent of total billed charges,,2082.93,2624.38, SYNTHES CABLE W/CRIMP 1.7M TI,30180861,CDM,,,278,RC,inpatient,,4947.09,4947.09,,4200.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3730.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4205.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4353.44,88,,percent of total billed charges,,,,,,,,,3779.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4501.85,91,,percent of total billed charges,,,4699.74,95,,percent of total billed charges,,,4106.08,83,,percent of total billed charges,,,4106.08,83,,percent of total billed charges,,,,,,,,,,,,,,,4106.08,83,,percent of total billed charges,,,4699.74,95,,percent of total billed charges,,,4452.38,90,,percent of total billed charges,,,4452.38,90,,percent of total billed charges,,,4056.61,82,,percent of total billed charges,,,4452.38,90,,percent of total billed charges,,,4205.03,85,,percent of total billed charges,,3730.11,4699.74, SYNTHES GUIDEWIRE 722,30180886,CDM,,,278,RC,inpatient,,351.68,351.68,,298.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,265.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,298.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,309.48,88,,percent of total billed charges,,,,,,,,,268.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,320.03,91,,percent of total billed charges,,,334.1,95,,percent of total billed charges,,,291.89,83,,percent of total billed charges,,,291.89,83,,percent of total billed charges,,,,,,,,,,,,,,,291.89,83,,percent of total billed charges,,,334.1,95,,percent of total billed charges,,,316.51,90,,percent of total billed charges,,,316.51,90,,percent of total billed charges,,,288.38,82,,percent of total billed charges,,,316.51,90,,percent of total billed charges,,,298.93,85,,percent of total billed charges,,265.17,334.1, SYNTHES DRILL BIT CANNULATED 2.7MM,30180887,CDM,,,278,RC,inpatient,,4519.19,4519.19,,3836.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3407.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3841.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3976.89,88,,percent of total billed charges,,,,,,,,,3452.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4112.46,91,,percent of total billed charges,,,4293.23,95,,percent of total billed charges,,,3750.93,83,,percent of total billed charges,,,3750.93,83,,percent of total billed charges,,,,,,,,,,,,,,,3750.93,83,,percent of total billed charges,,,4293.23,95,,percent of total billed charges,,,4067.27,90,,percent of total billed charges,,,4067.27,90,,percent of total billed charges,,,3705.74,82,,percent of total billed charges,,,4067.27,90,,percent of total billed charges,,,3841.31,85,,percent of total billed charges,,3407.47,4293.23, DEPUY INSERT SIGMA XLK 5 X 12.5,30180892,CDM,,,278,RC,inpatient,,14248.07,14248.07,,12096.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12110.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.3,88,,percent of total billed charges,,,,,,,,,10885.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12965.74,91,,percent of total billed charges,,,13535.67,95,,percent of total billed charges,,,11825.9,83,,percent of total billed charges,,,11825.9,83,,percent of total billed charges,,,,,,,,,,,,,,,11825.9,83,,percent of total billed charges,,,13535.67,95,,percent of total billed charges,,,12823.26,90,,percent of total billed charges,,,12823.26,90,,percent of total billed charges,,,11683.42,82,,percent of total billed charges,,,12823.26,90,,percent of total billed charges,,,12110.86,85,,percent of total billed charges,,10743.04,13535.67, DEPUY KNEE POROUS - CAPITATED (704),30180893,CDM,,,278,RC,inpatient,,26914.88,26914.88,,22850.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20293.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22877.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23685.09,88,,percent of total billed charges,,,,,,,,,20562.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24492.54,91,,percent of total billed charges,,,25569.14,95,,percent of total billed charges,,,22339.35,83,,percent of total billed charges,,,22339.35,83,,percent of total billed charges,,,,,,,,,,,,,,,22339.35,83,,percent of total billed charges,,,25569.14,95,,percent of total billed charges,,,24223.39,90,,percent of total billed charges,,,24223.39,90,,percent of total billed charges,,,22070.2,82,,percent of total billed charges,,,24223.39,90,,percent of total billed charges,,,22877.65,85,,percent of total billed charges,,20293.82,25569.14, DEPUY LINER ALTRX X-LINK (712),30180894,CDM,,,278,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, DEPUY KNEE HYBRID - CAPITATED (703),30180895,CDM,,,278,RC,inpatient,,25239.57,25239.57,,21428.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19030.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21453.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22210.82,88,,percent of total billed charges,,,,,,,,,19283.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22968.01,91,,percent of total billed charges,,,23977.59,95,,percent of total billed charges,,,20948.84,83,,percent of total billed charges,,,20948.84,83,,percent of total billed charges,,,,,,,,,,,,,,,20948.84,83,,percent of total billed charges,,,23977.59,95,,percent of total billed charges,,,22715.61,90,,percent of total billed charges,,,22715.61,90,,percent of total billed charges,,,20696.45,82,,percent of total billed charges,,,22715.61,90,,percent of total billed charges,,,21453.63,85,,percent of total billed charges,,19030.64,23977.59, DEPUY UPCHARGE PORCOAT FEMUR(735),30180896,CDM,,,278,RC,inpatient,,1300,1300,,1103.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,980.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1105,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1144,88,,percent of total billed charges,,,,,,,,,993.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1183,91,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,,,,,,,,,,,,,1079,83,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1066,82,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1105,85,,percent of total billed charges,,980.2,1235, DEPUY UPCHARGE XLINK INSERT(736),30180897,CDM,,,278,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, SYNTHES SCREW CORTEX 4.5X30MM,30180898,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, DEPUY UPCHARGE CERAMIC HEAD(695),30180908,CDM,,,278,RC,inpatient,,4225,4225,,3587.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3185.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3591.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3718,88,,percent of total billed charges,,,,,,,,,3227.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3844.75,91,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,,,,,,,,,,,,,3506.75,83,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3464.5,82,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3591.25,85,,percent of total billed charges,,3185.65,4013.75, SYNTHES K-WIRE 1.25MM,30180910,CDM,,,278,RC,inpatient,,111.82,111.82,,94.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,95.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.4,88,,percent of total billed charges,,,,,,,,,85.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.76,91,,percent of total billed charges,,,106.23,95,,percent of total billed charges,,,92.81,83,,percent of total billed charges,,,92.81,83,,percent of total billed charges,,,,,,,,,,,,,,,92.81,83,,percent of total billed charges,,,106.23,95,,percent of total billed charges,,,100.64,90,,percent of total billed charges,,,100.64,90,,percent of total billed charges,,,91.69,82,,percent of total billed charges,,,100.64,90,,percent of total billed charges,,,95.05,85,,percent of total billed charges,,84.31,106.23, SYNTHES SCREW STARDRIVE 3.5X10MM,30180914,CDM,,,278,RC,inpatient,,1217.84,1217.84,,1033.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,918.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1035.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1071.7,88,,percent of total billed charges,,,,,,,,,930.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1108.23,91,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1010.81,83,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,998.63,82,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1035.16,85,,percent of total billed charges,,918.25,1156.95, SYNTHES SCREW STARDRIVE 3.5X12MM,30180915,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, ARTHREX SCREW ANCHOR 5.5 W/FIBERWIRE,30180919,CDM,,,270,RC,inpatient,,1657.5,1657.5,,1407.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1249.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1408.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1458.6,88,,percent of total billed charges,,,,,,,,,1266.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1508.33,91,,percent of total billed charges,,,1574.63,95,,percent of total billed charges,,,1375.73,83,,percent of total billed charges,,,1375.73,83,,percent of total billed charges,,,,,,,,,,,,,,,1375.73,83,,percent of total billed charges,,,1574.63,95,,percent of total billed charges,,,1491.75,90,,percent of total billed charges,,,1491.75,90,,percent of total billed charges,,,1359.15,82,,percent of total billed charges,,,1491.75,90,,percent of total billed charges,,,1408.88,85,,percent of total billed charges,,1249.76,1574.63, DEPUY PATELLA BLADE MED,30180920,CDM,,,278,RC,inpatient,,1748.5,1748.5,,1484.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1318.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1486.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1538.68,88,,percent of total billed charges,,,,,,,,,1335.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1591.14,91,,percent of total billed charges,,,1661.08,95,,percent of total billed charges,,,1451.26,83,,percent of total billed charges,,,1451.26,83,,percent of total billed charges,,,,,,,,,,,,,,,1451.26,83,,percent of total billed charges,,,1661.08,95,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1433.77,82,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1486.23,85,,percent of total billed charges,,1318.37,1661.08, DEPUY UPCHARGE PORCOAT FEMUR(711),30180921,CDM,,,278,RC,inpatient,,1300,1300,,1103.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,980.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1105,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1144,88,,percent of total billed charges,,,,,,,,,993.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1183,91,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,,,,,,,,,,,,,1079,83,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1066,82,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1105,85,,percent of total billed charges,,980.2,1235, DEPUY UPCHARGE CERAMIC LINER(696),30180922,CDM,,,278,RC,inpatient,,4225,4225,,3587.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3185.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3591.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3718,88,,percent of total billed charges,,,,,,,,,3227.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3844.75,91,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,,,,,,,,,,,,,3506.75,83,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3464.5,82,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3591.25,85,,percent of total billed charges,,3185.65,4013.75, DEPUY PATELLA BLADE SM,30180923,CDM,,,278,RC,inpatient,,1878.5,1878.5,,1594.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1416.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1596.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1653.08,88,,percent of total billed charges,,,,,,,,,1435.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1709.44,91,,percent of total billed charges,,,1784.58,95,,percent of total billed charges,,,1559.16,83,,percent of total billed charges,,,1559.16,83,,percent of total billed charges,,,,,,,,,,,,,,,1559.16,83,,percent of total billed charges,,,1784.58,95,,percent of total billed charges,,,1690.65,90,,percent of total billed charges,,,1690.65,90,,percent of total billed charges,,,1540.37,82,,percent of total billed charges,,,1690.65,90,,percent of total billed charges,,,1596.73,85,,percent of total billed charges,,1416.39,1784.58, DEPUY KNEE CEMENTED - CAPITATED (702),30180924,CDM,,,278,RC,inpatient,,23564.26,23564.26,,20006.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17767.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20029.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20736.55,88,,percent of total billed charges,,,,,,,,,18003.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21443.48,91,,percent of total billed charges,,,22386.05,95,,percent of total billed charges,,,19558.34,83,,percent of total billed charges,,,19558.34,83,,percent of total billed charges,,,,,,,,,,,,,,,19558.34,83,,percent of total billed charges,,,22386.05,95,,percent of total billed charges,,,21207.83,90,,percent of total billed charges,,,21207.83,90,,percent of total billed charges,,,19322.69,82,,percent of total billed charges,,,21207.83,90,,percent of total billed charges,,,20029.62,85,,percent of total billed charges,,17767.45,22386.05, DEPUY PINNACLE CUP SECTOR II 60MM,30180926,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, DEPUY PINNACLE CUP INSERT 40 X 60,30180927,CDM,,,278,RC,inpatient,,17516.2,17516.2,,14871.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13207.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14888.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15414.26,88,,percent of total billed charges,,,,,,,,,13382.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15939.74,91,,percent of total billed charges,,,16640.39,95,,percent of total billed charges,,,14538.45,83,,percent of total billed charges,,,14538.45,83,,percent of total billed charges,,,,,,,,,,,,,,,14538.45,83,,percent of total billed charges,,,16640.39,95,,percent of total billed charges,,,15764.58,90,,percent of total billed charges,,,15764.58,90,,percent of total billed charges,,,14363.28,82,,percent of total billed charges,,,15764.58,90,,percent of total billed charges,,,14888.77,85,,percent of total billed charges,,13207.21,16640.39, DEPUY FEMORAL HEAD 40MM +15.5,30180928,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY PINNACLE MAR +4 10D 32 X 54,30180930,CDM,,,278,RC,inpatient,,10342.15,10342.15,,8780.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7797.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8790.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9101.09,88,,percent of total billed charges,,,,,,,,,7901.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9411.36,91,,percent of total billed charges,,,9825.04,95,,percent of total billed charges,,,8583.98,83,,percent of total billed charges,,,8583.98,83,,percent of total billed charges,,,,,,,,,,,,,,,8583.98,83,,percent of total billed charges,,,9825.04,95,,percent of total billed charges,,,9307.94,90,,percent of total billed charges,,,9307.94,90,,percent of total billed charges,,,8480.56,82,,percent of total billed charges,,,9307.94,90,,percent of total billed charges,,,8790.83,85,,percent of total billed charges,,7797.98,9825.04, DEPUY PINNACLE MAR +4 10D 32 X 50,30180931,CDM,,,278,RC,inpatient,,10342.15,10342.15,,8780.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7797.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8790.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9101.09,88,,percent of total billed charges,,,,,,,,,7901.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9411.36,91,,percent of total billed charges,,,9825.04,95,,percent of total billed charges,,,8583.98,83,,percent of total billed charges,,,8583.98,83,,percent of total billed charges,,,,,,,,,,,,,,,8583.98,83,,percent of total billed charges,,,9825.04,95,,percent of total billed charges,,,9307.94,90,,percent of total billed charges,,,9307.94,90,,percent of total billed charges,,,8480.56,82,,percent of total billed charges,,,9307.94,90,,percent of total billed charges,,,8790.83,85,,percent of total billed charges,,7797.98,9825.04, GORTEX SOFT TISSUE PATCH 10CM X 15CM,30180934,CDM,,,270,RC,inpatient,,4381,4381,,3719.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3303.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3723.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3855.28,88,,percent of total billed charges,,,,,,,,,3347.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3986.71,91,,percent of total billed charges,,,4161.95,95,,percent of total billed charges,,,3636.23,83,,percent of total billed charges,,,3636.23,83,,percent of total billed charges,,,,,,,,,,,,,,,3636.23,83,,percent of total billed charges,,,4161.95,95,,percent of total billed charges,,,3942.9,90,,percent of total billed charges,,,3942.9,90,,percent of total billed charges,,,3592.42,82,,percent of total billed charges,,,3942.9,90,,percent of total billed charges,,,3723.85,85,,percent of total billed charges,,3303.27,4161.95, RAPID RHINO STAMMBERGER FOAM DRESSING,30180935,CDM,,,270,RC,inpatient,,483.07,483.07,,410.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,364.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,410.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,425.1,88,,percent of total billed charges,,,,,,,,,369.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,439.59,91,,percent of total billed charges,,,458.92,95,,percent of total billed charges,,,400.95,83,,percent of total billed charges,,,400.95,83,,percent of total billed charges,,,,,,,,,,,,,,,400.95,83,,percent of total billed charges,,,458.92,95,,percent of total billed charges,,,434.76,90,,percent of total billed charges,,,434.76,90,,percent of total billed charges,,,396.12,82,,percent of total billed charges,,,434.76,90,,percent of total billed charges,,,410.61,85,,percent of total billed charges,,364.23,458.92, BARD AVAULTA SOLO ANTERIOR SYSTEM,30180937,CDM,,,270,RC,inpatient,,9262.5,9262.5,,7863.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6983.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7873.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8151,88,,percent of total billed charges,,,,,,,,,7076.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8428.88,91,,percent of total billed charges,,,8799.38,95,,percent of total billed charges,,,7687.88,83,,percent of total billed charges,,,7687.88,83,,percent of total billed charges,,,,,,,,,,,,,,,7687.88,83,,percent of total billed charges,,,8799.38,95,,percent of total billed charges,,,8336.25,90,,percent of total billed charges,,,8336.25,90,,percent of total billed charges,,,7595.25,82,,percent of total billed charges,,,8336.25,90,,percent of total billed charges,,,7873.13,85,,percent of total billed charges,,6983.93,8799.38, BARD AVAULTA SOLO POSTERIOR SYSTEM,30180938,CDM,,,270,RC,inpatient,,9262.5,9262.5,,7863.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6983.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7873.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8151,88,,percent of total billed charges,,,,,,,,,7076.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8428.88,91,,percent of total billed charges,,,8799.38,95,,percent of total billed charges,,,7687.88,83,,percent of total billed charges,,,7687.88,83,,percent of total billed charges,,,,,,,,,,,,,,,7687.88,83,,percent of total billed charges,,,8799.38,95,,percent of total billed charges,,,8336.25,90,,percent of total billed charges,,,8336.25,90,,percent of total billed charges,,,7595.25,82,,percent of total billed charges,,,8336.25,90,,percent of total billed charges,,,7873.13,85,,percent of total billed charges,,6983.93,8799.38, SYNTHES SCREW CORTEX 3.5X26MM,30180939,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES DRILL BIT 2.7MM,30180941,CDM,,,270,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, STRYKER BLADE MICRO 18X.51X5.5MM,30180946,CDM,,,270,RC,inpatient,,307.28,307.28,,260.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,231.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,261.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,270.41,88,,percent of total billed charges,,,,,,,,,234.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,279.62,91,,percent of total billed charges,,,291.92,95,,percent of total billed charges,,,255.04,83,,percent of total billed charges,,,255.04,83,,percent of total billed charges,,,,,,,,,,,,,,,255.04,83,,percent of total billed charges,,,291.92,95,,percent of total billed charges,,,276.55,90,,percent of total billed charges,,,276.55,90,,percent of total billed charges,,,251.97,82,,percent of total billed charges,,,276.55,90,,percent of total billed charges,,,261.19,85,,percent of total billed charges,,231.69,291.92, SYNTHES SCREW CORTEX 3.5X32MM,30180950,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X34MM,30180951,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X36MM,30180952,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X40MM,30180953,CDM,,,278,RC,inpatient,,267.75,267.75,,227.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,201.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,227.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,235.62,88,,percent of total billed charges,,,,,,,,,204.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,243.65,91,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,,,,,,,,,,,,,222.23,83,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,219.56,82,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,227.59,85,,percent of total billed charges,,201.88,254.36, SYNTHES SCREW CANCEL F-THD 4.0X26MM,30180956,CDM,,,278,RC,inpatient,,236.7,236.7,,200.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,178.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,201.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,208.3,88,,percent of total billed charges,,,,,,,,,180.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,215.4,91,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,,,,,,,,,,,,,196.46,83,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,194.09,82,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,201.2,85,,percent of total billed charges,,178.47,224.87, SYNTHES PLATE TUBULAR 8-HOLE,30180964,CDM,,,278,RC,inpatient,,1811.23,1811.23,,1537.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1365.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1539.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1593.88,88,,percent of total billed charges,,,,,,,,,1383.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1648.22,91,,percent of total billed charges,,,1720.67,95,,percent of total billed charges,,,1503.32,83,,percent of total billed charges,,,1503.32,83,,percent of total billed charges,,,,,,,,,,,,,,,1503.32,83,,percent of total billed charges,,,1720.67,95,,percent of total billed charges,,,1630.11,90,,percent of total billed charges,,,1630.11,90,,percent of total billed charges,,,1485.21,82,,percent of total billed charges,,,1630.11,90,,percent of total billed charges,,,1539.55,85,,percent of total billed charges,,1365.67,1720.67, DEPUY KNEE CEMENTED - CAPITATED (017),30180966,CDM,,,278,RC,inpatient,,25218.18,25218.18,,21410.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19014.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21435.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22192,88,,percent of total billed charges,,,,,,,,,19266.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22948.54,91,,percent of total billed charges,,,23957.27,95,,percent of total billed charges,,,20931.09,83,,percent of total billed charges,,,20931.09,83,,percent of total billed charges,,,,,,,,,,,,,,,20931.09,83,,percent of total billed charges,,,23957.27,95,,percent of total billed charges,,,22696.36,90,,percent of total billed charges,,,22696.36,90,,percent of total billed charges,,,20678.91,82,,percent of total billed charges,,,22696.36,90,,percent of total billed charges,,,21435.45,85,,percent of total billed charges,,19014.51,23957.27, DEPUY UPCHARGE XLINK POLY(027),30180967,CDM,,,278,RC,inpatient,,2434.71,2434.71,,2067.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1835.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2069.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2142.54,88,,percent of total billed charges,,,,,,,,,1860.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2215.59,91,,percent of total billed charges,,,2312.97,95,,percent of total billed charges,,,2020.81,83,,percent of total billed charges,,,2020.81,83,,percent of total billed charges,,,,,,,,,,,,,,,2020.81,83,,percent of total billed charges,,,2312.97,95,,percent of total billed charges,,,2191.24,90,,percent of total billed charges,,,2191.24,90,,percent of total billed charges,,,1996.46,82,,percent of total billed charges,,,2191.24,90,,percent of total billed charges,,,2069.5,85,,percent of total billed charges,,1835.77,2312.97, AQUAMANTYS BIPOLAR SEALER 6.0,30180968,CDM,,,270,RC,inpatient,,4953,4953,,4205.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3734.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4210.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4358.64,88,,percent of total billed charges,,,,,,,,,3784.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4507.23,91,,percent of total billed charges,,,4705.35,95,,percent of total billed charges,,,4110.99,83,,percent of total billed charges,,,4110.99,83,,percent of total billed charges,,,,,,,,,,,,,,,4110.99,83,,percent of total billed charges,,,4705.35,95,,percent of total billed charges,,,4457.7,90,,percent of total billed charges,,,4457.7,90,,percent of total billed charges,,,4061.46,82,,percent of total billed charges,,,4457.7,90,,percent of total billed charges,,,4210.05,85,,percent of total billed charges,,3734.56,4705.35, AQUAMANTYS BIPOLAR SEALER 2.3,30180969,CDM,,,270,RC,inpatient,,3458,3458,,2935.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2607.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2939.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3043.04,88,,percent of total billed charges,,,,,,,,,2641.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3146.78,91,,percent of total billed charges,,,3285.1,95,,percent of total billed charges,,,2870.14,83,,percent of total billed charges,,,2870.14,83,,percent of total billed charges,,,,,,,,,,,,,,,2870.14,83,,percent of total billed charges,,,3285.1,95,,percent of total billed charges,,,3112.2,90,,percent of total billed charges,,,3112.2,90,,percent of total billed charges,,,2835.56,82,,percent of total billed charges,,,3112.2,90,,percent of total billed charges,,,2939.3,85,,percent of total billed charges,,2607.33,3285.1, AQUAMANTYS BIPOLAR SEALER MALLEABLE,30180970,CDM,,,270,RC,inpatient,,3718,3718,,3156.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2803.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3160.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3271.84,88,,percent of total billed charges,,,,,,,,,2840.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3383.38,91,,percent of total billed charges,,,3532.1,95,,percent of total billed charges,,,3085.94,83,,percent of total billed charges,,,3085.94,83,,percent of total billed charges,,,,,,,,,,,,,,,3085.94,83,,percent of total billed charges,,,3532.1,95,,percent of total billed charges,,,3346.2,90,,percent of total billed charges,,,3346.2,90,,percent of total billed charges,,,3048.76,82,,percent of total billed charges,,,3346.2,90,,percent of total billed charges,,,3160.3,85,,percent of total billed charges,,2803.37,3532.1, AQUAMANTYS EPIDURAL VEIN SEALER,30180971,CDM,,,270,RC,inpatient,,4143.75,4143.75,,3518.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3124.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3522.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3646.5,88,,percent of total billed charges,,,,,,,,,3165.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3770.81,91,,percent of total billed charges,,,3936.56,95,,percent of total billed charges,,,3439.31,83,,percent of total billed charges,,,3439.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3439.31,83,,percent of total billed charges,,,3936.56,95,,percent of total billed charges,,,3729.38,90,,percent of total billed charges,,,3729.38,90,,percent of total billed charges,,,3397.88,82,,percent of total billed charges,,,3729.38,90,,percent of total billed charges,,,3522.19,85,,percent of total billed charges,,3124.39,3936.56, SYNTHES SCREW CORTEX 4.5X40MM,30180972,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, DEPUY PINNACLE SCREW 6.5 X 35,30180978,CDM,,,278,RC,inpatient,,1075.49,1075.49,,913.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,810.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,914.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,946.43,88,,percent of total billed charges,,,,,,,,,821.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,978.7,91,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,,,,,,,,,,,,,892.66,83,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,881.9,82,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,914.17,85,,percent of total billed charges,,810.92,1021.72, DEPUY LERE BONE MILL RENTAL 5415-00,30180983,CDM,,,278,RC,inpatient,,4257.5,4257.5,,3614.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3210.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3618.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3746.6,88,,percent of total billed charges,,,,,,,,,3252.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3874.33,91,,percent of total billed charges,,,4044.63,95,,percent of total billed charges,,,3533.73,83,,percent of total billed charges,,,3533.73,83,,percent of total billed charges,,,,,,,,,,,,,,,3533.73,83,,percent of total billed charges,,,4044.63,95,,percent of total billed charges,,,3831.75,90,,percent of total billed charges,,,3831.75,90,,percent of total billed charges,,,3491.15,82,,percent of total billed charges,,,3831.75,90,,percent of total billed charges,,,3618.88,85,,percent of total billed charges,,3210.16,4044.63, DEPUY HEAD LARGE HIP (007),30180984,CDM,,,278,RC,inpatient,,43728.75,43728.75,,37125.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32971.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37169.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,38481.3,88,,percent of total billed charges,,,,,,,,,33408.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,39793.16,91,,percent of total billed charges,,,41542.31,95,,percent of total billed charges,,,36294.86,83,,percent of total billed charges,,,36294.86,83,,percent of total billed charges,,,,,,,,,,,,,,,36294.86,83,,percent of total billed charges,,,41542.31,95,,percent of total billed charges,,,39355.88,90,,percent of total billed charges,,,39355.88,90,,percent of total billed charges,,,35857.58,82,,percent of total billed charges,,,39355.88,90,,percent of total billed charges,,,37169.44,85,,percent of total billed charges,,32971.48,41542.31, VASCULAR LOOPS,30180993,CDM,,,270,RC,inpatient,,11.7,11.7,,9.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10.3,88,,percent of total billed charges,,,,,,,,,8.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10.65,91,,percent of total billed charges,,,11.12,95,,percent of total billed charges,,,9.71,83,,percent of total billed charges,,,9.71,83,,percent of total billed charges,,,,,,,,,,,,,,,9.71,83,,percent of total billed charges,,,11.12,95,,percent of total billed charges,,,10.53,90,,percent of total billed charges,,,10.53,90,,percent of total billed charges,,,9.59,82,,percent of total billed charges,,,10.53,90,,percent of total billed charges,,,9.95,85,,percent of total billed charges,,8.82,11.12, SYNTHES K-WIRE 28MM,30180996,CDM,,,278,RC,inpatient,,504.98,504.98,,428.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,380.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,429.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,444.38,88,,percent of total billed charges,,,,,,,,,385.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,459.53,91,,percent of total billed charges,,,479.73,95,,percent of total billed charges,,,419.13,83,,percent of total billed charges,,,419.13,83,,percent of total billed charges,,,,,,,,,,,,,,,419.13,83,,percent of total billed charges,,,479.73,95,,percent of total billed charges,,,454.48,90,,percent of total billed charges,,,454.48,90,,percent of total billed charges,,,414.08,82,,percent of total billed charges,,,454.48,90,,percent of total billed charges,,,429.23,85,,percent of total billed charges,,380.75,479.73, SYNTHES DRILL BIT CANNULATED 5.0MM,30181000,CDM,,,270,RC,inpatient,,4460.56,4460.56,,3787.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3363.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3791.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3925.29,88,,percent of total billed charges,,,,,,,,,3407.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4059.11,91,,percent of total billed charges,,,4237.53,95,,percent of total billed charges,,,3702.26,83,,percent of total billed charges,,,3702.26,83,,percent of total billed charges,,,,,,,,,,,,,,,3702.26,83,,percent of total billed charges,,,4237.53,95,,percent of total billed charges,,,4014.5,90,,percent of total billed charges,,,4014.5,90,,percent of total billed charges,,,3657.66,82,,percent of total billed charges,,,4014.5,90,,percent of total billed charges,,,3791.48,85,,percent of total billed charges,,3363.26,4237.53, DEPUY INSERT SIGMA XLK 2.5X10MM,30181003,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY FEMUR CEMENTED RT SZ2.5,30181004,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY FEMUR CEMENTED LT SZ2.5,30181005,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY KNEE POROUS - CAPITATED (019),30181008,CDM,,,278,RC,inpatient,,27856.92,27856.92,,23650.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21004.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23678.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24514.09,88,,percent of total billed charges,,,,,,,,,21282.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25349.8,91,,percent of total billed charges,,,26464.07,95,,percent of total billed charges,,,23121.24,83,,percent of total billed charges,,,23121.24,83,,percent of total billed charges,,,,,,,,,,,,,,,23121.24,83,,percent of total billed charges,,,26464.07,95,,percent of total billed charges,,,25071.23,90,,percent of total billed charges,,,25071.23,90,,percent of total billed charges,,,22842.67,82,,percent of total billed charges,,,25071.23,90,,percent of total billed charges,,,23678.38,85,,percent of total billed charges,,21004.12,26464.07, DEPUY UPCHARGE PORCOAT FEMUR(026),30181009,CDM,,,278,RC,inpatient,,1391.26,1391.26,,1181.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1049.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1182.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1224.31,88,,percent of total billed charges,,,,,,,,,1062.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1266.05,91,,percent of total billed charges,,,1321.7,95,,percent of total billed charges,,,1154.75,83,,percent of total billed charges,,,1154.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1154.75,83,,percent of total billed charges,,,1321.7,95,,percent of total billed charges,,,1252.13,90,,percent of total billed charges,,,1252.13,90,,percent of total billed charges,,,1140.83,82,,percent of total billed charges,,,1252.13,90,,percent of total billed charges,,,1182.57,85,,percent of total billed charges,,1049.01,1321.7, NEEDLE SPINAL 18GA 6,30181010,CDM,,,270,RC,inpatient,,24.03,24.03,,20.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21.15,88,,percent of total billed charges,,,,,,,,,18.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.87,91,,percent of total billed charges,,,22.83,95,,percent of total billed charges,,,19.94,83,,percent of total billed charges,,,19.94,83,,percent of total billed charges,,,,,,,,,,,,,,,19.94,83,,percent of total billed charges,,,22.83,95,,percent of total billed charges,,,21.63,90,,percent of total billed charges,,,21.63,90,,percent of total billed charges,,,19.7,82,,percent of total billed charges,,,21.63,90,,percent of total billed charges,,,20.43,85,,percent of total billed charges,,18.12,22.83, DEPUY HIP POROUS - CAPITATED (006),30181016,CDM,,,278,RC,inpatient,,32421.22,32421.22,,27525.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24445.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27558.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28530.67,88,,percent of total billed charges,,,,,,,,,24769.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29503.31,91,,percent of total billed charges,,,30800.16,95,,percent of total billed charges,,,26909.61,83,,percent of total billed charges,,,26909.61,83,,percent of total billed charges,,,,,,,,,,,,,,,26909.61,83,,percent of total billed charges,,,30800.16,95,,percent of total billed charges,,,29179.1,90,,percent of total billed charges,,,29179.1,90,,percent of total billed charges,,,26585.4,82,,percent of total billed charges,,,29179.1,90,,percent of total billed charges,,,27558.04,85,,percent of total billed charges,,24445.6,30800.16, DEPUY UPCHARGE METAL HEAD (009),30181017,CDM,,,278,RC,inpatient,,1850.36,1850.36,,1570.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1395.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1572.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1628.32,88,,percent of total billed charges,,,,,,,,,1413.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1683.83,91,,percent of total billed charges,,,1757.84,95,,percent of total billed charges,,,1535.8,83,,percent of total billed charges,,,1535.8,83,,percent of total billed charges,,,,,,,,,,,,,,,1535.8,83,,percent of total billed charges,,,1757.84,95,,percent of total billed charges,,,1665.32,90,,percent of total billed charges,,,1665.32,90,,percent of total billed charges,,,1517.3,82,,percent of total billed charges,,,1665.32,90,,percent of total billed charges,,,1572.81,85,,percent of total billed charges,,1395.17,1757.84, DEPUY LINER ALTRX X-LINK (014),30181018,CDM,,,278,RC,inpatient,,2956.46,2956.46,,2510.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2229.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2512.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2601.68,88,,percent of total billed charges,,,,,,,,,2258.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2690.38,91,,percent of total billed charges,,,2808.64,95,,percent of total billed charges,,,2453.86,83,,percent of total billed charges,,,2453.86,83,,percent of total billed charges,,,,,,,,,,,,,,,2453.86,83,,percent of total billed charges,,,2808.64,95,,percent of total billed charges,,,2660.81,90,,percent of total billed charges,,,2660.81,90,,percent of total billed charges,,,2424.3,82,,percent of total billed charges,,,2660.81,90,,percent of total billed charges,,,2512.99,85,,percent of total billed charges,,2229.17,2808.64, DEPUY INSERT SIGMA XLK 5 X 8,30181022,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY PATELLA BLADE LGE,30181024,CDM,,,278,RC,inpatient,,1748.5,1748.5,,1484.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1318.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1486.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1538.68,88,,percent of total billed charges,,,,,,,,,1335.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1591.14,91,,percent of total billed charges,,,1661.08,95,,percent of total billed charges,,,1451.26,83,,percent of total billed charges,,,1451.26,83,,percent of total billed charges,,,,,,,,,,,,,,,1451.26,83,,percent of total billed charges,,,1661.08,95,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1433.77,82,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1486.23,85,,percent of total billed charges,,1318.37,1661.08, SYNTHES SCREW CANNUL 4.0X48MM,30181031,CDM,,,278,RC,inpatient,,2003.17,2003.17,,1700.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1510.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1702.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1762.79,88,,percent of total billed charges,,,,,,,,,1530.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1822.88,91,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1662.63,83,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1642.6,82,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1702.69,85,,percent of total billed charges,,1510.39,1903.01, SYNTHES SCREW CANNUL 4.0X50MM,30181032,CDM,,,278,RC,inpatient,,2063.23,2063.23,,1751.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1555.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1753.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1815.64,88,,percent of total billed charges,,,,,,,,,1576.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1877.54,91,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1712.48,83,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1691.85,82,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1753.75,85,,percent of total billed charges,,1555.68,1960.07, SYNTHES WASHER 7.0MM,30181033,CDM,,,270,RC,inpatient,,290.85,290.85,,246.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,219.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,247.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,255.95,88,,percent of total billed charges,,,,,,,,,222.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,264.67,91,,percent of total billed charges,,,276.31,95,,percent of total billed charges,,,241.41,83,,percent of total billed charges,,,241.41,83,,percent of total billed charges,,,,,,,,,,,,,,,241.41,83,,percent of total billed charges,,,276.31,95,,percent of total billed charges,,,261.77,90,,percent of total billed charges,,,261.77,90,,percent of total billed charges,,,238.5,82,,percent of total billed charges,,,261.77,90,,percent of total billed charges,,,247.22,85,,percent of total billed charges,,219.3,276.31, ZIMMER BLADE EXPLANT 58MM X 10,30181037,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, ZIMMER BLADE EXPLANT 58MM X 20,30181038,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, DEPUY PINNACLE CUP REVISION 62MM,30181039,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, DEPUY 5.0MM DIA TPRD HD PER SCRW 40,30181040,CDM,,,278,RC,inpatient,,930,930,,789.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,701.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,790.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,818.4,88,,percent of total billed charges,,,,,,,,,710.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,846.3,91,,percent of total billed charges,,,883.5,95,,percent of total billed charges,,,771.9,83,,percent of total billed charges,,,771.9,83,,percent of total billed charges,,,,,,,,,,,,,,,771.9,83,,percent of total billed charges,,,883.5,95,,percent of total billed charges,,,837,90,,percent of total billed charges,,,837,90,,percent of total billed charges,,,762.6,82,,percent of total billed charges,,,837,90,,percent of total billed charges,,,790.5,85,,percent of total billed charges,,701.22,883.5, DEPUY SCREW TAPER 30 X 5.0,30181041,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY PINNACLE SCREW 6.5 X 50,30181042,CDM,,,278,RC,inpatient,,1244.95,1244.95,,1056.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,938.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1058.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1095.56,88,,percent of total billed charges,,,,,,,,,951.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1132.9,91,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1033.31,83,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1020.86,82,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1058.21,85,,percent of total billed charges,,938.69,1182.7, DEPUY LINER ALTRX +4 NEUT 36 X 56,30181043,CDM,,,278,RC,inpatient,,14161.81,14161.81,,12023.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10678,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12037.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12462.39,88,,percent of total billed charges,,,,,,,,,10819.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12887.25,91,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,,,,,,,,,,,,,11754.3,83,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,11612.68,82,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12037.54,85,,percent of total billed charges,,10678,13453.72, DEPUY KNEE HYBRID - CAPITATED (018),30181044,CDM,,,278,RC,inpatient,,27011.14,27011.14,,22932.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20366.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22959.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23769.8,88,,percent of total billed charges,,,,,,,,,20636.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24580.14,91,,percent of total billed charges,,,25660.58,95,,percent of total billed charges,,,22419.25,83,,percent of total billed charges,,,22419.25,83,,percent of total billed charges,,,,,,,,,,,,,,,22419.25,83,,percent of total billed charges,,,25660.58,95,,percent of total billed charges,,,24310.03,90,,percent of total billed charges,,,24310.03,90,,percent of total billed charges,,,22149.13,82,,percent of total billed charges,,,24310.03,90,,percent of total billed charges,,,22959.47,85,,percent of total billed charges,,20366.4,25660.58, DEPUY PINNACLE CUP 58MM,30181052,CDM,,,278,RC,inpatient,,14472.9,14472.9,,12287.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10912.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12301.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12736.15,88,,percent of total billed charges,,,,,,,,,11057.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13170.34,91,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,12012.51,83,,percent of total billed charges,,,,,,,,,,,,,,,12012.51,83,,percent of total billed charges,,,13749.26,95,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,11867.78,82,,percent of total billed charges,,,13025.61,90,,percent of total billed charges,,,12301.97,85,,percent of total billed charges,,10912.57,13749.26, DEPUY LINER ALTRX +4 NEUT 36 X 58,30181053,CDM,,,278,RC,inpatient,,14161.81,14161.81,,12023.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10678,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12037.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12462.39,88,,percent of total billed charges,,,,,,,,,10819.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12887.25,91,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,,,,,,,,,,,,,11754.3,83,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,11612.68,82,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12037.54,85,,percent of total billed charges,,10678,13453.72, DEPUY FEMORAL HEAD 40MM +5,30181054,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY HEAD METAL LGE =/>40MM,30181055,CDM,,,278,RC,inpatient,,4032.6,4032.6,,3423.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3040.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3427.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3548.69,88,,percent of total billed charges,,,,,,,,,3080.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3669.67,91,,percent of total billed charges,,,3830.97,95,,percent of total billed charges,,,3347.06,83,,percent of total billed charges,,,3347.06,83,,percent of total billed charges,,,,,,,,,,,,,,,3347.06,83,,percent of total billed charges,,,3830.97,95,,percent of total billed charges,,,3629.34,90,,percent of total billed charges,,,3629.34,90,,percent of total billed charges,,,3306.73,82,,percent of total billed charges,,,3629.34,90,,percent of total billed charges,,,3427.71,85,,percent of total billed charges,,3040.58,3830.97, DEPUY LINER ALTRX +4 NEUT 36 X 60,30181056,CDM,,,278,RC,inpatient,,14161.81,14161.81,,12023.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10678,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12037.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12462.39,88,,percent of total billed charges,,,,,,,,,10819.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12887.25,91,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,,,,,,,,,,,,,11754.3,83,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,11612.68,82,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12037.54,85,,percent of total billed charges,,10678,13453.72, DEPUY STEM SUMMIT TAPER SZ7 HI OFF,30181057,CDM,,,278,RC,inpatient,,35147,35147,,29839.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26500.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29874.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30929.36,88,,percent of total billed charges,,,,,,,,,26852.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31983.77,91,,percent of total billed charges,,,33389.65,95,,percent of total billed charges,,,29172.01,83,,percent of total billed charges,,,29172.01,83,,percent of total billed charges,,,,,,,,,,,,,,,29172.01,83,,percent of total billed charges,,,33389.65,95,,percent of total billed charges,,,31632.3,90,,percent of total billed charges,,,31632.3,90,,percent of total billed charges,,,28820.54,82,,percent of total billed charges,,,31632.3,90,,percent of total billed charges,,,29874.95,85,,percent of total billed charges,,26500.84,33389.65, MEDSOURCE RADIAL STEM 9.0X4.0MM,30181065,CDM,,,278,RC,inpatient,,10504,10504,,8917.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7920.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8928.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9243.52,88,,percent of total billed charges,,,,,,,,,8025.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9558.64,91,,percent of total billed charges,,,9978.8,95,,percent of total billed charges,,,8718.32,83,,percent of total billed charges,,,8718.32,83,,percent of total billed charges,,,,,,,,,,,,,,,8718.32,83,,percent of total billed charges,,,9978.8,95,,percent of total billed charges,,,9453.6,90,,percent of total billed charges,,,9453.6,90,,percent of total billed charges,,,8613.28,82,,percent of total billed charges,,,9453.6,90,,percent of total billed charges,,,8928.4,85,,percent of total billed charges,,7920.02,9978.8, MEDSOURCE RADIAL HEAD 24.0MM RIGHT,30181066,CDM,,,278,RC,inpatient,,16796,16796,,14259.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12664.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14276.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14780.48,88,,percent of total billed charges,,,,,,,,,12832.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15284.36,91,,percent of total billed charges,,,15956.2,95,,percent of total billed charges,,,13940.68,83,,percent of total billed charges,,,13940.68,83,,percent of total billed charges,,,,,,,,,,,,,,,13940.68,83,,percent of total billed charges,,,15956.2,95,,percent of total billed charges,,,15116.4,90,,percent of total billed charges,,,15116.4,90,,percent of total billed charges,,,13772.72,82,,percent of total billed charges,,,15116.4,90,,percent of total billed charges,,,14276.6,85,,percent of total billed charges,,12664.18,15956.2, SINGLE TITANIUM PORT SYSTEM,30181069,CDM,,,270,RC,inpatient,,2502.5,2502.5,,2124.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1886.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2127.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2202.2,88,,percent of total billed charges,,,,,,,,,1911.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2277.28,91,,percent of total billed charges,,,2377.38,95,,percent of total billed charges,,,2077.08,83,,percent of total billed charges,,,2077.08,83,,percent of total billed charges,,,,,,,,,,,,,,,2077.08,83,,percent of total billed charges,,,2377.38,95,,percent of total billed charges,,,2252.25,90,,percent of total billed charges,,,2252.25,90,,percent of total billed charges,,,2052.05,82,,percent of total billed charges,,,2252.25,90,,percent of total billed charges,,,2127.13,85,,percent of total billed charges,,1886.89,2377.38, ANTERIOR TIBIALIS TENDON,30181081,CDM,,,270,RC,inpatient,,5720,5720,,4856.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4312.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4862,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5033.6,88,,percent of total billed charges,,,,,,,,,4370.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5205.2,91,,percent of total billed charges,,,5434,95,,percent of total billed charges,,,4747.6,83,,percent of total billed charges,,,4747.6,83,,percent of total billed charges,,,,,,,,,,,,,,,4747.6,83,,percent of total billed charges,,,5434,95,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,4690.4,82,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,4862,85,,percent of total billed charges,,4312.88,5434, DEPUY FEMUR CEMENTED LT SZ2,30181082,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT SIGMA XLK 2 X 15,30181083,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY LINER ALTRX +4 NEUT 44 X 64,30181084,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY FEMORAL HEAD 44MM +8.5,30181086,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY STEM CORAIL HI OFFSET SZ18,30181087,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, S&N RESURFACING PATELLA 35MM,30181088,CDM,,,278,RC,inpatient,,6584.24,6584.24,,5590.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4964.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5596.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5794.13,88,,percent of total billed charges,,,,,,,,,5030.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5991.66,91,,percent of total billed charges,,,6255.03,95,,percent of total billed charges,,,5464.92,83,,percent of total billed charges,,,5464.92,83,,percent of total billed charges,,,,,,,,,,,,,,,5464.92,83,,percent of total billed charges,,,6255.03,95,,percent of total billed charges,,,5925.82,90,,percent of total billed charges,,,5925.82,90,,percent of total billed charges,,,5399.08,82,,percent of total billed charges,,,5925.82,90,,percent of total billed charges,,,5596.6,85,,percent of total billed charges,,4964.52,6255.03, SYNTHES SCREW CORTEX S-T 2.7X14MM,30181089,CDM,,,278,RC,inpatient,,410.27,410.27,,348.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,309.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,348.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,361.04,88,,percent of total billed charges,,,,,,,,,313.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,373.35,91,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,,,,,,,,,,,,,340.52,83,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,336.42,82,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,348.73,85,,percent of total billed charges,,309.34,389.76, SYNTHES SCREW DISTAL RADIUS 2.4X22MM,30181092,CDM,,,278,RC,inpatient,,1276.28,1276.28,,1083.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,962.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1084.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1123.13,88,,percent of total billed charges,,,,,,,,,975.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1161.41,91,,percent of total billed charges,,,1212.47,95,,percent of total billed charges,,,1059.31,83,,percent of total billed charges,,,1059.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1059.31,83,,percent of total billed charges,,,1212.47,95,,percent of total billed charges,,,1148.65,90,,percent of total billed charges,,,1148.65,90,,percent of total billed charges,,,1046.55,82,,percent of total billed charges,,,1148.65,90,,percent of total billed charges,,,1084.84,85,,percent of total billed charges,,962.32,1212.47, SYNTHES SCREW DISTAL RADIUS 2.4X18MM,30181093,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, SYNTHES SCREW DISTAL RADIUS 2.4X16MM,30181094,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, SYNTHES SCREW DISTAL RADIUS 2.4X20MM,30181095,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, SYNTHES SCREW CORTEX S-T 2.4X20MM,30181096,CDM,,,278,RC,inpatient,,565.25,565.25,,479.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,426.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,480.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,497.42,88,,percent of total billed charges,,,,,,,,,431.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,514.38,91,,percent of total billed charges,,,536.99,95,,percent of total billed charges,,,469.16,83,,percent of total billed charges,,,469.16,83,,percent of total billed charges,,,,,,,,,,,,,,,469.16,83,,percent of total billed charges,,,536.99,95,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,463.51,82,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,480.46,85,,percent of total billed charges,,426.2,536.99, DEPUY LINER ALTRX NEUT 36 X 58,30181101,CDM,,,278,RC,inpatient,,12874.42,12874.42,,10930.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9707.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10943.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11329.49,88,,percent of total billed charges,,,,,,,,,9836.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11715.72,91,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10685.77,83,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10557.02,82,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10943.26,85,,percent of total billed charges,,9707.31,12230.7, DEPUY UPCHARGE CERAMIC HEAD(010),30181102,CDM,,,278,RC,inpatient,,4521.53,4521.53,,3838.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3409.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3843.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3978.95,88,,percent of total billed charges,,,,,,,,,3454.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4114.59,91,,percent of total billed charges,,,4295.45,95,,percent of total billed charges,,,3752.87,83,,percent of total billed charges,,,3752.87,83,,percent of total billed charges,,,,,,,,,,,,,,,3752.87,83,,percent of total billed charges,,,4295.45,95,,percent of total billed charges,,,4069.38,90,,percent of total billed charges,,,4069.38,90,,percent of total billed charges,,,3707.65,82,,percent of total billed charges,,,4069.38,90,,percent of total billed charges,,,3843.3,85,,percent of total billed charges,,3409.23,4295.45, SYNTHES SCREW CORTEX S-T 2.4X18MM,30181103,CDM,,,278,RC,inpatient,,599.69,599.69,,509.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,452.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,509.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,527.73,88,,percent of total billed charges,,,,,,,,,458.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,545.72,91,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,,,,,,,,,,,,,497.74,83,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,491.75,82,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,509.74,85,,percent of total billed charges,,452.17,569.71, STRYKER BONE CLEANING TIP,30181114,CDM,,,270,RC,inpatient,,96,96,,81.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,72.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,81.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,84.48,88,,percent of total billed charges,,,,,,,,,73.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,87.36,91,,percent of total billed charges,,,91.2,95,,percent of total billed charges,,,79.68,83,,percent of total billed charges,,,79.68,83,,percent of total billed charges,,,,,,,,,,,,,,,79.68,83,,percent of total billed charges,,,91.2,95,,percent of total billed charges,,,86.4,90,,percent of total billed charges,,,86.4,90,,percent of total billed charges,,,78.72,82,,percent of total billed charges,,,86.4,90,,percent of total billed charges,,,81.6,85,,percent of total billed charges,,72.38,91.2, BIOMET BONE HEALING STIMULATOR,30181115,CDM,,,278,RC,inpatient,,40839.5,40839.5,,34672.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30792.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34713.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35938.76,88,,percent of total billed charges,,,,,,,,,31201.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37163.95,91,,percent of total billed charges,,,38797.53,95,,percent of total billed charges,,,33896.79,83,,percent of total billed charges,,,33896.79,83,,percent of total billed charges,,,,,,,,,,,,,,,33896.79,83,,percent of total billed charges,,,38797.53,95,,percent of total billed charges,,,36755.55,90,,percent of total billed charges,,,36755.55,90,,percent of total billed charges,,,33488.39,82,,percent of total billed charges,,,36755.55,90,,percent of total billed charges,,,34713.58,85,,percent of total billed charges,,30792.98,38797.53, DEPUY PINNACLE SCREW 6.5 X 55,30181135,CDM,,,278,RC,inpatient,,1244.95,1244.95,,1056.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,938.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1058.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1095.56,88,,percent of total billed charges,,,,,,,,,951.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1132.9,91,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1033.31,83,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1020.86,82,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1058.21,85,,percent of total billed charges,,938.69,1182.7, DEPUY SELF CENT HIP 51X28 BRN,30181136,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, DEPUY ARTICUL/EZE BALL 28MM +8.5,30181137,CDM,,,278,RC,inpatient,,7289.17,7289.17,,6188.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5496.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6195.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6414.47,88,,percent of total billed charges,,,,,,,,,5568.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6633.14,91,,percent of total billed charges,,,6924.71,95,,percent of total billed charges,,,6050.01,83,,percent of total billed charges,,,6050.01,83,,percent of total billed charges,,,,,,,,,,,,,,,6050.01,83,,percent of total billed charges,,,6924.71,95,,percent of total billed charges,,,6560.25,90,,percent of total billed charges,,,6560.25,90,,percent of total billed charges,,,5977.12,82,,percent of total billed charges,,,6560.25,90,,percent of total billed charges,,,6195.79,85,,percent of total billed charges,,5496.03,6924.71, DEPUY-MITEK MICROFIX ANCHOR #2/0,30181138,CDM,,,278,RC,inpatient,,4270.5,4270.5,,3625.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3219.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3629.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3758.04,88,,percent of total billed charges,,,,,,,,,3262.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3886.16,91,,percent of total billed charges,,,4056.98,95,,percent of total billed charges,,,3544.52,83,,percent of total billed charges,,,3544.52,83,,percent of total billed charges,,,,,,,,,,,,,,,3544.52,83,,percent of total billed charges,,,4056.98,95,,percent of total billed charges,,,3843.45,90,,percent of total billed charges,,,3843.45,90,,percent of total billed charges,,,3501.81,82,,percent of total billed charges,,,3843.45,90,,percent of total billed charges,,,3629.93,85,,percent of total billed charges,,3219.96,4056.98, DEMINERALIZED BONE MATRIX 30ML,30181139,CDM,,,270,RC,inpatient,,4547.4,4547.4,,3860.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3428.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3865.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4001.71,88,,percent of total billed charges,,,,,,,,,3474.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4138.13,91,,percent of total billed charges,,,4320.03,95,,percent of total billed charges,,,3774.34,83,,percent of total billed charges,,,3774.34,83,,percent of total billed charges,,,,,,,,,,,,,,,3774.34,83,,percent of total billed charges,,,4320.03,95,,percent of total billed charges,,,4092.66,90,,percent of total billed charges,,,4092.66,90,,percent of total billed charges,,,3728.87,82,,percent of total billed charges,,,4092.66,90,,percent of total billed charges,,,3865.29,85,,percent of total billed charges,,3428.74,4320.03, DEPUY CROSSLINK ANC GLENOID SZ48,30181144,CDM,,,278,RC,inpatient,,17098.9,17098.9,,14516.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12892.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14534.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15047.03,88,,percent of total billed charges,,,,,,,,,13063.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15560,91,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,,,,,,,,,,,,,14192.09,83,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14021.1,82,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14534.07,85,,percent of total billed charges,,12892.57,16243.96, DEPUY STEM GLOBAL HUMERAL 48 X 21,30181145,CDM,,,278,RC,inpatient,,17636.13,17636.13,,14973.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13297.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14990.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15519.79,88,,percent of total billed charges,,,,,,,,,13474,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16048.88,91,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,,,,,,,,,,,,,14637.99,83,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14461.63,82,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14990.71,85,,percent of total billed charges,,13297.64,16754.32, DEPUY GLOBAL ADVANTAGE PC STEM 14MM,30181146,CDM,,,278,RC,inpatient,,36482.49,36482.49,,30973.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27507.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31010.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32104.59,88,,percent of total billed charges,,,,,,,,,27872.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33199.07,91,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,,,,,,,,,,,,,30280.47,83,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,29915.64,82,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,31010.12,85,,percent of total billed charges,,27507.8,34658.37, DEPUY PINNACLE CUP REVISION 72MM,30181148,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, DEPUY PINNACLE SCREW 6.5 X 45,30181149,CDM,,,278,RC,inpatient,,1244.95,1244.95,,1056.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,938.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1058.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1095.56,88,,percent of total billed charges,,,,,,,,,951.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1132.9,91,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1033.31,83,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1020.86,82,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1058.21,85,,percent of total billed charges,,938.69,1182.7, DEPUY PINNACLE SCREW 6.5 X 20,30181150,CDM,,,278,RC,inpatient,,1075.49,1075.49,,913.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,810.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,914.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,946.43,88,,percent of total billed charges,,,,,,,,,821.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,978.7,91,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,,,,,,,,,,,,,892.66,83,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,881.9,82,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,914.17,85,,percent of total billed charges,,810.92,1021.72, DEPUY SCREW TAPER 45 X 5.0,30181151,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY PINNACLE CUP INSERT 44 X 66,30181152,CDM,,,278,RC,inpatient,,18531.63,18531.63,,15733.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13972.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15751.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16307.83,88,,percent of total billed charges,,,,,,,,,14158.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16863.78,91,,percent of total billed charges,,,17605.05,95,,percent of total billed charges,,,15381.25,83,,percent of total billed charges,,,15381.25,83,,percent of total billed charges,,,,,,,,,,,,,,,15381.25,83,,percent of total billed charges,,,17605.05,95,,percent of total billed charges,,,16678.47,90,,percent of total billed charges,,,16678.47,90,,percent of total billed charges,,,15195.94,82,,percent of total billed charges,,,16678.47,90,,percent of total billed charges,,,15751.89,85,,percent of total billed charges,,13972.85,17605.05, DEPUY STEM TRI-LOCK HI OFFSET SZ3,30181157,CDM,,,278,RC,inpatient,,40713.14,40713.14,,34565.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30697.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34606.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35827.56,88,,percent of total billed charges,,,,,,,,,31104.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37048.96,91,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33791.91,83,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,33384.77,82,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,34606.17,85,,percent of total billed charges,,30697.71,38677.48, DEPUY STEM SUMMIT PRESSFIT SZ6,30181158,CDM,,,278,RC,inpatient,,11591.45,11591.45,,9841.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8739.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9852.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10200.48,88,,percent of total billed charges,,,,,,,,,8855.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10548.22,91,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,,,,,,,,,,,,,9620.9,83,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9504.99,82,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9852.73,85,,percent of total billed charges,,8739.95,11011.88, DEPUY ORTHOSORB RESORBABLE PIN,30181159,CDM,,,278,RC,inpatient,,3095.95,3095.95,,2628.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2334.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2631.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2724.44,88,,percent of total billed charges,,,,,,,,,2365.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2817.31,91,,percent of total billed charges,,,2941.15,95,,percent of total billed charges,,,2569.64,83,,percent of total billed charges,,,2569.64,83,,percent of total billed charges,,,,,,,,,,,,,,,2569.64,83,,percent of total billed charges,,,2941.15,95,,percent of total billed charges,,,2786.36,90,,percent of total billed charges,,,2786.36,90,,percent of total billed charges,,,2538.68,82,,percent of total billed charges,,,2786.36,90,,percent of total billed charges,,,2631.56,85,,percent of total billed charges,,2334.35,2941.15, ELECTRODE CUTTING MONO 22-24FR,30181160,CDM,,,270,RC,inpatient,,658.35,658.35,,558.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,496.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,559.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,579.35,88,,percent of total billed charges,,,,,,,,,502.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,599.1,91,,percent of total billed charges,,,625.43,95,,percent of total billed charges,,,546.43,83,,percent of total billed charges,,,546.43,83,,percent of total billed charges,,,,,,,,,,,,,,,546.43,83,,percent of total billed charges,,,625.43,95,,percent of total billed charges,,,592.52,90,,percent of total billed charges,,,592.52,90,,percent of total billed charges,,,539.85,82,,percent of total billed charges,,,592.52,90,,percent of total billed charges,,,559.6,85,,percent of total billed charges,,496.4,625.43, ELECTRODE CUTTING MONO 24FR,30181161,CDM,,,270,RC,inpatient,,648.45,648.45,,550.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,488.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,551.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,570.64,88,,percent of total billed charges,,,,,,,,,495.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,590.09,91,,percent of total billed charges,,,616.03,95,,percent of total billed charges,,,538.21,83,,percent of total billed charges,,,538.21,83,,percent of total billed charges,,,,,,,,,,,,,,,538.21,83,,percent of total billed charges,,,616.03,95,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,531.73,82,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,551.18,85,,percent of total billed charges,,488.93,616.03, SYNTHES PLATE LCP RT 2.7MM,30181164,CDM,,,278,RC,inpatient,,6318.65,6318.65,,5364.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4764.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5370.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5560.41,88,,percent of total billed charges,,,,,,,,,4827.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5749.97,91,,percent of total billed charges,,,6002.72,95,,percent of total billed charges,,,5244.48,83,,percent of total billed charges,,,5244.48,83,,percent of total billed charges,,,,,,,,,,,,,,,5244.48,83,,percent of total billed charges,,,6002.72,95,,percent of total billed charges,,,5686.79,90,,percent of total billed charges,,,5686.79,90,,percent of total billed charges,,,5181.29,82,,percent of total billed charges,,,5686.79,90,,percent of total billed charges,,,5370.85,85,,percent of total billed charges,,4764.26,6002.72, GUIDEWIRE ENDOSCOPY .038IN,30181165,CDM,,,270,RC,inpatient,,109.76,109.76,,93.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,82.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,93.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,96.59,88,,percent of total billed charges,,,,,,,,,83.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,99.88,91,,percent of total billed charges,,,104.27,95,,percent of total billed charges,,,91.1,83,,percent of total billed charges,,,91.1,83,,percent of total billed charges,,,,,,,,,,,,,,,91.1,83,,percent of total billed charges,,,104.27,95,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,90,82,,percent of total billed charges,,,98.78,90,,percent of total billed charges,,,93.3,85,,percent of total billed charges,,82.76,104.27, SYNTHES SCREW CORTEX S-T 2.7X18MM,30181178,CDM,,,278,RC,inpatient,,410.27,410.27,,348.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,309.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,348.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,361.04,88,,percent of total billed charges,,,,,,,,,313.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,373.35,91,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,,,,,,,,,,,,,340.52,83,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,336.42,82,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,348.73,85,,percent of total billed charges,,309.34,389.76, SYNTHES PLATE DISTAL RADIUS 2.4MM,30181180,CDM,,,278,RC,inpatient,,8878.68,8878.68,,7538,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6694.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7546.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7813.24,88,,percent of total billed charges,,,,,,,,,6783.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8079.6,91,,percent of total billed charges,,,8434.75,95,,percent of total billed charges,,,7369.3,83,,percent of total billed charges,,,7369.3,83,,percent of total billed charges,,,,,,,,,,,,,,,7369.3,83,,percent of total billed charges,,,8434.75,95,,percent of total billed charges,,,7990.81,90,,percent of total billed charges,,,7990.81,90,,percent of total billed charges,,,7280.52,82,,percent of total billed charges,,,7990.81,90,,percent of total billed charges,,,7546.88,85,,percent of total billed charges,,6694.52,8434.75, DEPUY LINER ALTRX +4 40 X 60,30181181,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY LINER ALTRX +4 NEUT 40 X 60,30181182,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, CAPIO SUTURE CAPTURE DEVICE,30181183,CDM,,,270,RC,inpatient,,2250.63,2250.63,,1910.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1696.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1913.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1980.55,88,,percent of total billed charges,,,,,,,,,1719.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2048.07,91,,percent of total billed charges,,,2138.1,95,,percent of total billed charges,,,1868.02,83,,percent of total billed charges,,,1868.02,83,,percent of total billed charges,,,,,,,,,,,,,,,1868.02,83,,percent of total billed charges,,,2138.1,95,,percent of total billed charges,,,2025.57,90,,percent of total billed charges,,,2025.57,90,,percent of total billed charges,,,1845.52,82,,percent of total billed charges,,,2025.57,90,,percent of total billed charges,,,1913.04,85,,percent of total billed charges,,1696.98,2138.1, CAPIO SUTURE BONDEK 3.5 X 90CM,30181184,CDM,,,270,RC,inpatient,,228.15,228.15,,193.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,172.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,193.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,200.77,88,,percent of total billed charges,,,,,,,,,174.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,207.62,91,,percent of total billed charges,,,216.74,95,,percent of total billed charges,,,189.36,83,,percent of total billed charges,,,189.36,83,,percent of total billed charges,,,,,,,,,,,,,,,189.36,83,,percent of total billed charges,,,216.74,95,,percent of total billed charges,,,205.34,90,,percent of total billed charges,,,205.34,90,,percent of total billed charges,,,187.08,82,,percent of total billed charges,,,205.34,90,,percent of total billed charges,,,193.93,85,,percent of total billed charges,,172.03,216.74, CAPIO SUTURE BONDEK 3.5 X 122CM,30181185,CDM,,,270,RC,inpatient,,228.15,228.15,,193.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,172.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,193.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,200.77,88,,percent of total billed charges,,,,,,,,,174.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,207.62,91,,percent of total billed charges,,,216.74,95,,percent of total billed charges,,,189.36,83,,percent of total billed charges,,,189.36,83,,percent of total billed charges,,,,,,,,,,,,,,,189.36,83,,percent of total billed charges,,,216.74,95,,percent of total billed charges,,,205.34,90,,percent of total billed charges,,,205.34,90,,percent of total billed charges,,,187.08,82,,percent of total billed charges,,,205.34,90,,percent of total billed charges,,,193.93,85,,percent of total billed charges,,172.03,216.74, RTI GRAFT MATRIX HD 4 X 5CM,30181186,CDM,,,270,RC,inpatient,,10335,10335,,8774.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7792.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8784.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9094.8,88,,percent of total billed charges,,,,,,,,,7895.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9404.85,91,,percent of total billed charges,,,9818.25,95,,percent of total billed charges,,,8578.05,83,,percent of total billed charges,,,8578.05,83,,percent of total billed charges,,,,,,,,,,,,,,,8578.05,83,,percent of total billed charges,,,9818.25,95,,percent of total billed charges,,,9301.5,90,,percent of total billed charges,,,9301.5,90,,percent of total billed charges,,,8474.7,82,,percent of total billed charges,,,9301.5,90,,percent of total billed charges,,,8784.75,85,,percent of total billed charges,,7792.59,9818.25, DEPUY TIBIAL TRAY SZ2,30181187,CDM,,,270,RC,inpatient,,18568.29,18568.29,,15764.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14000.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15783.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16340.1,88,,percent of total billed charges,,,,,,,,,14186.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16897.14,91,,percent of total billed charges,,,17639.88,95,,percent of total billed charges,,,15411.68,83,,percent of total billed charges,,,15411.68,83,,percent of total billed charges,,,,,,,,,,,,,,,15411.68,83,,percent of total billed charges,,,17639.88,95,,percent of total billed charges,,,16711.46,90,,percent of total billed charges,,,16711.46,90,,percent of total billed charges,,,15226,82,,percent of total billed charges,,,16711.46,90,,percent of total billed charges,,,15783.05,85,,percent of total billed charges,,14000.49,17639.88, DEPUY KNEE CEMENTED - CAPITATED (004),30181188,CDM,,,278,RC,inpatient,,20035.08,20035.08,,17009.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15106.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17029.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17630.87,88,,percent of total billed charges,,,,,,,,,15306.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18231.92,91,,percent of total billed charges,,,19033.33,95,,percent of total billed charges,,,16629.12,83,,percent of total billed charges,,,16629.12,83,,percent of total billed charges,,,,,,,,,,,,,,,16629.12,83,,percent of total billed charges,,,19033.33,95,,percent of total billed charges,,,18031.57,90,,percent of total billed charges,,,18031.57,90,,percent of total billed charges,,,16428.77,82,,percent of total billed charges,,,18031.57,90,,percent of total billed charges,,,17029.82,85,,percent of total billed charges,,15106.45,19033.33, RTI GRAFT MATRIX HD 8 X 5CM,30181190,CDM,,,270,RC,inpatient,,19981,19981,,16963.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15065.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16983.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17583.28,88,,percent of total billed charges,,,,,,,,,15265.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18182.71,91,,percent of total billed charges,,,18981.95,95,,percent of total billed charges,,,16584.23,83,,percent of total billed charges,,,16584.23,83,,percent of total billed charges,,,,,,,,,,,,,,,16584.23,83,,percent of total billed charges,,,18981.95,95,,percent of total billed charges,,,17982.9,90,,percent of total billed charges,,,17982.9,90,,percent of total billed charges,,,16384.42,82,,percent of total billed charges,,,17982.9,90,,percent of total billed charges,,,16983.85,85,,percent of total billed charges,,15065.67,18981.95, SYNTHES GUIDEWIRE 2.5MM,30181202,CDM,,,278,RC,inpatient,,131.24,131.24,,111.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,98.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,111.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,115.49,88,,percent of total billed charges,,,,,,,,,100.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,119.43,91,,percent of total billed charges,,,124.68,95,,percent of total billed charges,,,108.93,83,,percent of total billed charges,,,108.93,83,,percent of total billed charges,,,,,,,,,,,,,,,108.93,83,,percent of total billed charges,,,124.68,95,,percent of total billed charges,,,118.12,90,,percent of total billed charges,,,118.12,90,,percent of total billed charges,,,107.62,82,,percent of total billed charges,,,118.12,90,,percent of total billed charges,,,111.55,85,,percent of total billed charges,,98.95,124.68, SYNTHES GUIDEWIRE 2.0MM,30181203,CDM,,,278,RC,inpatient,,245.78,245.78,,208.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,185.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,208.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,216.29,88,,percent of total billed charges,,,,,,,,,187.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,223.66,91,,percent of total billed charges,,,233.49,95,,percent of total billed charges,,,204,83,,percent of total billed charges,,,204,83,,percent of total billed charges,,,,,,,,,,,,,,,204,83,,percent of total billed charges,,,233.49,95,,percent of total billed charges,,,221.2,90,,percent of total billed charges,,,221.2,90,,percent of total billed charges,,,201.54,82,,percent of total billed charges,,,221.2,90,,percent of total billed charges,,,208.91,85,,percent of total billed charges,,185.32,233.49, SYNTHES DRILL BIT 3.2MM,30181204,CDM,,,270,RC,inpatient,,2227.36,2227.36,,1891.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1679.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1893.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1960.08,88,,percent of total billed charges,,,,,,,,,1701.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2026.9,91,,percent of total billed charges,,,2115.99,95,,percent of total billed charges,,,1848.71,83,,percent of total billed charges,,,1848.71,83,,percent of total billed charges,,,,,,,,,,,,,,,1848.71,83,,percent of total billed charges,,,2115.99,95,,percent of total billed charges,,,2004.62,90,,percent of total billed charges,,,2004.62,90,,percent of total billed charges,,,1826.44,82,,percent of total billed charges,,,2004.62,90,,percent of total billed charges,,,1893.26,85,,percent of total billed charges,,1679.43,2115.99, SYNTHES DRILL BIT CALIBRATED 3.2MM,30181205,CDM,,,270,RC,inpatient,,2924.87,2924.87,,2483.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2205.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2486.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2573.89,88,,percent of total billed charges,,,,,,,,,2234.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2661.63,91,,percent of total billed charges,,,2778.63,95,,percent of total billed charges,,,2427.64,83,,percent of total billed charges,,,2427.64,83,,percent of total billed charges,,,,,,,,,,,,,,,2427.64,83,,percent of total billed charges,,,2778.63,95,,percent of total billed charges,,,2632.38,90,,percent of total billed charges,,,2632.38,90,,percent of total billed charges,,,2398.39,82,,percent of total billed charges,,,2632.38,90,,percent of total billed charges,,,2486.14,85,,percent of total billed charges,,2205.35,2778.63, SYNTHES CANNULA W/STOP 4.5MM,30181207,CDM,,,278,RC,inpatient,,3408.93,3408.93,,2894.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2570.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2897.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2999.86,88,,percent of total billed charges,,,,,,,,,2604.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3102.13,91,,percent of total billed charges,,,3238.48,95,,percent of total billed charges,,,2829.41,83,,percent of total billed charges,,,2829.41,83,,percent of total billed charges,,,,,,,,,,,,,,,2829.41,83,,percent of total billed charges,,,3238.48,95,,percent of total billed charges,,,3068.04,90,,percent of total billed charges,,,3068.04,90,,percent of total billed charges,,,2795.32,82,,percent of total billed charges,,,3068.04,90,,percent of total billed charges,,,2897.59,85,,percent of total billed charges,,2570.33,3238.48, SYNTHES TIBIAL END CAP 0MM,30181208,CDM,,,278,RC,inpatient,,1795.63,1795.63,,1524.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1353.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1526.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1580.15,88,,percent of total billed charges,,,,,,,,,1371.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1634.02,91,,percent of total billed charges,,,1705.85,95,,percent of total billed charges,,,1490.37,83,,percent of total billed charges,,,1490.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1490.37,83,,percent of total billed charges,,,1705.85,95,,percent of total billed charges,,,1616.07,90,,percent of total billed charges,,,1616.07,90,,percent of total billed charges,,,1472.42,82,,percent of total billed charges,,,1616.07,90,,percent of total billed charges,,,1526.29,85,,percent of total billed charges,,1353.91,1705.85, DEPUY LINER ALTRX +4 NEUT 40 X 58,30181209,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY FEMORAL HEAD 40MM +0.5,30181210,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY SUMMIT STD SZ7,30181211,CDM,,,278,RC,inpatient,,35258.28,35258.28,,29934.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26584.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29969.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31027.29,88,,percent of total billed charges,,,,,,,,,26937.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32085.03,91,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,,,,,,,,,,,,,29264.37,83,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,28911.79,82,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,29969.54,85,,percent of total billed charges,,26584.74,33495.37, DEPUY STEM SUMMIT PRESSFIT SZ7,30181212,CDM,,,278,RC,inpatient,,11591.45,11591.45,,9841.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8739.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9852.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10200.48,88,,percent of total billed charges,,,,,,,,,8855.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10548.22,91,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,,,,,,,,,,,,,9620.9,83,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9504.99,82,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9852.73,85,,percent of total billed charges,,8739.95,11011.88, DEPUY STEM TRI-LOCK HI OFFSET SZ1,30181221,CDM,,,278,RC,inpatient,,40713.14,40713.14,,34565.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30697.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34606.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35827.56,88,,percent of total billed charges,,,,,,,,,31104.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37048.96,91,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,33791.91,83,,percent of total billed charges,,,,,,,,,,,,,,,33791.91,83,,percent of total billed charges,,,38677.48,95,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,33384.77,82,,percent of total billed charges,,,36641.83,90,,percent of total billed charges,,,34606.17,85,,percent of total billed charges,,30697.71,38677.48, DEPUY SELF CENT HIP 53X28 BRN,30181224,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, RTI GRACILIUS TENDON,30181226,CDM,,,270,RC,inpatient,,8937.5,8937.5,,7587.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6738.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7596.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7865,88,,percent of total billed charges,,,,,,,,,6828.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8133.13,91,,percent of total billed charges,,,8490.63,95,,percent of total billed charges,,,7418.13,83,,percent of total billed charges,,,7418.13,83,,percent of total billed charges,,,,,,,,,,,,,,,7418.13,83,,percent of total billed charges,,,8490.63,95,,percent of total billed charges,,,8043.75,90,,percent of total billed charges,,,8043.75,90,,percent of total billed charges,,,7328.75,82,,percent of total billed charges,,,8043.75,90,,percent of total billed charges,,,7596.88,85,,percent of total billed charges,,6738.88,8490.63, SYNTHES DRILL BIT 2.8MM 165MM,30181228,CDM,,,270,RC,inpatient,,920.27,920.27,,781.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,693.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,782.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,809.84,88,,percent of total billed charges,,,,,,,,,703.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,837.45,91,,percent of total billed charges,,,874.26,95,,percent of total billed charges,,,763.82,83,,percent of total billed charges,,,763.82,83,,percent of total billed charges,,,,,,,,,,,,,,,763.82,83,,percent of total billed charges,,,874.26,95,,percent of total billed charges,,,828.24,90,,percent of total billed charges,,,828.24,90,,percent of total billed charges,,,754.62,82,,percent of total billed charges,,,828.24,90,,percent of total billed charges,,,782.23,85,,percent of total billed charges,,693.88,874.26, SYNTHES PLATE TUBULAR 3-HOLE 90MM,30181230,CDM,,,278,RC,inpatient,,14477.84,14477.84,,12291.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12306.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12740.5,88,,percent of total billed charges,,,,,,,,,11061.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13174.83,91,,percent of total billed charges,,,13753.95,95,,percent of total billed charges,,,12016.61,83,,percent of total billed charges,,,12016.61,83,,percent of total billed charges,,,,,,,,,,,,,,,12016.61,83,,percent of total billed charges,,,13753.95,95,,percent of total billed charges,,,13030.06,90,,percent of total billed charges,,,13030.06,90,,percent of total billed charges,,,11871.83,82,,percent of total billed charges,,,13030.06,90,,percent of total billed charges,,,12306.16,85,,percent of total billed charges,,10916.29,13753.95, DEPUY FEMUR CEMENTED RT SZ2,30181239,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, SYNTHES SCREW HEX HEAD 5.0X36MM,30181240,CDM,,,278,RC,inpatient,,2160.28,2160.28,,1834.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1628.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1836.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1901.05,88,,percent of total billed charges,,,,,,,,,1650.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1965.85,91,,percent of total billed charges,,,2052.27,95,,percent of total billed charges,,,1793.03,83,,percent of total billed charges,,,1793.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1793.03,83,,percent of total billed charges,,,2052.27,95,,percent of total billed charges,,,1944.25,90,,percent of total billed charges,,,1944.25,90,,percent of total billed charges,,,1771.43,82,,percent of total billed charges,,,1944.25,90,,percent of total billed charges,,,1836.24,85,,percent of total billed charges,,1628.85,2052.27, MEGADYNE E-Z CLEAN NEEDLE 2.75,30181243,CDM,,,270,RC,inpatient,,47.6,47.6,,40.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.89,88,,percent of total billed charges,,,,,,,,,36.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.32,91,,percent of total billed charges,,,45.22,95,,percent of total billed charges,,,39.51,83,,percent of total billed charges,,,39.51,83,,percent of total billed charges,,,,,,,,,,,,,,,39.51,83,,percent of total billed charges,,,45.22,95,,percent of total billed charges,,,42.84,90,,percent of total billed charges,,,42.84,90,,percent of total billed charges,,,39.03,82,,percent of total billed charges,,,42.84,90,,percent of total billed charges,,,40.46,85,,percent of total billed charges,,35.89,45.22, AMS ELEVATE KIT ANTERIOR,30181244,CDM,,,278,RC,inpatient,,13056.55,13056.55,,11085.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9844.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11098.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11489.76,88,,percent of total billed charges,,,,,,,,,9975.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11881.46,91,,percent of total billed charges,,,12403.72,95,,percent of total billed charges,,,10836.94,83,,percent of total billed charges,,,10836.94,83,,percent of total billed charges,,,,,,,,,,,,,,,10836.94,83,,percent of total billed charges,,,12403.72,95,,percent of total billed charges,,,11750.9,90,,percent of total billed charges,,,11750.9,90,,percent of total billed charges,,,10706.37,82,,percent of total billed charges,,,11750.9,90,,percent of total billed charges,,,11098.07,85,,percent of total billed charges,,9844.64,12403.72, AMS ELEVATE KIT POSTERIOR,30181245,CDM,,,278,RC,inpatient,,10989.55,10989.55,,9330.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8286.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9341.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9670.8,88,,percent of total billed charges,,,,,,,,,8396.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10000.49,91,,percent of total billed charges,,,10440.07,95,,percent of total billed charges,,,9121.33,83,,percent of total billed charges,,,9121.33,83,,percent of total billed charges,,,,,,,,,,,,,,,9121.33,83,,percent of total billed charges,,,10440.07,95,,percent of total billed charges,,,9890.6,90,,percent of total billed charges,,,9890.6,90,,percent of total billed charges,,,9011.43,82,,percent of total billed charges,,,9890.6,90,,percent of total billed charges,,,9341.12,85,,percent of total billed charges,,8286.12,10440.07, MESH SOLYX SLING,30181247,CDM,,,270,RC,inpatient,,11752.65,11752.65,,9978,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8861.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9989.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10342.33,88,,percent of total billed charges,,,,,,,,,8979.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10694.91,91,,percent of total billed charges,,,11165.02,95,,percent of total billed charges,,,9754.7,83,,percent of total billed charges,,,9754.7,83,,percent of total billed charges,,,,,,,,,,,,,,,9754.7,83,,percent of total billed charges,,,11165.02,95,,percent of total billed charges,,,10577.39,90,,percent of total billed charges,,,10577.39,90,,percent of total billed charges,,,9637.17,82,,percent of total billed charges,,,10577.39,90,,percent of total billed charges,,,9989.75,85,,percent of total billed charges,,8861.5,11165.02, SYNTHES SCREW DISTAL RADIUS 2.4X28MM,30181251,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, JURGAN BALL - GR,30181253,CDM,,,270,RC,inpatient,,48.2,48.2,,40.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42.42,88,,percent of total billed charges,,,,,,,,,36.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.86,91,,percent of total billed charges,,,45.79,95,,percent of total billed charges,,,40.01,83,,percent of total billed charges,,,40.01,83,,percent of total billed charges,,,,,,,,,,,,,,,40.01,83,,percent of total billed charges,,,45.79,95,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,39.52,82,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,40.97,85,,percent of total billed charges,,36.34,45.79, JURGAN BALL - BL,30181254,CDM,,,270,RC,inpatient,,45.31,45.31,,38.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39.87,88,,percent of total billed charges,,,,,,,,,34.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41.23,91,,percent of total billed charges,,,43.04,95,,percent of total billed charges,,,37.61,83,,percent of total billed charges,,,37.61,83,,percent of total billed charges,,,,,,,,,,,,,,,37.61,83,,percent of total billed charges,,,43.04,95,,percent of total billed charges,,,40.78,90,,percent of total billed charges,,,40.78,90,,percent of total billed charges,,,37.15,82,,percent of total billed charges,,,40.78,90,,percent of total billed charges,,,38.51,85,,percent of total billed charges,,34.16,43.04, JURGAN BALL - CR,30181255,CDM,,,270,RC,inpatient,,48.2,48.2,,40.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42.42,88,,percent of total billed charges,,,,,,,,,36.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.86,91,,percent of total billed charges,,,45.79,95,,percent of total billed charges,,,40.01,83,,percent of total billed charges,,,40.01,83,,percent of total billed charges,,,,,,,,,,,,,,,40.01,83,,percent of total billed charges,,,45.79,95,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,39.52,82,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,40.97,85,,percent of total billed charges,,36.34,45.79, JURGAN BALL - YL,30181256,CDM,,,270,RC,inpatient,,55.25,55.25,,46.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,41.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,46.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,48.62,88,,percent of total billed charges,,,,,,,,,42.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.28,91,,percent of total billed charges,,,52.49,95,,percent of total billed charges,,,45.86,83,,percent of total billed charges,,,45.86,83,,percent of total billed charges,,,,,,,,,,,,,,,45.86,83,,percent of total billed charges,,,52.49,95,,percent of total billed charges,,,49.73,90,,percent of total billed charges,,,49.73,90,,percent of total billed charges,,,45.31,82,,percent of total billed charges,,,49.73,90,,percent of total billed charges,,,46.96,85,,percent of total billed charges,,41.66,52.49, SYNTHES DRILL BIT CANNULATED 3.2MM,30181263,CDM,,,270,RC,inpatient,,4176.9,4176.9,,3546.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3149.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3550.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3675.67,88,,percent of total billed charges,,,,,,,,,3191.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3800.98,91,,percent of total billed charges,,,3968.06,95,,percent of total billed charges,,,3466.83,83,,percent of total billed charges,,,3466.83,83,,percent of total billed charges,,,,,,,,,,,,,,,3466.83,83,,percent of total billed charges,,,3968.06,95,,percent of total billed charges,,,3759.21,90,,percent of total billed charges,,,3759.21,90,,percent of total billed charges,,,3425.06,82,,percent of total billed charges,,,3759.21,90,,percent of total billed charges,,,3550.37,85,,percent of total billed charges,,3149.38,3968.06, RTI SEMITENDINOSIS TENDON 200MM,30181265,CDM,,,278,RC,inpatient,,8612.5,8612.5,,7312.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6493.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7320.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7579,88,,percent of total billed charges,,,,,,,,,6579.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7837.38,91,,percent of total billed charges,,,8181.88,95,,percent of total billed charges,,,7148.38,83,,percent of total billed charges,,,7148.38,83,,percent of total billed charges,,,,,,,,,,,,,,,7148.38,83,,percent of total billed charges,,,8181.88,95,,percent of total billed charges,,,7751.25,90,,percent of total billed charges,,,7751.25,90,,percent of total billed charges,,,7062.25,82,,percent of total billed charges,,,7751.25,90,,percent of total billed charges,,,7320.63,85,,percent of total billed charges,,6493.83,8181.88, CATH URETERAL OPEN END 5FR,30181273,CDM,,,270,RC,inpatient,,86.24,86.24,,73.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,65.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,73.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,75.89,88,,percent of total billed charges,,,,,,,,,65.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,78.48,91,,percent of total billed charges,,,81.93,95,,percent of total billed charges,,,71.58,83,,percent of total billed charges,,,71.58,83,,percent of total billed charges,,,,,,,,,,,,,,,71.58,83,,percent of total billed charges,,,81.93,95,,percent of total billed charges,,,77.62,90,,percent of total billed charges,,,77.62,90,,percent of total billed charges,,,70.72,82,,percent of total billed charges,,,77.62,90,,percent of total billed charges,,,73.3,85,,percent of total billed charges,,65.02,81.93, DEPUY HEAD 40MM +8.5,30181278,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY STEM SUMMIT TAPER SZ5 HI OFF,30181279,CDM,,,278,RC,inpatient,,35258.28,35258.28,,29934.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26584.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29969.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31027.29,88,,percent of total billed charges,,,,,,,,,26937.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32085.03,91,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,,,,,,,,,,,,,29264.37,83,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,28911.79,82,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,29969.54,85,,percent of total billed charges,,26584.74,33495.37, S&N ENDO NEEDLE XL,30181284,CDM,,,270,RC,inpatient,,556.5,556.5,,472.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,419.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,473.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,489.72,88,,percent of total billed charges,,,,,,,,,425.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,506.42,91,,percent of total billed charges,,,528.68,95,,percent of total billed charges,,,461.9,83,,percent of total billed charges,,,461.9,83,,percent of total billed charges,,,,,,,,,,,,,,,461.9,83,,percent of total billed charges,,,528.68,95,,percent of total billed charges,,,500.85,90,,percent of total billed charges,,,500.85,90,,percent of total billed charges,,,456.33,82,,percent of total billed charges,,,500.85,90,,percent of total billed charges,,,473.03,85,,percent of total billed charges,,419.6,528.68, S&N ENDO ABLATOR,30181287,CDM,,,278,RC,inpatient,,3280.36,3280.36,,2785.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2473.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2788.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2886.72,88,,percent of total billed charges,,,,,,,,,2506.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2985.13,91,,percent of total billed charges,,,3116.34,95,,percent of total billed charges,,,2722.7,83,,percent of total billed charges,,,2722.7,83,,percent of total billed charges,,,,,,,,,,,,,,,2722.7,83,,percent of total billed charges,,,3116.34,95,,percent of total billed charges,,,2952.32,90,,percent of total billed charges,,,2952.32,90,,percent of total billed charges,,,2689.9,82,,percent of total billed charges,,,2952.32,90,,percent of total billed charges,,,2788.31,85,,percent of total billed charges,,2473.39,3116.34, DEPUY PINNACLE 100 CUP W/CRIPTION 60MM,30181299,CDM,,,278,RC,inpatient,,20679.88,20679.88,,17557.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15592.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17577.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18198.29,88,,percent of total billed charges,,,,,,,,,15799.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18818.69,91,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,,,,,,,,,,,,,17164.3,83,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,16957.5,82,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,17577.9,85,,percent of total billed charges,,15592.63,19645.89, DEPUY UPCHARGE GRIPTON CUP(016),30181300,CDM,,,278,RC,inpatient,,2608.65,2608.65,,2214.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1966.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2217.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2295.61,88,,percent of total billed charges,,,,,,,,,1993.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2373.87,91,,percent of total billed charges,,,2478.22,95,,percent of total billed charges,,,2165.18,83,,percent of total billed charges,,,2165.18,83,,percent of total billed charges,,,,,,,,,,,,,,,2165.18,83,,percent of total billed charges,,,2478.22,95,,percent of total billed charges,,,2347.79,90,,percent of total billed charges,,,2347.79,90,,percent of total billed charges,,,2139.09,82,,percent of total billed charges,,,2347.79,90,,percent of total billed charges,,,2217.35,85,,percent of total billed charges,,1966.92,2478.22, DEPUY STEM SUMMIT STD SZ4,30181307,CDM,,,278,RC,inpatient,,35258.28,35258.28,,29934.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26584.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29969.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31027.29,88,,percent of total billed charges,,,,,,,,,26937.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32085.03,91,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,,,,,,,,,,,,,29264.37,83,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,28911.79,82,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,29969.54,85,,percent of total billed charges,,26584.74,33495.37, SYNTHES ROD REAMER 3MM 351.76S,30181309,CDM,,,278,RC,inpatient,,1674.08,1674.08,,1421.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1262.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1422.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1473.19,88,,percent of total billed charges,,,,,,,,,1279,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1523.41,91,,percent of total billed charges,,,1590.38,95,,percent of total billed charges,,,1389.49,83,,percent of total billed charges,,,1389.49,83,,percent of total billed charges,,,,,,,,,,,,,,,1389.49,83,,percent of total billed charges,,,1590.38,95,,percent of total billed charges,,,1506.67,90,,percent of total billed charges,,,1506.67,90,,percent of total billed charges,,,1372.75,82,,percent of total billed charges,,,1506.67,90,,percent of total billed charges,,,1422.97,85,,percent of total billed charges,,1262.26,1590.38, DEPUY STEM GLOBAL FX PC 6MM,30181314,CDM,,,278,RC,inpatient,,38704.58,38704.58,,32860.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29183.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32898.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34060.03,88,,percent of total billed charges,,,,,,,,,29570.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35221.17,91,,percent of total billed charges,,,36769.35,95,,percent of total billed charges,,,32124.8,83,,percent of total billed charges,,,32124.8,83,,percent of total billed charges,,,,,,,,,,,,,,,32124.8,83,,percent of total billed charges,,,36769.35,95,,percent of total billed charges,,,34834.12,90,,percent of total billed charges,,,34834.12,90,,percent of total billed charges,,,31737.76,82,,percent of total billed charges,,,34834.12,90,,percent of total billed charges,,,32898.89,85,,percent of total billed charges,,29183.25,36769.35, GYRUS GAUZE SACK,30181315,CDM,,,270,RC,inpatient,,10.96,10.96,,9.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9.64,88,,percent of total billed charges,,,,,,,,,8.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.97,91,,percent of total billed charges,,,10.41,95,,percent of total billed charges,,,9.1,83,,percent of total billed charges,,,9.1,83,,percent of total billed charges,,,,,,,,,,,,,,,9.1,83,,percent of total billed charges,,,10.41,95,,percent of total billed charges,,,9.86,90,,percent of total billed charges,,,9.86,90,,percent of total billed charges,,,8.99,82,,percent of total billed charges,,,9.86,90,,percent of total billed charges,,,9.32,85,,percent of total billed charges,,8.26,10.41, SYNTHES SCREW LOCKING 2.7X16MM,30181316,CDM,,,278,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, SYNTHES SCREW LOCKING 2.7X14MM,30181317,CDM,,,278,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, SYNTHES DRILL BIT 2.0MM 323.062,30181319,CDM,,,270,RC,inpatient,,1518.14,1518.14,,1288.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1144.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1290.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1335.96,88,,percent of total billed charges,,,,,,,,,1159.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1381.51,91,,percent of total billed charges,,,1442.23,95,,percent of total billed charges,,,1260.06,83,,percent of total billed charges,,,1260.06,83,,percent of total billed charges,,,,,,,,,,,,,,,1260.06,83,,percent of total billed charges,,,1442.23,95,,percent of total billed charges,,,1366.33,90,,percent of total billed charges,,,1366.33,90,,percent of total billed charges,,,1244.87,82,,percent of total billed charges,,,1366.33,90,,percent of total billed charges,,,1290.42,85,,percent of total billed charges,,1144.68,1442.23, DEPUY SCREW TAPER HD 50 X 5.0,30181321,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW TAPER 35 X 5.0,30181322,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY LINER ALTRX +4 NEUT 40 X 56,30181323,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY FEMORAL HEAD 40MM +9,30181324,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY INSERT TIBIA TC3 12.5MM SZ2.5,30181326,CDM,,,278,RC,inpatient,,17187.04,17187.04,,14591.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12959.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14608.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15124.6,88,,percent of total billed charges,,,,,,,,,13130.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15640.21,91,,percent of total billed charges,,,16327.69,95,,percent of total billed charges,,,14265.24,83,,percent of total billed charges,,,14265.24,83,,percent of total billed charges,,,,,,,,,,,,,,,14265.24,83,,percent of total billed charges,,,16327.69,95,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,14093.37,82,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,14608.98,85,,percent of total billed charges,,12959.03,16327.69, DEPUY FEMUR TC3 RT SZ2,30181327,CDM,,,278,RC,inpatient,,48160.65,48160.65,,40888.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36313.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40936.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42381.37,88,,percent of total billed charges,,,,,,,,,36794.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43826.19,91,,percent of total billed charges,,,45752.62,95,,percent of total billed charges,,,39973.34,83,,percent of total billed charges,,,39973.34,83,,percent of total billed charges,,,,,,,,,,,,,,,39973.34,83,,percent of total billed charges,,,45752.62,95,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,39491.73,82,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,40936.55,85,,percent of total billed charges,,36313.13,45752.62, DEPUY DISTAL AUGMENT RT 4MM SZ2.0,30181328,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY STEM GLOBAL HUMERAL 48 X 18,30181340,CDM,,,278,RC,inpatient,,15560.09,15560.09,,13210.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11732.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13226.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13692.88,88,,percent of total billed charges,,,,,,,,,11887.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14159.68,91,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,,,,,,,,,,,,,12914.87,83,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,12759.27,82,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,13226.08,85,,percent of total billed charges,,11732.31,14782.09, DEPUY FIXATION PINS,30181341,CDM,,,278,RC,inpatient,,1898,1898,,1611.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1431.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1613.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1670.24,88,,percent of total billed charges,,,,,,,,,1450.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1727.18,91,,percent of total billed charges,,,1803.1,95,,percent of total billed charges,,,1575.34,83,,percent of total billed charges,,,1575.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1575.34,83,,percent of total billed charges,,,1803.1,95,,percent of total billed charges,,,1708.2,90,,percent of total billed charges,,,1708.2,90,,percent of total billed charges,,,1556.36,82,,percent of total billed charges,,,1708.2,90,,percent of total billed charges,,,1613.3,85,,percent of total billed charges,,1431.09,1803.1, DEPUY CROSSLINK FIN GLENOID SZ40,30181344,CDM,,,278,RC,inpatient,,14866.35,14866.35,,12621.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11209.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12636.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13082.39,88,,percent of total billed charges,,,,,,,,,11357.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13528.38,91,,percent of total billed charges,,,14123.03,95,,percent of total billed charges,,,12339.07,83,,percent of total billed charges,,,12339.07,83,,percent of total billed charges,,,,,,,,,,,,,,,12339.07,83,,percent of total billed charges,,,14123.03,95,,percent of total billed charges,,,13379.72,90,,percent of total billed charges,,,13379.72,90,,percent of total billed charges,,,12190.41,82,,percent of total billed charges,,,13379.72,90,,percent of total billed charges,,,12636.4,85,,percent of total billed charges,,11209.23,14123.03, DEPUY STEM GLOBAL HUMERAL 40 X 21,30181345,CDM,,,278,RC,inpatient,,15560.09,15560.09,,13210.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11732.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13226.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13692.88,88,,percent of total billed charges,,,,,,,,,11887.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14159.68,91,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,,,,,,,,,,,,,12914.87,83,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,12759.27,82,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,13226.08,85,,percent of total billed charges,,11732.31,14782.09, DEPUY STEM GLOBAL ADVANTAGE PC 10MM,30181346,CDM,,,278,RC,inpatient,,36482.49,36482.49,,30973.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27507.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31010.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32104.59,88,,percent of total billed charges,,,,,,,,,27872.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33199.07,91,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,,,,,,,,,,,,,30280.47,83,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,29915.64,82,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,31010.12,85,,percent of total billed charges,,27507.8,34658.37, DEPUY ANCHOR PEG DRILL BIT,30181347,CDM,,,278,RC,inpatient,,1384.5,1384.5,,1175.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1043.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1176.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1218.36,88,,percent of total billed charges,,,,,,,,,1057.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1259.9,91,,percent of total billed charges,,,1315.28,95,,percent of total billed charges,,,1149.14,83,,percent of total billed charges,,,1149.14,83,,percent of total billed charges,,,,,,,,,,,,,,,1149.14,83,,percent of total billed charges,,,1315.28,95,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1135.29,82,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1176.83,85,,percent of total billed charges,,1043.91,1315.28, DEPUY DRILL BIT KEELED GLENOID,30181348,CDM,,,278,RC,inpatient,,1092,1092,,927.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,823.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,928.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,960.96,88,,percent of total billed charges,,,,,,,,,834.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,993.72,91,,percent of total billed charges,,,1037.4,95,,percent of total billed charges,,,906.36,83,,percent of total billed charges,,,906.36,83,,percent of total billed charges,,,,,,,,,,,,,,,906.36,83,,percent of total billed charges,,,1037.4,95,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,895.44,82,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,928.2,85,,percent of total billed charges,,823.37,1037.4, STRYKER BLADE SAGITAL SYSTEM 6,30181349,CDM,,,270,RC,inpatient,,469.21,469.21,,398.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,353.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,398.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,412.9,88,,percent of total billed charges,,,,,,,,,358.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,426.98,91,,percent of total billed charges,,,445.75,95,,percent of total billed charges,,,389.44,83,,percent of total billed charges,,,389.44,83,,percent of total billed charges,,,,,,,,,,,,,,,389.44,83,,percent of total billed charges,,,445.75,95,,percent of total billed charges,,,422.29,90,,percent of total billed charges,,,422.29,90,,percent of total billed charges,,,384.75,82,,percent of total billed charges,,,422.29,90,,percent of total billed charges,,,398.83,85,,percent of total billed charges,,353.78,445.75, DEPUY FEMORAL HEAD 40MM +5.0,30181353,CDM,,,278,RC,inpatient,,15414.23,15414.23,,13086.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11622.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13102.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13564.52,88,,percent of total billed charges,,,,,,,,,11776.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14026.95,91,,percent of total billed charges,,,14643.52,95,,percent of total billed charges,,,12793.81,83,,percent of total billed charges,,,12793.81,83,,percent of total billed charges,,,,,,,,,,,,,,,12793.81,83,,percent of total billed charges,,,14643.52,95,,percent of total billed charges,,,13872.81,90,,percent of total billed charges,,,13872.81,90,,percent of total billed charges,,,12639.67,82,,percent of total billed charges,,,13872.81,90,,percent of total billed charges,,,13102.1,85,,percent of total billed charges,,11622.33,14643.52, DEPUY PINNACLE CUP 100 W/GRIPTION 62MM,30181354,CDM,,,278,RC,inpatient,,20679.88,20679.88,,17557.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15592.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17577.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18198.29,88,,percent of total billed charges,,,,,,,,,15799.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18818.69,91,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,,,,,,,,,,,,,17164.3,83,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,16957.5,82,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,17577.9,85,,percent of total billed charges,,15592.63,19645.89, DEPUY LINER ALTRX +4 NEUT 44 X 62,30181355,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, S&N PATELLAR COMPONENT 32MM,30181358,CDM,,,278,RC,inpatient,,4250.48,4250.48,,3608.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3204.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3612.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3740.42,88,,percent of total billed charges,,,,,,,,,3247.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3867.94,91,,percent of total billed charges,,,4037.96,95,,percent of total billed charges,,,3527.9,83,,percent of total billed charges,,,3527.9,83,,percent of total billed charges,,,,,,,,,,,,,,,3527.9,83,,percent of total billed charges,,,4037.96,95,,percent of total billed charges,,,3825.43,90,,percent of total billed charges,,,3825.43,90,,percent of total billed charges,,,3485.39,82,,percent of total billed charges,,,3825.43,90,,percent of total billed charges,,,3612.91,85,,percent of total billed charges,,3204.86,4037.96, DEPUY CERAMIC HEAD 36MM +5,30181360,CDM,,,278,RC,inpatient,,15642.97,15642.97,,13280.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11794.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13296.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13765.81,88,,percent of total billed charges,,,,,,,,,11951.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14235.1,91,,percent of total billed charges,,,14860.82,95,,percent of total billed charges,,,12983.67,83,,percent of total billed charges,,,12983.67,83,,percent of total billed charges,,,,,,,,,,,,,,,12983.67,83,,percent of total billed charges,,,14860.82,95,,percent of total billed charges,,,14078.67,90,,percent of total billed charges,,,14078.67,90,,percent of total billed charges,,,12827.24,82,,percent of total billed charges,,,14078.67,90,,percent of total billed charges,,,13296.52,85,,percent of total billed charges,,11794.8,14860.82, DEPUY INSERT TC3 RP 10MM SZ3,30181362,CDM,,,278,RC,inpatient,,15465.58,15465.58,,13130.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11661.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13145.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13609.71,88,,percent of total billed charges,,,,,,,,,11815.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14073.68,91,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,,,,,,,,,,,,,12836.43,83,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,12681.78,82,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13145.74,85,,percent of total billed charges,,11661.05,14692.3, DEPUY MBT REVISION TIBIAL TRAY SZ4,30181363,CDM,,,278,RC,inpatient,,28838.62,28838.62,,24483.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21744.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24512.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25377.99,88,,percent of total billed charges,,,,,,,,,22032.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26243.14,91,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,,,,,,,,,,,,,23936.05,83,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,23647.67,82,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,24512.83,85,,percent of total billed charges,,21744.32,27396.69, MEDSOURCE RADIAL HEAD 28.0MM RIGHT,30181372,CDM,,,278,RC,inpatient,,17888,17888,,15186.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13487.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15204.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15741.44,88,,percent of total billed charges,,,,,,,,,13666.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16278.08,91,,percent of total billed charges,,,16993.6,95,,percent of total billed charges,,,14847.04,83,,percent of total billed charges,,,14847.04,83,,percent of total billed charges,,,,,,,,,,,,,,,14847.04,83,,percent of total billed charges,,,16993.6,95,,percent of total billed charges,,,16099.2,90,,percent of total billed charges,,,16099.2,90,,percent of total billed charges,,,14668.16,82,,percent of total billed charges,,,16099.2,90,,percent of total billed charges,,,15204.8,85,,percent of total billed charges,,13487.55,16993.6, RTI FEMORAL HEAD,30181377,CDM,,,278,RC,inpatient,,9646,9646,,8189.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7273.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8199.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8488.48,88,,percent of total billed charges,,,,,,,,,7369.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8777.86,91,,percent of total billed charges,,,9163.7,95,,percent of total billed charges,,,8006.18,83,,percent of total billed charges,,,8006.18,83,,percent of total billed charges,,,,,,,,,,,,,,,8006.18,83,,percent of total billed charges,,,9163.7,95,,percent of total billed charges,,,8681.4,90,,percent of total billed charges,,,8681.4,90,,percent of total billed charges,,,7909.72,82,,percent of total billed charges,,,8681.4,90,,percent of total billed charges,,,8199.1,85,,percent of total billed charges,,7273.08,9163.7, DEPUY FEMORAL HEAD 40MM +12,30181378,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY GUIDEWIRE BALL NOSE 3.0 X 100CM,30181379,CDM,,,278,RC,inpatient,,682.43,682.43,,579.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,514.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,580.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,600.54,88,,percent of total billed charges,,,,,,,,,521.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,621.01,91,,percent of total billed charges,,,648.31,95,,percent of total billed charges,,,566.42,83,,percent of total billed charges,,,566.42,83,,percent of total billed charges,,,,,,,,,,,,,,,566.42,83,,percent of total billed charges,,,648.31,95,,percent of total billed charges,,,614.19,90,,percent of total billed charges,,,614.19,90,,percent of total billed charges,,,559.59,82,,percent of total billed charges,,,614.19,90,,percent of total billed charges,,,580.07,85,,percent of total billed charges,,514.55,648.31, DEPUY STEM GLOBAL HUMERAL 44 X 18 ECC,30181380,CDM,,,278,RC,inpatient,,17636.13,17636.13,,14973.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13297.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14990.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15519.79,88,,percent of total billed charges,,,,,,,,,13474,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16048.88,91,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,,,,,,,,,,,,,14637.99,83,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14461.63,82,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14990.71,85,,percent of total billed charges,,13297.64,16754.32, DEPUY SMALL GOLD DRILL BIT,30181381,CDM,,,278,RC,inpatient,,1384.5,1384.5,,1175.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1043.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1176.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1218.36,88,,percent of total billed charges,,,,,,,,,1057.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1259.9,91,,percent of total billed charges,,,1315.28,95,,percent of total billed charges,,,1149.14,83,,percent of total billed charges,,,1149.14,83,,percent of total billed charges,,,,,,,,,,,,,,,1149.14,83,,percent of total billed charges,,,1315.28,95,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1135.29,82,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1176.83,85,,percent of total billed charges,,1043.91,1315.28, DEPUY DRILL BIT LGE ANCHOR,30181382,CDM,,,278,RC,inpatient,,1384.5,1384.5,,1175.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1043.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1176.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1218.36,88,,percent of total billed charges,,,,,,,,,1057.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1259.9,91,,percent of total billed charges,,,1315.28,95,,percent of total billed charges,,,1149.14,83,,percent of total billed charges,,,1149.14,83,,percent of total billed charges,,,,,,,,,,,,,,,1149.14,83,,percent of total billed charges,,,1315.28,95,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1135.29,82,,percent of total billed charges,,,1246.05,90,,percent of total billed charges,,,1176.83,85,,percent of total billed charges,,1043.91,1315.28, DEPUY PINNACLE CUP 100 W/GRIPTION 50MM,30181383,CDM,,,278,RC,inpatient,,21679.88,21679.88,,18406.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16346.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18427.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19078.29,88,,percent of total billed charges,,,,,,,,,16563.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19728.69,91,,percent of total billed charges,,,20595.89,95,,percent of total billed charges,,,17994.3,83,,percent of total billed charges,,,17994.3,83,,percent of total billed charges,,,,,,,,,,,,,,,17994.3,83,,percent of total billed charges,,,20595.89,95,,percent of total billed charges,,,19511.89,90,,percent of total billed charges,,,19511.89,90,,percent of total billed charges,,,17777.5,82,,percent of total billed charges,,,19511.89,90,,percent of total billed charges,,,18427.9,85,,percent of total billed charges,,16346.63,20595.89, DEPUY LINER ALTRX X-LINK (008),30181385,CDM,,,278,RC,inpatient,,4372.88,4372.88,,3712.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3297.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3716.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3848.13,88,,percent of total billed charges,,,,,,,,,3340.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3979.32,91,,percent of total billed charges,,,4154.24,95,,percent of total billed charges,,,3629.49,83,,percent of total billed charges,,,3629.49,83,,percent of total billed charges,,,,,,,,,,,,,,,3629.49,83,,percent of total billed charges,,,4154.24,95,,percent of total billed charges,,,3935.59,90,,percent of total billed charges,,,3935.59,90,,percent of total billed charges,,,3585.76,82,,percent of total billed charges,,,3935.59,90,,percent of total billed charges,,,3716.95,85,,percent of total billed charges,,3297.15,4154.24, DEPUY FEMUR TC3 RT SZ5,30181386,CDM,,,278,RC,inpatient,,48160.65,48160.65,,40888.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36313.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40936.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42381.37,88,,percent of total billed charges,,,,,,,,,36794.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43826.19,91,,percent of total billed charges,,,45752.62,95,,percent of total billed charges,,,39973.34,83,,percent of total billed charges,,,39973.34,83,,percent of total billed charges,,,,,,,,,,,,,,,39973.34,83,,percent of total billed charges,,,45752.62,95,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,39491.73,82,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,40936.55,85,,percent of total billed charges,,36313.13,45752.62, DEPUY FEMORAL ADAPTER BOLT,30181387,CDM,,,278,RC,inpatient,,1765.6,1765.6,,1498.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1331.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1500.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1553.73,88,,percent of total billed charges,,,,,,,,,1348.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1606.7,91,,percent of total billed charges,,,1677.32,95,,percent of total billed charges,,,1465.45,83,,percent of total billed charges,,,1465.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1465.45,83,,percent of total billed charges,,,1677.32,95,,percent of total billed charges,,,1589.04,90,,percent of total billed charges,,,1589.04,90,,percent of total billed charges,,,1447.79,82,,percent of total billed charges,,,1589.04,90,,percent of total billed charges,,,1500.76,85,,percent of total billed charges,,1331.26,1677.32, DEPUY FEMORAL ADAPTER 5DEG,30181388,CDM,,,278,RC,inpatient,,12849.85,12849.85,,10909.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9688.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10922.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11307.87,88,,percent of total billed charges,,,,,,,,,9817.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11693.36,91,,percent of total billed charges,,,12207.36,95,,percent of total billed charges,,,10665.38,83,,percent of total billed charges,,,10665.38,83,,percent of total billed charges,,,,,,,,,,,,,,,10665.38,83,,percent of total billed charges,,,12207.36,95,,percent of total billed charges,,,11564.87,90,,percent of total billed charges,,,11564.87,90,,percent of total billed charges,,,10536.88,82,,percent of total billed charges,,,11564.87,90,,percent of total billed charges,,,10922.37,85,,percent of total billed charges,,9688.79,12207.36, DEPUY CEMENTED STEM,30181389,CDM,,,278,RC,inpatient,,6179.68,6179.68,,5246.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4659.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5252.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5438.12,88,,percent of total billed charges,,,,,,,,,4721.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5623.51,91,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5129.13,83,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5067.34,82,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5252.73,85,,percent of total billed charges,,4659.48,5870.7, DEPUY INSERT TIBIA TC3 12.5MM SZ5,30181390,CDM,,,278,RC,inpatient,,17187.04,17187.04,,14591.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12959.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14608.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15124.6,88,,percent of total billed charges,,,,,,,,,13130.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15640.21,91,,percent of total billed charges,,,16327.69,95,,percent of total billed charges,,,14265.24,83,,percent of total billed charges,,,14265.24,83,,percent of total billed charges,,,,,,,,,,,,,,,14265.24,83,,percent of total billed charges,,,16327.69,95,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,14093.37,82,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,14608.98,85,,percent of total billed charges,,12959.03,16327.69, DEPUY SCREW CANNULATED 5.0X30MM,30181391,CDM,,,278,RC,inpatient,,838.11,838.11,,711.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,631.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,712.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,737.54,88,,percent of total billed charges,,,,,,,,,640.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,762.68,91,,percent of total billed charges,,,796.2,95,,percent of total billed charges,,,695.63,83,,percent of total billed charges,,,695.63,83,,percent of total billed charges,,,,,,,,,,,,,,,695.63,83,,percent of total billed charges,,,796.2,95,,percent of total billed charges,,,754.3,90,,percent of total billed charges,,,754.3,90,,percent of total billed charges,,,687.25,82,,percent of total billed charges,,,754.3,90,,percent of total billed charges,,,712.39,85,,percent of total billed charges,,631.93,796.2, DEPUY SCREW CANNULATED 5.0X50MM,30181392,CDM,,,278,RC,inpatient,,838.11,838.11,,711.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,631.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,712.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,737.54,88,,percent of total billed charges,,,,,,,,,640.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,762.68,91,,percent of total billed charges,,,796.2,95,,percent of total billed charges,,,695.63,83,,percent of total billed charges,,,695.63,83,,percent of total billed charges,,,,,,,,,,,,,,,695.63,83,,percent of total billed charges,,,796.2,95,,percent of total billed charges,,,754.3,90,,percent of total billed charges,,,754.3,90,,percent of total billed charges,,,687.25,82,,percent of total billed charges,,,754.3,90,,percent of total billed charges,,,712.39,85,,percent of total billed charges,,631.93,796.2, DEPUY SCREW CANNULATED 36 X 4.5,30181393,CDM,,,278,RC,inpatient,,710.99,710.99,,603.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,536.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,604.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,625.67,88,,percent of total billed charges,,,,,,,,,543.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,647,91,,percent of total billed charges,,,675.44,95,,percent of total billed charges,,,590.12,83,,percent of total billed charges,,,590.12,83,,percent of total billed charges,,,,,,,,,,,,,,,590.12,83,,percent of total billed charges,,,675.44,95,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,583.01,82,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,604.34,85,,percent of total billed charges,,536.09,675.44, DEPUY SCREW CANNULATED 40 X 4.5,30181394,CDM,,,278,RC,inpatient,,710.99,710.99,,603.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,536.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,604.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,625.67,88,,percent of total billed charges,,,,,,,,,543.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,647,91,,percent of total billed charges,,,675.44,95,,percent of total billed charges,,,590.12,83,,percent of total billed charges,,,590.12,83,,percent of total billed charges,,,,,,,,,,,,,,,590.12,83,,percent of total billed charges,,,675.44,95,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,583.01,82,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,604.34,85,,percent of total billed charges,,536.09,675.44, DEPUY SCREW CANNULATED 50 X 4.5,30181395,CDM,,,278,RC,inpatient,,710.99,710.99,,603.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,536.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,604.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,625.67,88,,percent of total billed charges,,,,,,,,,543.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,647,91,,percent of total billed charges,,,675.44,95,,percent of total billed charges,,,590.12,83,,percent of total billed charges,,,590.12,83,,percent of total billed charges,,,,,,,,,,,,,,,590.12,83,,percent of total billed charges,,,675.44,95,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,583.01,82,,percent of total billed charges,,,639.89,90,,percent of total billed charges,,,604.34,85,,percent of total billed charges,,536.09,675.44, DEPUY PINNACLE CUP REVISION 60MM,30181396,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, DEPUY LINER ALTRX +4 35 X 45,30181397,CDM,,,278,RC,inpatient,,11806.99,11806.99,,10024.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8902.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10035.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10390.15,88,,percent of total billed charges,,,,,,,,,9020.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10744.36,91,,percent of total billed charges,,,11216.64,95,,percent of total billed charges,,,9799.8,83,,percent of total billed charges,,,9799.8,83,,percent of total billed charges,,,,,,,,,,,,,,,9799.8,83,,percent of total billed charges,,,11216.64,95,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,9681.73,82,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,10035.94,85,,percent of total billed charges,,8902.47,11216.64, DEPUY LERE BONE MILL RENTAL 2902-0213,30181398,CDM,,,278,RC,inpatient,,4296.5,4296.5,,3647.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3239.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3652.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3780.92,88,,percent of total billed charges,,,,,,,,,3282.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3909.82,91,,percent of total billed charges,,,4081.68,95,,percent of total billed charges,,,3566.1,83,,percent of total billed charges,,,3566.1,83,,percent of total billed charges,,,,,,,,,,,,,,,3566.1,83,,percent of total billed charges,,,4081.68,95,,percent of total billed charges,,,3866.85,90,,percent of total billed charges,,,3866.85,90,,percent of total billed charges,,,3523.13,82,,percent of total billed charges,,,3866.85,90,,percent of total billed charges,,,3652.03,85,,percent of total billed charges,,3239.56,4081.68, DEPUY PINNACLE CUP SECTOR II 48MM,30181401,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, DEPUY LINER ALTRX +4 32 X 48,30181402,CDM,,,278,RC,inpatient,,11806.99,11806.99,,10024.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8902.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10035.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10390.15,88,,percent of total billed charges,,,,,,,,,9020.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10744.36,91,,percent of total billed charges,,,11216.64,95,,percent of total billed charges,,,9799.8,83,,percent of total billed charges,,,9799.8,83,,percent of total billed charges,,,,,,,,,,,,,,,9799.8,83,,percent of total billed charges,,,11216.64,95,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,9681.73,82,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,10035.94,85,,percent of total billed charges,,8902.47,11216.64, DEPUY STEM CORAIL HI OFFSET SZ12,30181405,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, GUIDEWIRE CORE COONS BENSON,30181406,CDM,,,270,RC,inpatient,,199.95,199.95,,169.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,169.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,175.96,88,,percent of total billed charges,,,,,,,,,152.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,181.95,91,,percent of total billed charges,,,189.95,95,,percent of total billed charges,,,165.96,83,,percent of total billed charges,,,165.96,83,,percent of total billed charges,,,,,,,,,,,,,,,165.96,83,,percent of total billed charges,,,189.95,95,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,163.96,82,,percent of total billed charges,,,179.96,90,,percent of total billed charges,,,169.96,85,,percent of total billed charges,,150.76,189.95, STRYKER SAGITTAL BLADE 21X90X1.19MM,30181418,CDM,,,270,RC,inpatient,,478.73,478.73,,406.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,360.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,406.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,421.28,88,,percent of total billed charges,,,,,,,,,365.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,435.64,91,,percent of total billed charges,,,454.79,95,,percent of total billed charges,,,397.35,83,,percent of total billed charges,,,397.35,83,,percent of total billed charges,,,,,,,,,,,,,,,397.35,83,,percent of total billed charges,,,454.79,95,,percent of total billed charges,,,430.86,90,,percent of total billed charges,,,430.86,90,,percent of total billed charges,,,392.56,82,,percent of total billed charges,,,430.86,90,,percent of total billed charges,,,406.92,85,,percent of total billed charges,,360.96,454.79, DEPUY PINNACLE CUP 100 W/GRIPTION 56MM,30181419,CDM,,,278,RC,inpatient,,20679.88,20679.88,,17557.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15592.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17577.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18198.29,88,,percent of total billed charges,,,,,,,,,15799.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18818.69,91,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,,,,,,,,,,,,,17164.3,83,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,16957.5,82,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,17577.9,85,,percent of total billed charges,,15592.63,19645.89, SYNTHES SCREW LOCKING 2.7X10MM,30181421,CDM,,,278,RC,inpatient,,1110.53,1110.53,,942.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,837.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,943.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,977.27,88,,percent of total billed charges,,,,,,,,,848.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1010.58,91,,percent of total billed charges,,,1055,95,,percent of total billed charges,,,921.74,83,,percent of total billed charges,,,921.74,83,,percent of total billed charges,,,,,,,,,,,,,,,921.74,83,,percent of total billed charges,,,1055,95,,percent of total billed charges,,,999.48,90,,percent of total billed charges,,,999.48,90,,percent of total billed charges,,,910.63,82,,percent of total billed charges,,,999.48,90,,percent of total billed charges,,,943.95,85,,percent of total billed charges,,837.34,1055, SYNTHES SCREW LOCKING 2.7X12MM,30181422,CDM,,,278,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, DEPUY PINNACLE CUP 100 W/GRIPTION 54MM,30181430,CDM,,,278,RC,inpatient,,20679.88,20679.88,,17557.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15592.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17577.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18198.29,88,,percent of total billed charges,,,,,,,,,15799.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18818.69,91,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,,,,,,,,,,,,,17164.3,83,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,16957.5,82,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,17577.9,85,,percent of total billed charges,,15592.63,19645.89, DEPUY FEMORAL HEAD 36MM -2,30181431,CDM,,,278,RC,inpatient,,8569.34,8569.34,,7275.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6461.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7283.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7541.02,88,,percent of total billed charges,,,,,,,,,6546.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7798.1,91,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7112.55,83,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7026.86,82,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7283.94,85,,percent of total billed charges,,6461.28,8140.87, DEPUY STEM BOWED SZ13.5 X 9,30181432,CDM,,,278,RC,inpatient,,67359.5,67359.5,,57188.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50789.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57255.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59276.36,88,,percent of total billed charges,,,,,,,,,51462.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61297.15,91,,percent of total billed charges,,,63991.53,95,,percent of total billed charges,,,55908.39,83,,percent of total billed charges,,,55908.39,83,,percent of total billed charges,,,,,,,,,,,,,,,55908.39,83,,percent of total billed charges,,,63991.53,95,,percent of total billed charges,,,60623.55,90,,percent of total billed charges,,,60623.55,90,,percent of total billed charges,,,55234.79,82,,percent of total billed charges,,,60623.55,90,,percent of total billed charges,,,57255.58,85,,percent of total billed charges,,50789.06,63991.53, RTI PERONEAL TENDON,30181433,CDM,,,270,RC,inpatient,,16536,16536,,14039.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12468.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14055.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14551.68,88,,percent of total billed charges,,,,,,,,,12633.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15047.76,91,,percent of total billed charges,,,15709.2,95,,percent of total billed charges,,,13724.88,83,,percent of total billed charges,,,13724.88,83,,percent of total billed charges,,,,,,,,,,,,,,,13724.88,83,,percent of total billed charges,,,15709.2,95,,percent of total billed charges,,,14882.4,90,,percent of total billed charges,,,14882.4,90,,percent of total billed charges,,,13559.52,82,,percent of total billed charges,,,14882.4,90,,percent of total billed charges,,,14055.6,85,,percent of total billed charges,,12468.14,15709.2, DEPUY STEM CORAIL HI OFFSET SZ15,30181438,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY STEM CALCAR SZ15.0 X 9,30181439,CDM,,,278,RC,inpatient,,41578.1,41578.1,,35299.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31349.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,35341.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36588.73,88,,percent of total billed charges,,,,,,,,,31765.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37836.07,91,,percent of total billed charges,,,39499.2,95,,percent of total billed charges,,,34509.82,83,,percent of total billed charges,,,34509.82,83,,percent of total billed charges,,,,,,,,,,,,,,,34509.82,83,,percent of total billed charges,,,39499.2,95,,percent of total billed charges,,,37420.29,90,,percent of total billed charges,,,37420.29,90,,percent of total billed charges,,,34094.04,82,,percent of total billed charges,,,37420.29,90,,percent of total billed charges,,,35341.39,85,,percent of total billed charges,,31349.89,39499.2, DEPUY PINNACLE CUP SECTOR II 58MM,30181440,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, DEPUY PINNACLE SCREW 6.5 X 30,30181441,CDM,,,278,RC,inpatient,,1075.49,1075.49,,913.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,810.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,914.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,946.43,88,,percent of total billed charges,,,,,,,,,821.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,978.7,91,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,,,,,,,,,,,,,892.66,83,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,881.9,82,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,914.17,85,,percent of total billed charges,,810.92,1021.72, DEPUY PINNACLE CUP INSERT 40 X 58,30181442,CDM,,,278,RC,inpatient,,17516.2,17516.2,,14871.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13207.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14888.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15414.26,88,,percent of total billed charges,,,,,,,,,13382.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15939.74,91,,percent of total billed charges,,,16640.39,95,,percent of total billed charges,,,14538.45,83,,percent of total billed charges,,,14538.45,83,,percent of total billed charges,,,,,,,,,,,,,,,14538.45,83,,percent of total billed charges,,,16640.39,95,,percent of total billed charges,,,15764.58,90,,percent of total billed charges,,,15764.58,90,,percent of total billed charges,,,14363.28,82,,percent of total billed charges,,,15764.58,90,,percent of total billed charges,,,14888.77,85,,percent of total billed charges,,13207.21,16640.39, DEPUY FEMORAL HEAD 40MM +8.5,30181443,CDM,,,278,RC,inpatient,,19131.39,19131.39,,16242.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14425.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16261.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16835.62,88,,percent of total billed charges,,,,,,,,,14616.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17409.56,91,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,,,,,,,,,,,,,15879.05,83,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,15687.74,82,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,16261.68,85,,percent of total billed charges,,14425.07,18174.82, RIGID URETERAL DILATION SYSTEM,30181444,CDM,,,270,RC,inpatient,,1111.44,1111.44,,943.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,838.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,944.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,978.07,88,,percent of total billed charges,,,,,,,,,849.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1011.41,91,,percent of total billed charges,,,1055.87,95,,percent of total billed charges,,,922.5,83,,percent of total billed charges,,,922.5,83,,percent of total billed charges,,,,,,,,,,,,,,,922.5,83,,percent of total billed charges,,,1055.87,95,,percent of total billed charges,,,1000.3,90,,percent of total billed charges,,,1000.3,90,,percent of total billed charges,,,911.38,82,,percent of total billed charges,,,1000.3,90,,percent of total billed charges,,,944.72,85,,percent of total billed charges,,838.03,1055.87, BALLOON UROMAX ULTRA DILATATION,30181445,CDM,,,270,RC,inpatient,,2068.63,2068.63,,1756.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1559.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1758.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1820.39,88,,percent of total billed charges,,,,,,,,,1580.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1882.45,91,,percent of total billed charges,,,1965.2,95,,percent of total billed charges,,,1716.96,83,,percent of total billed charges,,,1716.96,83,,percent of total billed charges,,,,,,,,,,,,,,,1716.96,83,,percent of total billed charges,,,1965.2,95,,percent of total billed charges,,,1861.77,90,,percent of total billed charges,,,1861.77,90,,percent of total billed charges,,,1696.28,82,,percent of total billed charges,,,1861.77,90,,percent of total billed charges,,,1758.34,85,,percent of total billed charges,,1559.75,1965.2, DEPUY KNEE UNI-FIXED BEARING,30181447,CDM,,,278,RC,inpatient,,18806,18806,,15966.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14179.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15985.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16549.28,88,,percent of total billed charges,,,,,,,,,14367.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17113.46,91,,percent of total billed charges,,,17865.7,95,,percent of total billed charges,,,15608.98,83,,percent of total billed charges,,,15608.98,83,,percent of total billed charges,,,,,,,,,,,,,,,15608.98,83,,percent of total billed charges,,,17865.7,95,,percent of total billed charges,,,16925.4,90,,percent of total billed charges,,,16925.4,90,,percent of total billed charges,,,15420.92,82,,percent of total billed charges,,,16925.4,90,,percent of total billed charges,,,15985.1,85,,percent of total billed charges,,14179.72,17865.7, DEPUY INSERT SIGMA HP UNIVERSAL,30181448,CDM,,,278,RC,inpatient,,3909.43,3909.43,,3319.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2947.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3323.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3440.3,88,,percent of total billed charges,,,,,,,,,2986.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3557.58,91,,percent of total billed charges,,,3713.96,95,,percent of total billed charges,,,3244.83,83,,percent of total billed charges,,,3244.83,83,,percent of total billed charges,,,,,,,,,,,,,,,3244.83,83,,percent of total billed charges,,,3713.96,95,,percent of total billed charges,,,3518.49,90,,percent of total billed charges,,,3518.49,90,,percent of total billed charges,,,3205.73,82,,percent of total billed charges,,,3518.49,90,,percent of total billed charges,,,3323.02,85,,percent of total billed charges,,2947.71,3713.96, DEPUY SAWBLADE 13 X 70,30181452,CDM,,,278,RC,inpatient,,1074.06,1074.06,,911.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,809.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,912.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,945.17,88,,percent of total billed charges,,,,,,,,,820.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,977.39,91,,percent of total billed charges,,,1020.36,95,,percent of total billed charges,,,891.47,83,,percent of total billed charges,,,891.47,83,,percent of total billed charges,,,,,,,,,,,,,,,891.47,83,,percent of total billed charges,,,1020.36,95,,percent of total billed charges,,,966.65,90,,percent of total billed charges,,,966.65,90,,percent of total billed charges,,,880.73,82,,percent of total billed charges,,,966.65,90,,percent of total billed charges,,,912.95,85,,percent of total billed charges,,809.84,1020.36, DEPUY STEM CORAIL KLA SZ12,30181454,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY STEM HUMERAL SZ10,30181455,CDM,,,278,RC,inpatient,,35653.09,35653.09,,30269.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26882.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30305.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31374.72,88,,percent of total billed charges,,,,,,,,,27238.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32444.31,91,,percent of total billed charges,,,33870.44,95,,percent of total billed charges,,,29592.06,83,,percent of total billed charges,,,29592.06,83,,percent of total billed charges,,,,,,,,,,,,,,,29592.06,83,,percent of total billed charges,,,33870.44,95,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,29235.53,82,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,30305.13,85,,percent of total billed charges,,26882.43,33870.44, DEPUY ECC GLENOSPHERE 38MM,30181456,CDM,,,278,RC,inpatient,,19816.55,19816.55,,16824.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14941.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16844.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17438.56,88,,percent of total billed charges,,,,,,,,,15139.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18033.06,91,,percent of total billed charges,,,18825.72,95,,percent of total billed charges,,,16447.74,83,,percent of total billed charges,,,16447.74,83,,percent of total billed charges,,,,,,,,,,,,,,,16447.74,83,,percent of total billed charges,,,18825.72,95,,percent of total billed charges,,,17834.9,90,,percent of total billed charges,,,17834.9,90,,percent of total billed charges,,,16249.57,82,,percent of total billed charges,,,17834.9,90,,percent of total billed charges,,,16844.07,85,,percent of total billed charges,,14941.68,18825.72, DEPUY SCREW NON LOCKING 18MM,30181457,CDM,,,278,RC,inpatient,,1330.16,1330.16,,1129.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1002.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1130.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1170.54,88,,percent of total billed charges,,,,,,,,,1016.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1210.45,91,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1104.03,83,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1090.73,82,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1130.64,85,,percent of total billed charges,,1002.94,1263.65, DEPUY SCREW LOCKING 30MM,30181458,CDM,,,278,RC,inpatient,,2237.76,2237.76,,1899.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1687.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1902.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1969.23,88,,percent of total billed charges,,,,,,,,,1709.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2036.36,91,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1857.34,83,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1834.96,82,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1902.1,85,,percent of total billed charges,,1687.27,2125.87, DEPUY SCREW LOCKING 42MM,30181459,CDM,,,278,RC,inpatient,,2237.76,2237.76,,1899.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1687.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1902.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1969.23,88,,percent of total billed charges,,,,,,,,,1709.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2036.36,91,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1857.34,83,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1834.96,82,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1902.1,85,,percent of total billed charges,,1687.27,2125.87, DEPUY METAGLENE,30181460,CDM,,,278,RC,inpatient,,13765.7,13765.7,,11687.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10379.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11700.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12113.82,88,,percent of total billed charges,,,,,,,,,10516.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12526.79,91,,percent of total billed charges,,,13077.42,95,,percent of total billed charges,,,11425.53,83,,percent of total billed charges,,,11425.53,83,,percent of total billed charges,,,,,,,,,,,,,,,11425.53,83,,percent of total billed charges,,,13077.42,95,,percent of total billed charges,,,12389.13,90,,percent of total billed charges,,,12389.13,90,,percent of total billed charges,,,11287.87,82,,percent of total billed charges,,,12389.13,90,,percent of total billed charges,,,11700.85,85,,percent of total billed charges,,10379.34,13077.42, DEPUY HUMERAL CUP 38+6,30181461,CDM,,,278,RC,inpatient,,10688.08,10688.08,,9074.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8058.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9084.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9405.51,88,,percent of total billed charges,,,,,,,,,8165.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9726.15,91,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,,,,,,,,,,,,,8871.11,83,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,8764.23,82,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9084.87,85,,percent of total billed charges,,8058.81,10153.68, DEPUY GUIDE PIN 2.0MM,30181462,CDM,,,278,RC,inpatient,,1105,1105,,938.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,833.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,939.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,972.4,88,,percent of total billed charges,,,,,,,,,844.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1005.55,91,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,,,,,,,,,,,,,917.15,83,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,906.1,82,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,939.25,85,,percent of total billed charges,,833.17,1049.75, DEPUY GUIDE PIN GLENOSPHERE,30181463,CDM,,,278,RC,inpatient,,1105,1105,,938.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,833.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,939.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,972.4,88,,percent of total billed charges,,,,,,,,,844.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1005.55,91,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,,,,,,,,,,,,,917.15,83,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,906.1,82,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,939.25,85,,percent of total billed charges,,833.17,1049.75, DEPUY GUIDE PIN SCREW,30181464,CDM,,,278,RC,inpatient,,2021.5,2021.5,,1716.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1524.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1718.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1778.92,88,,percent of total billed charges,,,,,,,,,1544.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1839.57,91,,percent of total billed charges,,,1920.43,95,,percent of total billed charges,,,1677.85,83,,percent of total billed charges,,,1677.85,83,,percent of total billed charges,,,,,,,,,,,,,,,1677.85,83,,percent of total billed charges,,,1920.43,95,,percent of total billed charges,,,1819.35,90,,percent of total billed charges,,,1819.35,90,,percent of total billed charges,,,1657.63,82,,percent of total billed charges,,,1819.35,90,,percent of total billed charges,,,1718.28,85,,percent of total billed charges,,1524.21,1920.43, DEPUY DRILL BIT 2.0,30181465,CDM,,,278,RC,inpatient,,1833,1833,,1556.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1382.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1558.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1613.04,88,,percent of total billed charges,,,,,,,,,1400.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1668.03,91,,percent of total billed charges,,,1741.35,95,,percent of total billed charges,,,1521.39,83,,percent of total billed charges,,,1521.39,83,,percent of total billed charges,,,,,,,,,,,,,,,1521.39,83,,percent of total billed charges,,,1741.35,95,,percent of total billed charges,,,1649.7,90,,percent of total billed charges,,,1649.7,90,,percent of total billed charges,,,1503.06,82,,percent of total billed charges,,,1649.7,90,,percent of total billed charges,,,1558.05,85,,percent of total billed charges,,1382.08,1741.35, DEPUY STEM GLOBAL HUMERAL 52 X 15,30181466,CDM,,,278,RC,inpatient,,15560.09,15560.09,,13210.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11732.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13226.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13692.88,88,,percent of total billed charges,,,,,,,,,11887.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14159.68,91,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,,,,,,,,,,,,,12914.87,83,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,12759.27,82,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,13226.08,85,,percent of total billed charges,,11732.31,14782.09, SYNTHES SCREW CANNUL 4.0X30MM,30181470,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANNUL 4.0X32MM,30181471,CDM,,,278,RC,inpatient,,2003.17,2003.17,,1700.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1510.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1702.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1762.79,88,,percent of total billed charges,,,,,,,,,1530.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1822.88,91,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1662.63,83,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1642.6,82,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1702.69,85,,percent of total billed charges,,1510.39,1903.01, GYRUS MESH 2X3,30181472,CDM,,,270,RC,inpatient,,1946.75,1946.75,,1652.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1467.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1654.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1713.14,88,,percent of total billed charges,,,,,,,,,1487.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1771.54,91,,percent of total billed charges,,,1849.41,95,,percent of total billed charges,,,1615.8,83,,percent of total billed charges,,,1615.8,83,,percent of total billed charges,,,,,,,,,,,,,,,1615.8,83,,percent of total billed charges,,,1849.41,95,,percent of total billed charges,,,1752.08,90,,percent of total billed charges,,,1752.08,90,,percent of total billed charges,,,1596.34,82,,percent of total billed charges,,,1752.08,90,,percent of total billed charges,,,1654.74,85,,percent of total billed charges,,1467.85,1849.41, MESH HERNIA REBOUND 3.94 X 5.03,30181473,CDM,,,270,RC,inpatient,,4631.25,4631.25,,3931.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3491.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3936.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4075.5,88,,percent of total billed charges,,,,,,,,,3538.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4214.44,91,,percent of total billed charges,,,4399.69,95,,percent of total billed charges,,,3843.94,83,,percent of total billed charges,,,3843.94,83,,percent of total billed charges,,,,,,,,,,,,,,,3843.94,83,,percent of total billed charges,,,4399.69,95,,percent of total billed charges,,,4168.13,90,,percent of total billed charges,,,4168.13,90,,percent of total billed charges,,,3797.63,82,,percent of total billed charges,,,4168.13,90,,percent of total billed charges,,,3936.56,85,,percent of total billed charges,,3491.96,4399.69, DRAIN JACKSON PRATT FLAT 7MM,30181474,CDM,,,270,RC,inpatient,,55.85,55.85,,47.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49.15,88,,percent of total billed charges,,,,,,,,,42.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.82,91,,percent of total billed charges,,,53.06,95,,percent of total billed charges,,,46.36,83,,percent of total billed charges,,,46.36,83,,percent of total billed charges,,,,,,,,,,,,,,,46.36,83,,percent of total billed charges,,,53.06,95,,percent of total billed charges,,,50.27,90,,percent of total billed charges,,,50.27,90,,percent of total billed charges,,,45.8,82,,percent of total billed charges,,,50.27,90,,percent of total billed charges,,,47.47,85,,percent of total billed charges,,42.11,53.06, DRAIN JACKSON PRATT FLAT 10MM,30181475,CDM,,,270,RC,inpatient,,54.06,54.06,,45.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,40.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,47.57,88,,percent of total billed charges,,,,,,,,,41.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,49.19,91,,percent of total billed charges,,,51.36,95,,percent of total billed charges,,,44.87,83,,percent of total billed charges,,,44.87,83,,percent of total billed charges,,,,,,,,,,,,,,,44.87,83,,percent of total billed charges,,,51.36,95,,percent of total billed charges,,,48.65,90,,percent of total billed charges,,,48.65,90,,percent of total billed charges,,,44.33,82,,percent of total billed charges,,,48.65,90,,percent of total billed charges,,,45.95,85,,percent of total billed charges,,40.76,51.36, SYNTHES SCREW LOCKING 2.7X18MM,30181477,CDM,,,278,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, DEPUY FEMORAL HEAD 40MM -2,30181481,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY STEM BOWED SZ18.0 X 8,30181482,CDM,,,278,RC,inpatient,,67789.22,67789.22,,57553.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51113.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57620.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59654.51,88,,percent of total billed charges,,,,,,,,,51790.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61688.19,91,,percent of total billed charges,,,64399.76,95,,percent of total billed charges,,,56265.05,83,,percent of total billed charges,,,56265.05,83,,percent of total billed charges,,,,,,,,,,,,,,,56265.05,83,,percent of total billed charges,,,64399.76,95,,percent of total billed charges,,,61010.3,90,,percent of total billed charges,,,61010.3,90,,percent of total billed charges,,,55587.16,82,,percent of total billed charges,,,61010.3,90,,percent of total billed charges,,,57620.84,85,,percent of total billed charges,,51113.07,64399.76, DEPUY MORELAND RENTAL 2902-04-000,30181483,CDM,,,278,RC,inpatient,,4550,4550,,3862.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3430.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3867.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4004,88,,percent of total billed charges,,,,,,,,,3476.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4140.5,91,,percent of total billed charges,,,4322.5,95,,percent of total billed charges,,,3776.5,83,,percent of total billed charges,,,3776.5,83,,percent of total billed charges,,,,,,,,,,,,,,,3776.5,83,,percent of total billed charges,,,4322.5,95,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,3731,82,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,3867.5,85,,percent of total billed charges,,3430.7,4322.5, DEPUY OSTEOTOME THIN 10MM X 3,30181484,CDM,,,270,RC,inpatient,,3672.5,3672.5,,3117.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2769.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3121.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3231.8,88,,percent of total billed charges,,,,,,,,,2805.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3341.98,91,,percent of total billed charges,,,3488.88,95,,percent of total billed charges,,,3048.18,83,,percent of total billed charges,,,3048.18,83,,percent of total billed charges,,,,,,,,,,,,,,,3048.18,83,,percent of total billed charges,,,3488.88,95,,percent of total billed charges,,,3305.25,90,,percent of total billed charges,,,3305.25,90,,percent of total billed charges,,,3011.45,82,,percent of total billed charges,,,3305.25,90,,percent of total billed charges,,,3121.63,85,,percent of total billed charges,,2769.07,3488.88, DEPUY OSTEOTOME THIN 10MM X 5,30181485,CDM,,,278,RC,inpatient,,3861,3861,,3277.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2911.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3281.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3397.68,88,,percent of total billed charges,,,,,,,,,2949.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3513.51,91,,percent of total billed charges,,,3667.95,95,,percent of total billed charges,,,3204.63,83,,percent of total billed charges,,,3204.63,83,,percent of total billed charges,,,,,,,,,,,,,,,3204.63,83,,percent of total billed charges,,,3667.95,95,,percent of total billed charges,,,3474.9,90,,percent of total billed charges,,,3474.9,90,,percent of total billed charges,,,3166.02,82,,percent of total billed charges,,,3474.9,90,,percent of total billed charges,,,3281.85,85,,percent of total billed charges,,2911.19,3667.95, TISSEEL FIBRIN SEALANT 4ML PRIMA,30181490,CDM,,,278,RC,inpatient,,1564.1,1564.1,,1327.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1179.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1329.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1376.41,88,,percent of total billed charges,,,,,,,,,1194.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1423.33,91,,percent of total billed charges,,,1485.9,95,,percent of total billed charges,,,1298.2,83,,percent of total billed charges,,,1298.2,83,,percent of total billed charges,,,,,,,,,,,,,,,1298.2,83,,percent of total billed charges,,,1485.9,95,,percent of total billed charges,,,1407.69,90,,percent of total billed charges,,,1407.69,90,,percent of total billed charges,,,1282.56,82,,percent of total billed charges,,,1407.69,90,,percent of total billed charges,,,1329.49,85,,percent of total billed charges,,1179.33,1485.9, ELASTIC STAY 5MM,30181498,CDM,,,270,RC,inpatient,,49.22,49.22,,41.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,41.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,43.31,88,,percent of total billed charges,,,,,,,,,37.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,44.79,91,,percent of total billed charges,,,46.76,95,,percent of total billed charges,,,40.85,83,,percent of total billed charges,,,40.85,83,,percent of total billed charges,,,,,,,,,,,,,,,40.85,83,,percent of total billed charges,,,46.76,95,,percent of total billed charges,,,44.3,90,,percent of total billed charges,,,44.3,90,,percent of total billed charges,,,40.36,82,,percent of total billed charges,,,44.3,90,,percent of total billed charges,,,41.84,85,,percent of total billed charges,,37.11,46.76, STRYKER SHAVER AGGRESSIVE PLUS 4.0,30181504,CDM,,,270,RC,inpatient,,365.6,365.6,,310.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,275.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,310.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,321.73,88,,percent of total billed charges,,,,,,,,,279.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,332.7,91,,percent of total billed charges,,,347.32,95,,percent of total billed charges,,,303.45,83,,percent of total billed charges,,,303.45,83,,percent of total billed charges,,,,,,,,,,,,,,,303.45,83,,percent of total billed charges,,,347.32,95,,percent of total billed charges,,,329.04,90,,percent of total billed charges,,,329.04,90,,percent of total billed charges,,,299.79,82,,percent of total billed charges,,,329.04,90,,percent of total billed charges,,,310.76,85,,percent of total billed charges,,275.66,347.32, DEPUY LINER ALTRX +4 NEUT 32 X 48,30181506,CDM,,,278,RC,inpatient,,11494.99,11494.99,,9759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8667.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9770.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10115.59,88,,percent of total billed charges,,,,,,,,,8782.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10460.44,91,,percent of total billed charges,,,10920.24,95,,percent of total billed charges,,,9540.84,83,,percent of total billed charges,,,9540.84,83,,percent of total billed charges,,,,,,,,,,,,,,,9540.84,83,,percent of total billed charges,,,10920.24,95,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,9425.89,82,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,9770.74,85,,percent of total billed charges,,8667.22,10920.24, DEPUY FEMORAL HEAD 32MM +1,30181507,CDM,,,278,RC,inpatient,,5683.54,5683.54,,4825.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4285.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4831.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5001.52,88,,percent of total billed charges,,,,,,,,,4342.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5172.02,91,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,,,,,,,,,,,,,4717.34,83,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4660.5,82,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4831.01,85,,percent of total billed charges,,4285.39,5399.36, DEPUY FEMUR TC3 RT SZ2.5,30181508,CDM,,,278,RC,inpatient,,36489.7,36489.7,,30979.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27513.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31016.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32110.94,88,,percent of total billed charges,,,,,,,,,27878.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33205.63,91,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,,,,,,,,,,,,,30286.45,83,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,29921.55,82,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,31016.25,85,,percent of total billed charges,,27513.23,34665.22, DEPUY POSTERIOR AUGMENT 4MM SZ2.5,30181509,CDM,,,278,RC,inpatient,,6245.14,6245.14,,5302.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4708.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5308.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5495.72,88,,percent of total billed charges,,,,,,,,,4771.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5683.08,91,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,,,,,,,,,,,,,5183.47,83,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5121.01,82,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5308.37,85,,percent of total billed charges,,4708.84,5932.88, DEPUY DISTAL AUGMENT RT 12MM SZ2.5,30181510,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY STEM CEMENTED 13 X 90,30181511,CDM,,,278,RC,inpatient,,8116.23,8116.23,,6890.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6119.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6898.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7142.28,88,,percent of total billed charges,,,,,,,,,6200.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7385.77,91,,percent of total billed charges,,,7710.42,95,,percent of total billed charges,,,6736.47,83,,percent of total billed charges,,,6736.47,83,,percent of total billed charges,,,,,,,,,,,,,,,6736.47,83,,percent of total billed charges,,,7710.42,95,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,6655.31,82,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,6898.8,85,,percent of total billed charges,,6119.64,7710.42, DEPUY INSERT TC3 RP 30MM SZ2.5,30181512,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY MBT REVISION TIBIAL TRAY SZ2.5,30181513,CDM,,,278,RC,inpatient,,28838.62,28838.62,,24483.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21744.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24512.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25377.99,88,,percent of total billed charges,,,,,,,,,22032.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26243.14,91,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,,,,,,,,,,,,,23936.05,83,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,23647.67,82,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,24512.83,85,,percent of total billed charges,,21744.32,27396.69, DEPUY MBT TRAY SLEEVE 37MM,30181514,CDM,,,278,RC,inpatient,,12860.84,12860.84,,10918.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9697.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10931.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11317.54,88,,percent of total billed charges,,,,,,,,,9825.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11703.36,91,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10674.5,83,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10545.89,82,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10931.71,85,,percent of total billed charges,,9697.07,12217.8, DEPUY OSTEOTOME FLEX 12MM X 3,30181515,CDM,,,278,RC,inpatient,,1352,1352,,1147.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1019.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1149.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1189.76,88,,percent of total billed charges,,,,,,,,,1032.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1230.32,91,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,,,,,,,,,,,,,1122.16,83,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1108.64,82,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1149.2,85,,percent of total billed charges,,1019.41,1284.4, DEPUY BONE CEMENT W/ANTIBIOTIC 35-500,30181516,CDM,,,270,RC,inpatient,,1527.5,1527.5,,1296.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1151.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1298.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1344.2,88,,percent of total billed charges,,,,,,,,,1167.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1390.03,91,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,,,,,,,,,,,,,1267.83,83,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1252.55,82,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1298.38,85,,percent of total billed charges,,1151.74,1451.13, BIOGUIDE PATCH 40/50,30181518,CDM,,,270,RC,inpatient,,2687.1,2687.1,,2281.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2026.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2284.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2364.65,88,,percent of total billed charges,,,,,,,,,2052.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2445.26,91,,percent of total billed charges,,,2552.75,95,,percent of total billed charges,,,2230.29,83,,percent of total billed charges,,,2230.29,83,,percent of total billed charges,,,,,,,,,,,,,,,2230.29,83,,percent of total billed charges,,,2552.75,95,,percent of total billed charges,,,2418.39,90,,percent of total billed charges,,,2418.39,90,,percent of total billed charges,,,2203.42,82,,percent of total billed charges,,,2418.39,90,,percent of total billed charges,,,2284.04,85,,percent of total billed charges,,2026.07,2552.75, DEPUY INSERT SIGMA XLK 3 X 17,30181519,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY STEM CORAIL HI OFFSET SZ13,30181522,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY PINNACLE CUP INSERT 44 X 62,30181523,CDM,,,278,RC,inpatient,,18531.63,18531.63,,15733.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13972.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15751.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16307.83,88,,percent of total billed charges,,,,,,,,,14158.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16863.78,91,,percent of total billed charges,,,17605.05,95,,percent of total billed charges,,,15381.25,83,,percent of total billed charges,,,15381.25,83,,percent of total billed charges,,,,,,,,,,,,,,,15381.25,83,,percent of total billed charges,,,17605.05,95,,percent of total billed charges,,,16678.47,90,,percent of total billed charges,,,16678.47,90,,percent of total billed charges,,,15195.94,82,,percent of total billed charges,,,16678.47,90,,percent of total billed charges,,,15751.89,85,,percent of total billed charges,,13972.85,17605.05, DEPUY CERAMIC HEAD 44MM +5,30181524,CDM,,,278,RC,inpatient,,19131.39,19131.39,,16242.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14425.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16261.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16835.62,88,,percent of total billed charges,,,,,,,,,14616.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17409.56,91,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,,,,,,,,,,,,,15879.05,83,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,15687.74,82,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,16261.68,85,,percent of total billed charges,,14425.07,18174.82, DEPUY STEM SUMMIT BASIC SZ8,30181525,CDM,,,278,RC,inpatient,,11591.45,11591.45,,9841.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8739.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9852.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10200.48,88,,percent of total billed charges,,,,,,,,,8855.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10548.22,91,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,9620.9,83,,percent of total billed charges,,,,,,,,,,,,,,,9620.9,83,,percent of total billed charges,,,11011.88,95,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9504.99,82,,percent of total billed charges,,,10432.31,90,,percent of total billed charges,,,9852.73,85,,percent of total billed charges,,8739.95,11011.88, DEPUY SCREW LOCKING 36MM,30181526,CDM,,,278,RC,inpatient,,2237.76,2237.76,,1899.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1687.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1902.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1969.23,88,,percent of total billed charges,,,,,,,,,1709.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2036.36,91,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1857.34,83,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1834.96,82,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1902.1,85,,percent of total billed charges,,1687.27,2125.87, DEPUY SCREW NON LOCKING 24MM,30181527,CDM,,,278,RC,inpatient,,1330.16,1330.16,,1129.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1002.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1130.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1170.54,88,,percent of total billed charges,,,,,,,,,1016.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1210.45,91,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1104.03,83,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1090.73,82,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1130.64,85,,percent of total billed charges,,1002.94,1263.65, DEPUY HUMERAL CUP 38+3,30181528,CDM,,,278,RC,inpatient,,10688.08,10688.08,,9074.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8058.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9084.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9405.51,88,,percent of total billed charges,,,,,,,,,8165.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9726.15,91,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,,,,,,,,,,,,,8871.11,83,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,8764.23,82,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9084.87,85,,percent of total billed charges,,8058.81,10153.68, DEPUY CEMENTLESS EPIPHYSIS SZ1,30181529,CDM,,,278,RC,inpatient,,33055.36,33055.36,,28064,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24923.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28097.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29088.72,88,,percent of total billed charges,,,,,,,,,25254.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30080.38,91,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,,,,,,,,,,,,,27435.95,83,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,27105.4,82,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,28097.06,85,,percent of total billed charges,,24923.74,31402.59, DEPUY STEM HUMERAL SZ0,30181530,CDM,,,278,RC,inpatient,,17244.96,17244.96,,14640.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13002.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14658.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15175.56,88,,percent of total billed charges,,,,,,,,,13175.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15692.91,91,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,,,,,,,,,,,,,14313.32,83,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14140.87,82,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14658.22,85,,percent of total billed charges,,13002.7,16382.71, DEPUY BONE CEMENT W/ANTIBIOTIC 50-501,30181531,CDM,,,270,RC,inpatient,,1879.61,1879.61,,1595.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1417.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1597.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1654.06,88,,percent of total billed charges,,,,,,,,,1436.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1710.45,91,,percent of total billed charges,,,1785.63,95,,percent of total billed charges,,,1560.08,83,,percent of total billed charges,,,1560.08,83,,percent of total billed charges,,,,,,,,,,,,,,,1560.08,83,,percent of total billed charges,,,1785.63,95,,percent of total billed charges,,,1691.65,90,,percent of total billed charges,,,1691.65,90,,percent of total billed charges,,,1541.28,82,,percent of total billed charges,,,1691.65,90,,percent of total billed charges,,,1597.67,85,,percent of total billed charges,,1417.23,1785.63, DEPUY DRILL BIT 2.5,30181532,CDM,,,278,RC,inpatient,,553,553,,469.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,416.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,470.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,486.64,88,,percent of total billed charges,,,,,,,,,422.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,503.23,91,,percent of total billed charges,,,525.35,95,,percent of total billed charges,,,458.99,83,,percent of total billed charges,,,458.99,83,,percent of total billed charges,,,,,,,,,,,,,,,458.99,83,,percent of total billed charges,,,525.35,95,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,453.46,82,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,470.05,85,,percent of total billed charges,,416.96,525.35, DEPUY DRILL BIT 3.2,30181533,CDM,,,278,RC,inpatient,,335.18,335.18,,284.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,252.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,284.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,294.96,88,,percent of total billed charges,,,,,,,,,256.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,305.01,91,,percent of total billed charges,,,318.42,95,,percent of total billed charges,,,278.2,83,,percent of total billed charges,,,278.2,83,,percent of total billed charges,,,,,,,,,,,,,,,278.2,83,,percent of total billed charges,,,318.42,95,,percent of total billed charges,,,301.66,90,,percent of total billed charges,,,301.66,90,,percent of total billed charges,,,274.85,82,,percent of total billed charges,,,301.66,90,,percent of total billed charges,,,284.9,85,,percent of total billed charges,,252.73,318.42, ENDO STITCH 10MM SUTURING DEVICE,30181534,CDM,,,270,RC,inpatient,,2733.51,2733.51,,2320.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2061.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2323.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2405.49,88,,percent of total billed charges,,,,,,,,,2088.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2487.49,91,,percent of total billed charges,,,2596.83,95,,percent of total billed charges,,,2268.81,83,,percent of total billed charges,,,2268.81,83,,percent of total billed charges,,,,,,,,,,,,,,,2268.81,83,,percent of total billed charges,,,2596.83,95,,percent of total billed charges,,,2460.16,90,,percent of total billed charges,,,2460.16,90,,percent of total billed charges,,,2241.48,82,,percent of total billed charges,,,2460.16,90,,percent of total billed charges,,,2323.48,85,,percent of total billed charges,,2061.07,2596.83, S&N ENDO RAP PAC 1.5,30181539,CDM,,,278,RC,inpatient,,1687.14,1687.14,,1432.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1272.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1434.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1484.68,88,,percent of total billed charges,,,,,,,,,1288.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1535.3,91,,percent of total billed charges,,,1602.78,95,,percent of total billed charges,,,1400.33,83,,percent of total billed charges,,,1400.33,83,,percent of total billed charges,,,,,,,,,,,,,,,1400.33,83,,percent of total billed charges,,,1602.78,95,,percent of total billed charges,,,1518.43,90,,percent of total billed charges,,,1518.43,90,,percent of total billed charges,,,1383.45,82,,percent of total billed charges,,,1518.43,90,,percent of total billed charges,,,1434.07,85,,percent of total billed charges,,1272.1,1602.78, S&N ENDO PAC,30181540,CDM,,,270,RC,inpatient,,3416.47,3416.47,,2900.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2576.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2904,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3006.49,88,,percent of total billed charges,,,,,,,,,2610.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3108.99,91,,percent of total billed charges,,,3245.65,95,,percent of total billed charges,,,2835.67,83,,percent of total billed charges,,,2835.67,83,,percent of total billed charges,,,,,,,,,,,,,,,2835.67,83,,percent of total billed charges,,,3245.65,95,,percent of total billed charges,,,3074.82,90,,percent of total billed charges,,,3074.82,90,,percent of total billed charges,,,2801.51,82,,percent of total billed charges,,,3074.82,90,,percent of total billed charges,,,2904,85,,percent of total billed charges,,2576.02,3245.65, S&N ENDO PROBE 30MM,30181543,CDM,,,270,RC,inpatient,,1475.5,1475.5,,1252.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1112.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1254.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1298.44,88,,percent of total billed charges,,,,,,,,,1127.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1342.71,91,,percent of total billed charges,,,1401.73,95,,percent of total billed charges,,,1224.67,83,,percent of total billed charges,,,1224.67,83,,percent of total billed charges,,,,,,,,,,,,,,,1224.67,83,,percent of total billed charges,,,1401.73,95,,percent of total billed charges,,,1327.95,90,,percent of total billed charges,,,1327.95,90,,percent of total billed charges,,,1209.91,82,,percent of total billed charges,,,1327.95,90,,percent of total billed charges,,,1254.18,85,,percent of total billed charges,,1112.53,1401.73, RETRACTOR ALEXIS WOUND MED 5 X 9,30181546,CDM,,,270,RC,inpatient,,364,364,,309.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,274.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,309.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,320.32,88,,percent of total billed charges,,,,,,,,,278.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,331.24,91,,percent of total billed charges,,,345.8,95,,percent of total billed charges,,,302.12,83,,percent of total billed charges,,,302.12,83,,percent of total billed charges,,,,,,,,,,,,,,,302.12,83,,percent of total billed charges,,,345.8,95,,percent of total billed charges,,,327.6,90,,percent of total billed charges,,,327.6,90,,percent of total billed charges,,,298.48,82,,percent of total billed charges,,,327.6,90,,percent of total billed charges,,,309.4,85,,percent of total billed charges,,274.46,345.8, CLIP APPLIER SURGICLIP S-9.0IN,30181548,CDM,,,270,RC,inpatient,,1182.55,1182.55,,1003.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,891.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1005.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1040.64,88,,percent of total billed charges,,,,,,,,,903.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1076.12,91,,percent of total billed charges,,,1123.42,95,,percent of total billed charges,,,981.52,83,,percent of total billed charges,,,981.52,83,,percent of total billed charges,,,,,,,,,,,,,,,981.52,83,,percent of total billed charges,,,1123.42,95,,percent of total billed charges,,,1064.3,90,,percent of total billed charges,,,1064.3,90,,percent of total billed charges,,,969.69,82,,percent of total billed charges,,,1064.3,90,,percent of total billed charges,,,1005.17,85,,percent of total billed charges,,891.64,1123.42, CLIP APPLIER SURGICLIP M-9.75IN,30181549,CDM,,,270,RC,inpatient,,1167.01,1167.01,,990.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,879.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,991.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1026.97,88,,percent of total billed charges,,,,,,,,,891.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1061.98,91,,percent of total billed charges,,,1108.66,95,,percent of total billed charges,,,968.62,83,,percent of total billed charges,,,968.62,83,,percent of total billed charges,,,,,,,,,,,,,,,968.62,83,,percent of total billed charges,,,1108.66,95,,percent of total billed charges,,,1050.31,90,,percent of total billed charges,,,1050.31,90,,percent of total billed charges,,,956.95,82,,percent of total billed charges,,,1050.31,90,,percent of total billed charges,,,991.96,85,,percent of total billed charges,,879.93,1108.66, MARGIN MAP W/5MM CHARM,30181550,CDM,,,270,RC,inpatient,,144,144,,122.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,108.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,122.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,126.72,88,,percent of total billed charges,,,,,,,,,110.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,131.04,91,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,,,,,,,,,,,,,119.52,83,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,118.08,82,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,122.4,85,,percent of total billed charges,,108.58,136.8, RTI HEMI FEMORAL SHAFT 131MM-165MM,30181551,CDM,,,278,RC,inpatient,,7923.5,7923.5,,6727.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5974.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6734.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6972.68,88,,percent of total billed charges,,,,,,,,,6053.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7210.39,91,,percent of total billed charges,,,7527.33,95,,percent of total billed charges,,,6576.51,83,,percent of total billed charges,,,6576.51,83,,percent of total billed charges,,,,,,,,,,,,,,,6576.51,83,,percent of total billed charges,,,7527.33,95,,percent of total billed charges,,,7131.15,90,,percent of total billed charges,,,7131.15,90,,percent of total billed charges,,,6497.27,82,,percent of total billed charges,,,7131.15,90,,percent of total billed charges,,,6734.98,85,,percent of total billed charges,,5974.32,7527.33, DEPUY LINER ALTRX +4 40 X 56,30181552,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY CERAMIC HEAD 40MM +12,30181553,CDM,,,278,RC,inpatient,,19131.39,19131.39,,16242.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14425.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16261.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16835.62,88,,percent of total billed charges,,,,,,,,,14616.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17409.56,91,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,,,,,,,,,,,,,15879.05,83,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,15687.74,82,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,16261.68,85,,percent of total billed charges,,14425.07,18174.82, DEPUY STEM BOWED SZ15.0 X 9,30181554,CDM,,,278,RC,inpatient,,41578.1,41578.1,,35299.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31349.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,35341.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36588.73,88,,percent of total billed charges,,,,,,,,,31765.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37836.07,91,,percent of total billed charges,,,39499.2,95,,percent of total billed charges,,,34509.82,83,,percent of total billed charges,,,34509.82,83,,percent of total billed charges,,,,,,,,,,,,,,,34509.82,83,,percent of total billed charges,,,39499.2,95,,percent of total billed charges,,,37420.29,90,,percent of total billed charges,,,37420.29,90,,percent of total billed charges,,,34094.04,82,,percent of total billed charges,,,37420.29,90,,percent of total billed charges,,,35341.39,85,,percent of total billed charges,,31349.89,39499.2, DEPUY OSTEOTOME FLEX 8MM X 5,30181555,CDM,,,278,RC,inpatient,,3861,3861,,3277.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2911.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3281.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3397.68,88,,percent of total billed charges,,,,,,,,,2949.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3513.51,91,,percent of total billed charges,,,3667.95,95,,percent of total billed charges,,,3204.63,83,,percent of total billed charges,,,3204.63,83,,percent of total billed charges,,,,,,,,,,,,,,,3204.63,83,,percent of total billed charges,,,3667.95,95,,percent of total billed charges,,,3474.9,90,,percent of total billed charges,,,3474.9,90,,percent of total billed charges,,,3166.02,82,,percent of total billed charges,,,3474.9,90,,percent of total billed charges,,,3281.85,85,,percent of total billed charges,,2911.19,3667.95, DEPUY LERE BONE MILL RENTAL 290-202B,30181556,CDM,,,278,RC,inpatient,,4524,4524,,3840.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3411.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3845.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3981.12,88,,percent of total billed charges,,,,,,,,,3456.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4116.84,91,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,,,,,,,,,,,,,3754.92,83,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3709.68,82,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3845.4,85,,percent of total billed charges,,3411.1,4297.8, DEPUY MORELAND RENTAL 290-204B,30181557,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, ZIMMER BLADE EXPLANT 56MM X 20,30181558,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, ORTHADAPT BIOIMPLANT 3CM X 3CM,30181569,CDM,,,270,RC,inpatient,,14434.55,14434.55,,12254.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10883.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12269.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12702.4,88,,percent of total billed charges,,,,,,,,,11028,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13135.44,91,,percent of total billed charges,,,13712.82,95,,percent of total billed charges,,,11980.68,83,,percent of total billed charges,,,11980.68,83,,percent of total billed charges,,,,,,,,,,,,,,,11980.68,83,,percent of total billed charges,,,13712.82,95,,percent of total billed charges,,,12991.1,90,,percent of total billed charges,,,12991.1,90,,percent of total billed charges,,,11836.33,82,,percent of total billed charges,,,12991.1,90,,percent of total billed charges,,,12269.37,85,,percent of total billed charges,,10883.65,13712.82, MESH HERNIA REBOUND 1.97,30181570,CDM,,,270,RC,inpatient,,3181.75,3181.75,,2701.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2399.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2704.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2799.94,88,,percent of total billed charges,,,,,,,,,2430.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2895.39,91,,percent of total billed charges,,,3022.66,95,,percent of total billed charges,,,2640.85,83,,percent of total billed charges,,,2640.85,83,,percent of total billed charges,,,,,,,,,,,,,,,2640.85,83,,percent of total billed charges,,,3022.66,95,,percent of total billed charges,,,2863.58,90,,percent of total billed charges,,,2863.58,90,,percent of total billed charges,,,2609.04,82,,percent of total billed charges,,,2863.58,90,,percent of total billed charges,,,2704.49,85,,percent of total billed charges,,2399.04,3022.66, MESH HERNIA REBOUND 3.94,30181571,CDM,,,270,RC,inpatient,,4631.25,4631.25,,3931.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3491.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3936.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4075.5,88,,percent of total billed charges,,,,,,,,,3538.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4214.44,91,,percent of total billed charges,,,4399.69,95,,percent of total billed charges,,,3843.94,83,,percent of total billed charges,,,3843.94,83,,percent of total billed charges,,,,,,,,,,,,,,,3843.94,83,,percent of total billed charges,,,4399.69,95,,percent of total billed charges,,,4168.13,90,,percent of total billed charges,,,4168.13,90,,percent of total billed charges,,,3797.63,82,,percent of total billed charges,,,4168.13,90,,percent of total billed charges,,,3936.56,85,,percent of total billed charges,,3491.96,4399.69, STAPLER GIA ENDO ARTICULATING 45MM,30181572,CDM,,,270,RC,inpatient,,1775.87,1775.87,,1507.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1339.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1509.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1562.77,88,,percent of total billed charges,,,,,,,,,1356.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1616.04,91,,percent of total billed charges,,,1687.08,95,,percent of total billed charges,,,1473.97,83,,percent of total billed charges,,,1473.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1473.97,83,,percent of total billed charges,,,1687.08,95,,percent of total billed charges,,,1598.28,90,,percent of total billed charges,,,1598.28,90,,percent of total billed charges,,,1456.21,82,,percent of total billed charges,,,1598.28,90,,percent of total billed charges,,,1509.49,85,,percent of total billed charges,,1339.01,1687.08, DEPUY FEMORAL HEAD 40MM +1.5,30181574,CDM,,,278,RC,inpatient,,19131.39,19131.39,,16242.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14425.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16261.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16835.62,88,,percent of total billed charges,,,,,,,,,14616.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17409.56,91,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,,,,,,,,,,,,,15879.05,83,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,15687.74,82,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,16261.68,85,,percent of total billed charges,,14425.07,18174.82, DEPUY STEM CORAIL COLLARED SZ15,30181575,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, GRANEE NEEDLE,30181576,CDM,,,278,RC,inpatient,,378,378,,320.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,285.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,321.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,332.64,88,,percent of total billed charges,,,,,,,,,288.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,343.98,91,,percent of total billed charges,,,359.1,95,,percent of total billed charges,,,313.74,83,,percent of total billed charges,,,313.74,83,,percent of total billed charges,,,,,,,,,,,,,,,313.74,83,,percent of total billed charges,,,359.1,95,,percent of total billed charges,,,340.2,90,,percent of total billed charges,,,340.2,90,,percent of total billed charges,,,309.96,82,,percent of total billed charges,,,340.2,90,,percent of total billed charges,,,321.3,85,,percent of total billed charges,,285.01,359.1, MESH PERFIX PLUG MEDIUM,30181577,CDM,,,278,RC,inpatient,,1168.05,1168.05,,991.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,880.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,992.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1027.88,88,,percent of total billed charges,,,,,,,,,892.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1062.93,91,,percent of total billed charges,,,1109.65,95,,percent of total billed charges,,,969.48,83,,percent of total billed charges,,,969.48,83,,percent of total billed charges,,,,,,,,,,,,,,,969.48,83,,percent of total billed charges,,,1109.65,95,,percent of total billed charges,,,1051.25,90,,percent of total billed charges,,,1051.25,90,,percent of total billed charges,,,957.8,82,,percent of total billed charges,,,1051.25,90,,percent of total billed charges,,,992.84,85,,percent of total billed charges,,880.71,1109.65, ALLOPAC 50CC NON-PURGED,30181578,CDM,,,278,RC,inpatient,,7735,7735,,6567.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5832.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6574.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6806.8,88,,percent of total billed charges,,,,,,,,,5909.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7038.85,91,,percent of total billed charges,,,7348.25,95,,percent of total billed charges,,,6420.05,83,,percent of total billed charges,,,6420.05,83,,percent of total billed charges,,,,,,,,,,,,,,,6420.05,83,,percent of total billed charges,,,7348.25,95,,percent of total billed charges,,,6961.5,90,,percent of total billed charges,,,6961.5,90,,percent of total billed charges,,,6342.7,82,,percent of total billed charges,,,6961.5,90,,percent of total billed charges,,,6574.75,85,,percent of total billed charges,,5832.19,7348.25, MESH PREFIX PLUG LARGE,30181579,CDM,,,278,RC,inpatient,,1179.75,1179.75,,1001.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,889.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1002.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1038.18,88,,percent of total billed charges,,,,,,,,,901.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1073.57,91,,percent of total billed charges,,,1120.76,95,,percent of total billed charges,,,979.19,83,,percent of total billed charges,,,979.19,83,,percent of total billed charges,,,,,,,,,,,,,,,979.19,83,,percent of total billed charges,,,1120.76,95,,percent of total billed charges,,,1061.78,90,,percent of total billed charges,,,1061.78,90,,percent of total billed charges,,,967.4,82,,percent of total billed charges,,,1061.78,90,,percent of total billed charges,,,1002.79,85,,percent of total billed charges,,889.53,1120.76, MESH PROLOOP XLGE,30181580,CDM,,,278,RC,inpatient,,893.75,893.75,,758.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,673.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,759.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,786.5,88,,percent of total billed charges,,,,,,,,,682.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,813.31,91,,percent of total billed charges,,,849.06,95,,percent of total billed charges,,,741.81,83,,percent of total billed charges,,,741.81,83,,percent of total billed charges,,,,,,,,,,,,,,,741.81,83,,percent of total billed charges,,,849.06,95,,percent of total billed charges,,,804.38,90,,percent of total billed charges,,,804.38,90,,percent of total billed charges,,,732.88,82,,percent of total billed charges,,,804.38,90,,percent of total billed charges,,,759.69,85,,percent of total billed charges,,673.89,849.06, ATRIUM MESH PROLOOP ONLAY,30181581,CDM,,,278,RC,inpatient,,329.1,329.1,,279.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,248.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,279.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,289.61,88,,percent of total billed charges,,,,,,,,,251.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,299.48,91,,percent of total billed charges,,,312.65,95,,percent of total billed charges,,,273.15,83,,percent of total billed charges,,,273.15,83,,percent of total billed charges,,,,,,,,,,,,,,,273.15,83,,percent of total billed charges,,,312.65,95,,percent of total billed charges,,,296.19,90,,percent of total billed charges,,,296.19,90,,percent of total billed charges,,,269.86,82,,percent of total billed charges,,,296.19,90,,percent of total billed charges,,,279.74,85,,percent of total billed charges,,248.14,312.65, DEPUY STEM CORAIL KLA SZ13,30181582,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY SCREW NON LOCKING 42MM,30181583,CDM,,,278,RC,inpatient,,1330.16,1330.16,,1129.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1002.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1130.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1170.54,88,,percent of total billed charges,,,,,,,,,1016.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1210.45,91,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1104.03,83,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1090.73,82,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1130.64,85,,percent of total billed charges,,1002.94,1263.65, DEPUY CEMENTLESS EPIPHSYIS SZ1 RT,30181584,CDM,,,278,RC,inpatient,,33055.36,33055.36,,28064,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24923.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28097.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29088.72,88,,percent of total billed charges,,,,,,,,,25254.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30080.38,91,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,,,,,,,,,,,,,27435.95,83,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,27105.4,82,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,28097.06,85,,percent of total billed charges,,24923.74,31402.59, DEPUY STEM HUMERAL SZ12,30181585,CDM,,,278,RC,inpatient,,17244.96,17244.96,,14640.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13002.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14658.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15175.56,88,,percent of total billed charges,,,,,,,,,13175.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15692.91,91,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,,,,,,,,,,,,,14313.32,83,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14140.87,82,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14658.22,85,,percent of total billed charges,,13002.7,16382.71, DEPUY GUIDE PIN METAGLENE,30181586,CDM,,,278,RC,inpatient,,784,784,,665.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,591.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,666.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,689.92,88,,percent of total billed charges,,,,,,,,,598.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,713.44,91,,percent of total billed charges,,,744.8,95,,percent of total billed charges,,,650.72,83,,percent of total billed charges,,,650.72,83,,percent of total billed charges,,,,,,,,,,,,,,,650.72,83,,percent of total billed charges,,,744.8,95,,percent of total billed charges,,,705.6,90,,percent of total billed charges,,,705.6,90,,percent of total billed charges,,,642.88,82,,percent of total billed charges,,,705.6,90,,percent of total billed charges,,,666.4,85,,percent of total billed charges,,591.14,744.8, SYNTHES GUIDEWIRE 721,30181587,CDM,,,278,RC,inpatient,,312.38,312.38,,265.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,235.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,265.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,274.89,88,,percent of total billed charges,,,,,,,,,238.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,284.27,91,,percent of total billed charges,,,296.76,95,,percent of total billed charges,,,259.28,83,,percent of total billed charges,,,259.28,83,,percent of total billed charges,,,,,,,,,,,,,,,259.28,83,,percent of total billed charges,,,296.76,95,,percent of total billed charges,,,281.14,90,,percent of total billed charges,,,281.14,90,,percent of total billed charges,,,256.15,82,,percent of total billed charges,,,281.14,90,,percent of total billed charges,,,265.52,85,,percent of total billed charges,,235.53,296.76, DEPUY OSTEOTOME FLEX 8MM X 2.5,30181590,CDM,,,278,RC,inpatient,,4602,4602,,3907.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3469.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3911.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4049.76,88,,percent of total billed charges,,,,,,,,,3515.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4187.82,91,,percent of total billed charges,,,4371.9,95,,percent of total billed charges,,,3819.66,83,,percent of total billed charges,,,3819.66,83,,percent of total billed charges,,,,,,,,,,,,,,,3819.66,83,,percent of total billed charges,,,4371.9,95,,percent of total billed charges,,,4141.8,90,,percent of total billed charges,,,4141.8,90,,percent of total billed charges,,,3773.64,82,,percent of total billed charges,,,4141.8,90,,percent of total billed charges,,,3911.7,85,,percent of total billed charges,,3469.91,4371.9, DEPUY MBT REVISION TIBIAL TRAY SZ3.25,30181591,CDM,,,278,RC,inpatient,,62809.5,62809.5,,53325.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,47358.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,53388.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,55272.36,88,,percent of total billed charges,,,,,,,,,47986.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,57156.65,91,,percent of total billed charges,,,59669.03,95,,percent of total billed charges,,,52131.89,83,,percent of total billed charges,,,52131.89,83,,percent of total billed charges,,,,,,,,,,,,,,,52131.89,83,,percent of total billed charges,,,59669.03,95,,percent of total billed charges,,,56528.55,90,,percent of total billed charges,,,56528.55,90,,percent of total billed charges,,,51503.79,82,,percent of total billed charges,,,56528.55,90,,percent of total billed charges,,,53388.08,85,,percent of total billed charges,,47358.36,59669.03, DEPUY INSERT TC3 RP 12.5MM SZ4,30181592,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY FEMUR TC3 RT SZ5,30181593,CDM,,,278,RC,inpatient,,36489.7,36489.7,,30979.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27513.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31016.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32110.94,88,,percent of total billed charges,,,,,,,,,27878.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33205.63,91,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,,,,,,,,,,,,,30286.45,83,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,29921.55,82,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,31016.25,85,,percent of total billed charges,,27513.23,34665.22, DEPUY DISTAL AUGMENT RT 8MM SZ4.0,30181594,CDM,,,278,RC,inpatient,,6245.14,6245.14,,5302.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4708.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5308.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5495.72,88,,percent of total billed charges,,,,,,,,,4771.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5683.08,91,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,,,,,,,,,,,,,5183.47,83,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5121.01,82,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5308.37,85,,percent of total billed charges,,4708.84,5932.88, DEPUY FEMORAL STEM 15X30MM,30181595,CDM,,,278,RC,inpatient,,6179.68,6179.68,,5246.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4659.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5252.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5438.12,88,,percent of total billed charges,,,,,,,,,4721.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5623.51,91,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5129.13,83,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5067.34,82,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5252.73,85,,percent of total billed charges,,4659.48,5870.7, DEPUY OSTEOTOME THIN 8MM X 3,30181597,CDM,,,270,RC,inpatient,,3464.5,3464.5,,2941.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2612.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2944.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3048.76,88,,percent of total billed charges,,,,,,,,,2646.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3152.7,91,,percent of total billed charges,,,3291.28,95,,percent of total billed charges,,,2875.54,83,,percent of total billed charges,,,2875.54,83,,percent of total billed charges,,,,,,,,,,,,,,,2875.54,83,,percent of total billed charges,,,3291.28,95,,percent of total billed charges,,,3118.05,90,,percent of total billed charges,,,3118.05,90,,percent of total billed charges,,,2840.89,82,,percent of total billed charges,,,3118.05,90,,percent of total billed charges,,,2944.83,85,,percent of total billed charges,,2612.23,3291.28, DEPUY PINNACLE CUP INSERT 36 X 54,30181599,CDM,,,278,RC,inpatient,,12108.98,12108.98,,10280.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9130.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10292.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10655.9,88,,percent of total billed charges,,,,,,,,,9251.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11019.17,91,,percent of total billed charges,,,11503.53,95,,percent of total billed charges,,,10050.45,83,,percent of total billed charges,,,10050.45,83,,percent of total billed charges,,,,,,,,,,,,,,,10050.45,83,,percent of total billed charges,,,11503.53,95,,percent of total billed charges,,,10898.08,90,,percent of total billed charges,,,10898.08,90,,percent of total billed charges,,,9929.36,82,,percent of total billed charges,,,10898.08,90,,percent of total billed charges,,,10292.63,85,,percent of total billed charges,,9130.17,11503.53, DEPUY STEM CORAIL HI OFFSET SZ11,30181600,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY SMARTMIX TOWER,30181605,CDM,,,270,RC,inpatient,,828.17,828.17,,703.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,624.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,703.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,728.79,88,,percent of total billed charges,,,,,,,,,632.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,753.63,91,,percent of total billed charges,,,786.76,95,,percent of total billed charges,,,687.38,83,,percent of total billed charges,,,687.38,83,,percent of total billed charges,,,,,,,,,,,,,,,687.38,83,,percent of total billed charges,,,786.76,95,,percent of total billed charges,,,745.35,90,,percent of total billed charges,,,745.35,90,,percent of total billed charges,,,679.1,82,,percent of total billed charges,,,745.35,90,,percent of total billed charges,,,703.94,85,,percent of total billed charges,,624.44,786.76, DEPUY STEM CORAIL COLLARED SZ11,30181606,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, SYNTHES SCREW CORTEX 3.5X50MM,30181618,CDM,,,278,RC,inpatient,,267.75,267.75,,227.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,201.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,227.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,235.62,88,,percent of total billed charges,,,,,,,,,204.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,243.65,91,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,,,,,,,,,,,,,222.23,83,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,219.56,82,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,227.59,85,,percent of total billed charges,,201.88,254.36, SYNTHES SCREW CANCEL F-THD 4.0X35MM,30181621,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, SYNTHES SCREW CANCEL F-THD 4.0X55MM,30181623,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, SYNTHES SCREW CANCEL F-THD 4.0X60MM,30181624,CDM,,,278,RC,inpatient,,236.7,236.7,,200.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,178.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,201.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,208.3,88,,percent of total billed charges,,,,,,,,,180.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,215.4,91,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,,,,,,,,,,,,,196.46,83,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,194.09,82,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,201.2,85,,percent of total billed charges,,178.47,224.87, BIOMET ROUND FAST CUTTING BUR,30181626,CDM,,,270,RC,inpatient,,434,434,,368.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,327.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,368.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,381.92,88,,percent of total billed charges,,,,,,,,,331.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,394.94,91,,percent of total billed charges,,,412.3,95,,percent of total billed charges,,,360.22,83,,percent of total billed charges,,,360.22,83,,percent of total billed charges,,,,,,,,,,,,,,,360.22,83,,percent of total billed charges,,,412.3,95,,percent of total billed charges,,,390.6,90,,percent of total billed charges,,,390.6,90,,percent of total billed charges,,,355.88,82,,percent of total billed charges,,,390.6,90,,percent of total billed charges,,,368.9,85,,percent of total billed charges,,327.24,412.3, BIOMET TISSUE BUR,30181627,CDM,,,270,RC,inpatient,,490,490,,416.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,369.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,416.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,431.2,88,,percent of total billed charges,,,,,,,,,374.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,445.9,91,,percent of total billed charges,,,465.5,95,,percent of total billed charges,,,406.7,83,,percent of total billed charges,,,406.7,83,,percent of total billed charges,,,,,,,,,,,,,,,406.7,83,,percent of total billed charges,,,465.5,95,,percent of total billed charges,,,441,90,,percent of total billed charges,,,441,90,,percent of total billed charges,,,401.8,82,,percent of total billed charges,,,441,90,,percent of total billed charges,,,416.5,85,,percent of total billed charges,,369.46,465.5, BIOMET KNEE FEMORAL COMPONENT 54MM,30181628,CDM,,,278,RC,inpatient,,25012,25012,,21235.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18859.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21260.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22010.56,88,,percent of total billed charges,,,,,,,,,19109.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22760.92,91,,percent of total billed charges,,,23761.4,95,,percent of total billed charges,,,20759.96,83,,percent of total billed charges,,,20759.96,83,,percent of total billed charges,,,,,,,,,,,,,,,20759.96,83,,percent of total billed charges,,,23761.4,95,,percent of total billed charges,,,22510.8,90,,percent of total billed charges,,,22510.8,90,,percent of total billed charges,,,20509.84,82,,percent of total billed charges,,,22510.8,90,,percent of total billed charges,,,21260.2,85,,percent of total billed charges,,18859.05,23761.4, BIOMET KNEE TIBIAL COMPONENT 37 X 6.5,30181629,CDM,,,278,RC,inpatient,,9087,9087,,7714.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6851.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7723.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7996.56,88,,percent of total billed charges,,,,,,,,,6942.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8269.17,91,,percent of total billed charges,,,8632.65,95,,percent of total billed charges,,,7542.21,83,,percent of total billed charges,,,7542.21,83,,percent of total billed charges,,,,,,,,,,,,,,,7542.21,83,,percent of total billed charges,,,8632.65,95,,percent of total billed charges,,,8178.3,90,,percent of total billed charges,,,8178.3,90,,percent of total billed charges,,,7451.34,82,,percent of total billed charges,,,8178.3,90,,percent of total billed charges,,,7723.95,85,,percent of total billed charges,,6851.6,8632.65, ZIMMER BLADE EXPLANT 52MM X 10,30181631,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, DEPUY PINNACLE CUP SECTOR II 56MM,30181632,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, DEPUY PINNACLE CUP REVISION 64MM,30181635,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, DEPUY SCREW PINNACLE 6.5X25MM,30181636,CDM,,,278,RC,inpatient,,1075.49,1075.49,,913.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,810.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,914.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,946.43,88,,percent of total billed charges,,,,,,,,,821.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,978.7,91,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,892.66,83,,percent of total billed charges,,,,,,,,,,,,,,,892.66,83,,percent of total billed charges,,,1021.72,95,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,881.9,82,,percent of total billed charges,,,967.94,90,,percent of total billed charges,,,914.17,85,,percent of total billed charges,,810.92,1021.72, MTF DBX PUTTY 5CC,30181637,CDM,,,278,RC,inpatient,,5954.33,5954.33,,5055.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4489.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5061.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5239.81,88,,percent of total billed charges,,,,,,,,,4549.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5418.44,91,,percent of total billed charges,,,5656.61,95,,percent of total billed charges,,,4942.09,83,,percent of total billed charges,,,4942.09,83,,percent of total billed charges,,,,,,,,,,,,,,,4942.09,83,,percent of total billed charges,,,5656.61,95,,percent of total billed charges,,,5358.9,90,,percent of total billed charges,,,5358.9,90,,percent of total billed charges,,,4882.55,82,,percent of total billed charges,,,5358.9,90,,percent of total billed charges,,,5061.18,85,,percent of total billed charges,,4489.56,5656.61, ALLOSOURCE- ACHILLES TENDON,30181644,CDM,,,278,RC,inpatient,,18844.93,18844.93,,15999.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14209.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16018.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16583.54,88,,percent of total billed charges,,,,,,,,,14397.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17148.89,91,,percent of total billed charges,,,17902.68,95,,percent of total billed charges,,,15641.29,83,,percent of total billed charges,,,15641.29,83,,percent of total billed charges,,,,,,,,,,,,,,,15641.29,83,,percent of total billed charges,,,17902.68,95,,percent of total billed charges,,,16960.44,90,,percent of total billed charges,,,16960.44,90,,percent of total billed charges,,,15452.84,82,,percent of total billed charges,,,16960.44,90,,percent of total billed charges,,,16018.19,85,,percent of total billed charges,,14209.08,17902.68, DEPUY PINNACLE CUP SECTOR II 64MM,30181649,CDM,,,278,RC,inpatient,,20679.88,20679.88,,17557.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15592.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17577.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18198.29,88,,percent of total billed charges,,,,,,,,,15799.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18818.69,91,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,,,,,,,,,,,,,17164.3,83,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,16957.5,82,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,17577.9,85,,percent of total billed charges,,15592.63,19645.89, DEPUY LINER ALTRX +4 44 X 64,30181650,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY FEMORAL HEAD 44MM +1.5,30181651,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY STEM BOWED SZ13.5 X 8,30181652,CDM,,,278,RC,inpatient,,67789.22,67789.22,,57553.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51113.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57620.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59654.51,88,,percent of total billed charges,,,,,,,,,51790.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61688.19,91,,percent of total billed charges,,,64399.76,95,,percent of total billed charges,,,56265.05,83,,percent of total billed charges,,,56265.05,83,,percent of total billed charges,,,,,,,,,,,,,,,56265.05,83,,percent of total billed charges,,,64399.76,95,,percent of total billed charges,,,61010.3,90,,percent of total billed charges,,,61010.3,90,,percent of total billed charges,,,55587.16,82,,percent of total billed charges,,,61010.3,90,,percent of total billed charges,,,57620.84,85,,percent of total billed charges,,51113.07,64399.76, APPLIED LAP TROCAR 5MM 10CM,30181653,CDM,,,270,RC,inpatient,,144,144,,122.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,108.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,122.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,126.72,88,,percent of total billed charges,,,,,,,,,110.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,131.04,91,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,119.52,83,,percent of total billed charges,,,,,,,,,,,,,,,119.52,83,,percent of total billed charges,,,136.8,95,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,118.08,82,,percent of total billed charges,,,129.6,90,,percent of total billed charges,,,122.4,85,,percent of total billed charges,,108.58,136.8, APPLIED LAP TROCAR SHEATH 5MM,30181654,CDM,,,270,RC,inpatient,,68,68,,57.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.84,88,,percent of total billed charges,,,,,,,,,51.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.88,91,,percent of total billed charges,,,64.6,95,,percent of total billed charges,,,56.44,83,,percent of total billed charges,,,56.44,83,,percent of total billed charges,,,,,,,,,,,,,,,56.44,83,,percent of total billed charges,,,64.6,95,,percent of total billed charges,,,61.2,90,,percent of total billed charges,,,61.2,90,,percent of total billed charges,,,55.76,82,,percent of total billed charges,,,61.2,90,,percent of total billed charges,,,57.8,85,,percent of total billed charges,,51.27,64.6, APPLIED LAP TROCAR SHEATH 12MM,30181655,CDM,,,270,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2, DEPUY OSTEOTOME FLEX 10MM X 5,30181657,CDM,,,278,RC,inpatient,,2158,2158,,1832.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1627.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1834.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1899.04,88,,percent of total billed charges,,,,,,,,,1648.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1963.78,91,,percent of total billed charges,,,2050.1,95,,percent of total billed charges,,,1791.14,83,,percent of total billed charges,,,1791.14,83,,percent of total billed charges,,,,,,,,,,,,,,,1791.14,83,,percent of total billed charges,,,2050.1,95,,percent of total billed charges,,,1942.2,90,,percent of total billed charges,,,1942.2,90,,percent of total billed charges,,,1769.56,82,,percent of total billed charges,,,1942.2,90,,percent of total billed charges,,,1834.3,85,,percent of total billed charges,,1627.13,2050.1, DEPUY INSERT TC3 RP 25MM SZ2.5,30181658,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY DISTAL AUGMENT RT 4MM SZ2.5,30181659,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, LATERAL POSITIONER PADS,30181662,CDM,,,270,RC,inpatient,,193.73,193.73,,164.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,146.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,164.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,170.48,88,,percent of total billed charges,,,,,,,,,148.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,176.29,91,,percent of total billed charges,,,184.04,95,,percent of total billed charges,,,160.8,83,,percent of total billed charges,,,160.8,83,,percent of total billed charges,,,,,,,,,,,,,,,160.8,83,,percent of total billed charges,,,184.04,95,,percent of total billed charges,,,174.36,90,,percent of total billed charges,,,174.36,90,,percent of total billed charges,,,158.86,82,,percent of total billed charges,,,174.36,90,,percent of total billed charges,,,164.67,85,,percent of total billed charges,,146.07,184.04, DEPUY DISTAL AUGMENT RT 8MM SZ2.5,30181665,CDM,,,278,RC,inpatient,,6245.14,6245.14,,5302.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4708.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5308.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5495.72,88,,percent of total billed charges,,,,,,,,,4771.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5683.08,91,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,,,,,,,,,,,,,5183.47,83,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5121.01,82,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5308.37,85,,percent of total billed charges,,4708.84,5932.88, DEPUY POSTERIOR AUGMENT 8MM SZ2.5,30181666,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY INSERT TC3 12.5MM SZ2.5,30181667,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, GRASPER CLUTCH,30181671,CDM,,,270,RC,inpatient,,1300,1300,,1103.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,980.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1105,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1144,88,,percent of total billed charges,,,,,,,,,993.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1183,91,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,,,,,,,,,,,,,1079,83,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1066,82,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1105,85,,percent of total billed charges,,980.2,1235, ATRIUM MESH CQUR V-PATCH LGE,30181674,CDM,,,278,RC,inpatient,,3724.5,3724.5,,3162.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2808.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3165.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3277.56,88,,percent of total billed charges,,,,,,,,,2845.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3389.3,91,,percent of total billed charges,,,3538.28,95,,percent of total billed charges,,,3091.34,83,,percent of total billed charges,,,3091.34,83,,percent of total billed charges,,,,,,,,,,,,,,,3091.34,83,,percent of total billed charges,,,3538.28,95,,percent of total billed charges,,,3352.05,90,,percent of total billed charges,,,3352.05,90,,percent of total billed charges,,,3054.09,82,,percent of total billed charges,,,3352.05,90,,percent of total billed charges,,,3165.83,85,,percent of total billed charges,,2808.27,3538.28, ATRIUM MESH CQUR V-PATCH SML,30181675,CDM,,,278,RC,inpatient,,2262,2262,,1920.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1705.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1922.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1990.56,88,,percent of total billed charges,,,,,,,,,1728.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2058.42,91,,percent of total billed charges,,,2148.9,95,,percent of total billed charges,,,1877.46,83,,percent of total billed charges,,,1877.46,83,,percent of total billed charges,,,,,,,,,,,,,,,1877.46,83,,percent of total billed charges,,,2148.9,95,,percent of total billed charges,,,2035.8,90,,percent of total billed charges,,,2035.8,90,,percent of total billed charges,,,1854.84,82,,percent of total billed charges,,,2035.8,90,,percent of total billed charges,,,1922.7,85,,percent of total billed charges,,1705.55,2148.9, ATRIUM MESH CQUR V-PATCH MED,30181676,CDM,,,278,RC,inpatient,,2865.2,2865.2,,2432.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2160.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2435.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2521.38,88,,percent of total billed charges,,,,,,,,,2189.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2607.33,91,,percent of total billed charges,,,2721.94,95,,percent of total billed charges,,,2378.12,83,,percent of total billed charges,,,2378.12,83,,percent of total billed charges,,,,,,,,,,,,,,,2378.12,83,,percent of total billed charges,,,2721.94,95,,percent of total billed charges,,,2578.68,90,,percent of total billed charges,,,2578.68,90,,percent of total billed charges,,,2349.46,82,,percent of total billed charges,,,2578.68,90,,percent of total billed charges,,,2435.42,85,,percent of total billed charges,,2160.36,2721.94, ESOPHYX KIT,30181679,CDM,,,270,RC,inpatient,,22100,22100,,18762.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16663.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18785,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19448,88,,percent of total billed charges,,,,,,,,,16884.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20111,91,,percent of total billed charges,,,20995,95,,percent of total billed charges,,,18343,83,,percent of total billed charges,,,18343,83,,percent of total billed charges,,,,,,,,,,,,,,,18343,83,,percent of total billed charges,,,20995,95,,percent of total billed charges,,,19890,90,,percent of total billed charges,,,19890,90,,percent of total billed charges,,,18122,82,,percent of total billed charges,,,19890,90,,percent of total billed charges,,,18785,85,,percent of total billed charges,,16663.4,20995, CATH THORACIC STRAIGHT 20FR 16MM,30181680,CDM,,,270,RC,inpatient,,124.4,124.4,,105.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,93.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,105.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,109.47,88,,percent of total billed charges,,,,,,,,,95.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,113.2,91,,percent of total billed charges,,,118.18,95,,percent of total billed charges,,,103.25,83,,percent of total billed charges,,,103.25,83,,percent of total billed charges,,,,,,,,,,,,,,,103.25,83,,percent of total billed charges,,,118.18,95,,percent of total billed charges,,,111.96,90,,percent of total billed charges,,,111.96,90,,percent of total billed charges,,,102.01,82,,percent of total billed charges,,,111.96,90,,percent of total billed charges,,,105.74,85,,percent of total billed charges,,93.8,118.18, DEPUY PINNACLE CUP SECTOR II 50MM,30181683,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, DEPUY PINNACLE CUP MULTIHOLE 56MM,30181685,CDM,,,278,RC,inpatient,,26741.78,26741.78,,22703.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20163.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22730.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23532.77,88,,percent of total billed charges,,,,,,,,,20430.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24335.02,91,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,,,,,,,,,,,,,22195.68,83,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,21928.26,82,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,22730.51,85,,percent of total billed charges,,20163.3,25404.69, ZIMMER BLADE EXPLANT 56MM X 10,30181686,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, ZIMMER BLADE EXPLANT 52MM X 20,30181687,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, S&N ENDO BICEPTOR KIT 9 X 25,30181689,CDM,,,278,RC,inpatient,,1278.55,1278.55,,1085.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,964.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1086.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1125.12,88,,percent of total billed charges,,,,,,,,,976.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1163.48,91,,percent of total billed charges,,,1214.62,95,,percent of total billed charges,,,1061.2,83,,percent of total billed charges,,,1061.2,83,,percent of total billed charges,,,,,,,,,,,,,,,1061.2,83,,percent of total billed charges,,,1214.62,95,,percent of total billed charges,,,1150.7,90,,percent of total billed charges,,,1150.7,90,,percent of total billed charges,,,1048.41,82,,percent of total billed charges,,,1150.7,90,,percent of total billed charges,,,1086.77,85,,percent of total billed charges,,964.03,1214.62, SYNTHES SCREW CANNUL 16MM 6.5X50MM,30181691,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, DEPUY FEMUR SIGMA PS RT SZ3,30181695,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT STABILIZED 10MM SZ3,30181696,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY FEMUR TC3 LT SZ4,30181697,CDM,,,278,RC,inpatient,,36489.7,36489.7,,30979.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27513.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31016.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32110.94,88,,percent of total billed charges,,,,,,,,,27878.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33205.63,91,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,,,,,,,,,,,,,30286.45,83,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,29921.55,82,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,31016.25,85,,percent of total billed charges,,27513.23,34665.22, DEPUY DISTAL AUGMENT LT 8MM SZ4.0,30181698,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY POSTERIOR AUGMENT 4MM SZ4.0,30181699,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY WEDGE STEP 5MM SZ4,30181700,CDM,,,278,RC,inpatient,,15761.79,15761.79,,13381.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11884.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13397.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13870.38,88,,percent of total billed charges,,,,,,,,,12042.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14343.23,91,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,,,,,,,,,,,,,13082.29,83,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,12924.67,82,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,13397.52,85,,percent of total billed charges,,11884.39,14973.7, ALLOPAC 25CC NON-PURGED,30181701,CDM,,,278,RC,inpatient,,8255,8255,,7008.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6224.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7016.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7264.4,88,,percent of total billed charges,,,,,,,,,6306.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7512.05,91,,percent of total billed charges,,,7842.25,95,,percent of total billed charges,,,6851.65,83,,percent of total billed charges,,,6851.65,83,,percent of total billed charges,,,,,,,,,,,,,,,6851.65,83,,percent of total billed charges,,,7842.25,95,,percent of total billed charges,,,7429.5,90,,percent of total billed charges,,,7429.5,90,,percent of total billed charges,,,6769.1,82,,percent of total billed charges,,,7429.5,90,,percent of total billed charges,,,7016.75,85,,percent of total billed charges,,6224.27,7842.25, DEPUY OSTEOTOME THIN 10MM X 2.5,30181720,CDM,,,270,RC,inpatient,,5941,5941,,5043.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4479.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5049.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5228.08,88,,percent of total billed charges,,,,,,,,,4538.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5406.31,91,,percent of total billed charges,,,5643.95,95,,percent of total billed charges,,,4931.03,83,,percent of total billed charges,,,4931.03,83,,percent of total billed charges,,,,,,,,,,,,,,,4931.03,83,,percent of total billed charges,,,5643.95,95,,percent of total billed charges,,,5346.9,90,,percent of total billed charges,,,5346.9,90,,percent of total billed charges,,,4871.62,82,,percent of total billed charges,,,5346.9,90,,percent of total billed charges,,,5049.85,85,,percent of total billed charges,,4479.51,5643.95, DEPUY TIBIAL AUGMENT 10MM SZ2.5,30181721,CDM,,,278,RC,inpatient,,11378.45,11378.45,,9660.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8579.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9671.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10013.04,88,,percent of total billed charges,,,,,,,,,8693.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10354.39,91,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,,,,,,,,,,,,,9444.11,83,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9330.33,82,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9671.68,85,,percent of total billed charges,,8579.35,10809.53, DEPUY MBT TRAY SLEEVE 29MM,30181722,CDM,,,278,RC,inpatient,,12860.84,12860.84,,10918.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9697.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10931.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11317.54,88,,percent of total billed charges,,,,,,,,,9825.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11703.36,91,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10674.5,83,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10545.89,82,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10931.71,85,,percent of total billed charges,,9697.07,12217.8, DEPUY STEM CEMENTED 13 X 60,30181723,CDM,,,278,RC,inpatient,,6179.68,6179.68,,5246.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4659.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5252.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5438.12,88,,percent of total billed charges,,,,,,,,,4721.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5623.51,91,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5129.13,83,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5067.34,82,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5252.73,85,,percent of total billed charges,,4659.48,5870.7, DEPUY DISTAL AUGMENT 12MM SZ3,30181725,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY FEMORAL ADAPTER +2,30181726,CDM,,,278,RC,inpatient,,1765.6,1765.6,,1498.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1331.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1500.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1553.73,88,,percent of total billed charges,,,,,,,,,1348.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1606.7,91,,percent of total billed charges,,,1677.32,95,,percent of total billed charges,,,1465.45,83,,percent of total billed charges,,,1465.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1465.45,83,,percent of total billed charges,,,1677.32,95,,percent of total billed charges,,,1589.04,90,,percent of total billed charges,,,1589.04,90,,percent of total billed charges,,,1447.79,82,,percent of total billed charges,,,1589.04,90,,percent of total billed charges,,,1500.76,85,,percent of total billed charges,,1331.26,1677.32, DEPUY STEM CEMENTED 15 X 60,30181727,CDM,,,278,RC,inpatient,,6179.68,6179.68,,5246.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4659.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5252.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5438.12,88,,percent of total billed charges,,,,,,,,,4721.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5623.51,91,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5129.13,83,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5067.34,82,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5252.73,85,,percent of total billed charges,,4659.48,5870.7, DEPUY INSERT TC3 17.5MM SZ3,30181728,CDM,,,278,RC,inpatient,,15465.58,15465.58,,13130.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11661.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13145.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13609.71,88,,percent of total billed charges,,,,,,,,,11815.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14073.68,91,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,,,,,,,,,,,,,12836.43,83,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,12681.78,82,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13145.74,85,,percent of total billed charges,,11661.05,14692.3, STRYKER HIP SLEEVE UNIPOLAR -0MM,30181731,CDM,,,278,RC,inpatient,,1415.7,1415.7,,1201.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1067.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1203.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1245.82,88,,percent of total billed charges,,,,,,,,,1081.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1288.29,91,,percent of total billed charges,,,1344.92,95,,percent of total billed charges,,,1175.03,83,,percent of total billed charges,,,1175.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1175.03,83,,percent of total billed charges,,,1344.92,95,,percent of total billed charges,,,1274.13,90,,percent of total billed charges,,,1274.13,90,,percent of total billed charges,,,1160.87,82,,percent of total billed charges,,,1274.13,90,,percent of total billed charges,,,1203.35,85,,percent of total billed charges,,1067.44,1344.92, SYNTHES SCREW CANCEL 4.0X35MM,30181737,CDM,,,278,RC,inpatient,,236.7,236.7,,200.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,178.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,201.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,208.3,88,,percent of total billed charges,,,,,,,,,180.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,215.4,91,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,,,,,,,,,,,,,196.46,83,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,194.09,82,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,201.2,85,,percent of total billed charges,,178.47,224.87, P.O.S. HIP JOINT ABDUCTOR,30181743,CDM,,,270,RC,inpatient,,6545.89,6545.89,,5557.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4935.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5564.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5760.38,88,,percent of total billed charges,,,,,,,,,5001.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5956.76,91,,percent of total billed charges,,,6218.6,95,,percent of total billed charges,,,5433.09,83,,percent of total billed charges,,,5433.09,83,,percent of total billed charges,,,,,,,,,,,,,,,5433.09,83,,percent of total billed charges,,,6218.6,95,,percent of total billed charges,,,5891.3,90,,percent of total billed charges,,,5891.3,90,,percent of total billed charges,,,5367.63,82,,percent of total billed charges,,,5891.3,90,,percent of total billed charges,,,5564.01,85,,percent of total billed charges,,4935.6,6218.6, DEPUY STEM CORAIL HI OFFSET SZ14,30181747,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY INSERT XLK 8MM SZ3,30181748,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY PINNACLE CUP SECTOR II 52MM,30181749,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, RTI BIOCLENSE TIBIALIS POSTERIOR TENDON,30181756,CDM,,,270,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, NEEDLE TRANSURETHRAL INJECTION 22G,30181761,CDM,,,270,RC,inpatient,,688.31,688.31,,584.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,518.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,585.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,605.71,88,,percent of total billed charges,,,,,,,,,525.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,626.36,91,,percent of total billed charges,,,653.89,95,,percent of total billed charges,,,571.3,83,,percent of total billed charges,,,571.3,83,,percent of total billed charges,,,,,,,,,,,,,,,571.3,83,,percent of total billed charges,,,653.89,95,,percent of total billed charges,,,619.48,90,,percent of total billed charges,,,619.48,90,,percent of total billed charges,,,564.41,82,,percent of total billed charges,,,619.48,90,,percent of total billed charges,,,585.06,85,,percent of total billed charges,,518.99,653.89, DEPUY-MITEK MICROFIX ANCHOR #4/0,30181770,CDM,,,278,RC,inpatient,,2392,2392,,2030.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1803.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2033.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2104.96,88,,percent of total billed charges,,,,,,,,,1827.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2176.72,91,,percent of total billed charges,,,2272.4,95,,percent of total billed charges,,,1985.36,83,,percent of total billed charges,,,1985.36,83,,percent of total billed charges,,,,,,,,,,,,,,,1985.36,83,,percent of total billed charges,,,2272.4,95,,percent of total billed charges,,,2152.8,90,,percent of total billed charges,,,2152.8,90,,percent of total billed charges,,,1961.44,82,,percent of total billed charges,,,2152.8,90,,percent of total billed charges,,,2033.2,85,,percent of total billed charges,,1803.57,2272.4, STRYKER FEMORAL HD UNITRAX 48MM,30181772,CDM,,,278,RC,inpatient,,5362.5,5362.5,,4552.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4043.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4558.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4719,88,,percent of total billed charges,,,,,,,,,4096.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4879.88,91,,percent of total billed charges,,,5094.38,95,,percent of total billed charges,,,4450.88,83,,percent of total billed charges,,,4450.88,83,,percent of total billed charges,,,,,,,,,,,,,,,4450.88,83,,percent of total billed charges,,,5094.38,95,,percent of total billed charges,,,4826.25,90,,percent of total billed charges,,,4826.25,90,,percent of total billed charges,,,4397.25,82,,percent of total billed charges,,,4826.25,90,,percent of total billed charges,,,4558.13,85,,percent of total billed charges,,4043.33,5094.38, DEPUY LINER ALTRX NEUT 32 X 52,30181773,CDM,,,278,RC,inpatient,,10422.17,10422.17,,8848.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7858.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8858.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9171.51,88,,percent of total billed charges,,,,,,,,,7962.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9484.17,91,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,,,,,,,,,,,,,8650.4,83,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8546.18,82,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8858.84,85,,percent of total billed charges,,7858.32,9901.06, DEPUY STEM CORAIL COLLARED SZ10,30181774,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY FEMORAL HEAD 32MM +9,30181775,CDM,,,278,RC,inpatient,,5683.54,5683.54,,4825.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4285.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4831.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5001.52,88,,percent of total billed charges,,,,,,,,,4342.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5172.02,91,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,,,,,,,,,,,,,4717.34,83,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4660.5,82,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4831.01,85,,percent of total billed charges,,4285.39,5399.36, DEPUY FEMUR SIGMA PS LT SZ5,30181776,CDM,,,278,RC,inpatient,,23868.72,23868.72,,20264.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17997.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20288.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21004.47,88,,percent of total billed charges,,,,,,,,,18235.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21720.54,91,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,,,,,,,,,,,,,19811.04,83,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,19572.35,82,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,20288.41,85,,percent of total billed charges,,17997.01,22675.28, DEPUY INSERT RP 10MM SZ5,30181778,CDM,,,278,RC,inpatient,,11480.69,11480.69,,9747.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8656.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9758.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10103.01,88,,percent of total billed charges,,,,,,,,,8771.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10447.43,91,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,,,,,,,,,,,,,9528.97,83,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9414.17,82,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9758.59,85,,percent of total billed charges,,8656.44,10906.66, DEPUY UPCHARGE PLATFORM TRAY (022),30181781,CDM,,,278,RC,inpatient,,4194.65,4194.65,,3561.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3162.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3565.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3691.29,88,,percent of total billed charges,,,,,,,,,3204.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3817.13,91,,percent of total billed charges,,,3984.92,95,,percent of total billed charges,,,3481.56,83,,percent of total billed charges,,,3481.56,83,,percent of total billed charges,,,,,,,,,,,,,,,3481.56,83,,percent of total billed charges,,,3984.92,95,,percent of total billed charges,,,3775.19,90,,percent of total billed charges,,,3775.19,90,,percent of total billed charges,,,3439.61,82,,percent of total billed charges,,,3775.19,90,,percent of total billed charges,,,3565.45,85,,percent of total billed charges,,3162.77,3984.92, DEPUY UPCHARGE PLATFORM INSERT (023),30181782,CDM,,,278,RC,inpatient,,3192.93,3192.93,,2710.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2407.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2713.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2809.78,88,,percent of total billed charges,,,,,,,,,2439.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2905.57,91,,percent of total billed charges,,,3033.28,95,,percent of total billed charges,,,2650.13,83,,percent of total billed charges,,,2650.13,83,,percent of total billed charges,,,,,,,,,,,,,,,2650.13,83,,percent of total billed charges,,,3033.28,95,,percent of total billed charges,,,2873.64,90,,percent of total billed charges,,,2873.64,90,,percent of total billed charges,,,2618.2,82,,percent of total billed charges,,,2873.64,90,,percent of total billed charges,,,2713.99,85,,percent of total billed charges,,2407.47,3033.28, ARIS TOT SLING KIT,30181784,CDM,,,270,RC,inpatient,,7767.5,7767.5,,6594.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5856.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6602.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6835.4,88,,percent of total billed charges,,,,,,,,,5934.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7068.43,91,,percent of total billed charges,,,7379.13,95,,percent of total billed charges,,,6447.03,83,,percent of total billed charges,,,6447.03,83,,percent of total billed charges,,,,,,,,,,,,,,,6447.03,83,,percent of total billed charges,,,7379.13,95,,percent of total billed charges,,,6990.75,90,,percent of total billed charges,,,6990.75,90,,percent of total billed charges,,,6369.35,82,,percent of total billed charges,,,6990.75,90,,percent of total billed charges,,,6602.38,85,,percent of total billed charges,,5856.7,7379.13, DEPUY STEM CORAIL COLLARED SZ9,30181786,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY FEMUR SIGMA PS RT SZ5,30181787,CDM,,,278,RC,inpatient,,23868.72,23868.72,,20264.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17997.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20288.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21004.47,88,,percent of total billed charges,,,,,,,,,18235.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21720.54,91,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,,,,,,,,,,,,,19811.04,83,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,19572.35,82,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,20288.41,85,,percent of total billed charges,,17997.01,22675.28, DEPUY INSERT RP 12.5MM SZ5,30181788,CDM,,,278,RC,inpatient,,11480.69,11480.69,,9747.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8656.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9758.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10103.01,88,,percent of total billed charges,,,,,,,,,8771.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10447.43,91,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,,,,,,,,,,,,,9528.97,83,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9414.17,82,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9758.59,85,,percent of total billed charges,,8656.44,10906.66, DEPUY STEM CORAIL COLLARED SZ13,30181795,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, PEG KIT STANDARD PULL METHOD 20FR,30181801,CDM,,,270,RC,inpatient,,852.44,852.44,,723.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,642.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,724.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,750.15,88,,percent of total billed charges,,,,,,,,,651.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,775.72,91,,percent of total billed charges,,,809.82,95,,percent of total billed charges,,,707.53,83,,percent of total billed charges,,,707.53,83,,percent of total billed charges,,,,,,,,,,,,,,,707.53,83,,percent of total billed charges,,,809.82,95,,percent of total billed charges,,,767.2,90,,percent of total billed charges,,,767.2,90,,percent of total billed charges,,,699,82,,percent of total billed charges,,,767.2,90,,percent of total billed charges,,,724.57,85,,percent of total billed charges,,642.74,809.82, ATRIUM MESH SECURE 15 X 20CM,30181812,CDM,,,278,RC,inpatient,,4192.5,4192.5,,3559.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3161.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3563.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3689.4,88,,percent of total billed charges,,,,,,,,,3203.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3815.18,91,,percent of total billed charges,,,3982.88,95,,percent of total billed charges,,,3479.78,83,,percent of total billed charges,,,3479.78,83,,percent of total billed charges,,,,,,,,,,,,,,,3479.78,83,,percent of total billed charges,,,3982.88,95,,percent of total billed charges,,,3773.25,90,,percent of total billed charges,,,3773.25,90,,percent of total billed charges,,,3437.85,82,,percent of total billed charges,,,3773.25,90,,percent of total billed charges,,,3563.63,85,,percent of total billed charges,,3161.15,3982.88, ATRIUM MESH SECURE 18 X 23CM,30181813,CDM,,,278,RC,inpatient,,5778.5,5778.5,,4905.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4356.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4911.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5085.08,88,,percent of total billed charges,,,,,,,,,4414.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5258.44,91,,percent of total billed charges,,,5489.58,95,,percent of total billed charges,,,4796.16,83,,percent of total billed charges,,,4796.16,83,,percent of total billed charges,,,,,,,,,,,,,,,4796.16,83,,percent of total billed charges,,,5489.58,95,,percent of total billed charges,,,5200.65,90,,percent of total billed charges,,,5200.65,90,,percent of total billed charges,,,4738.37,82,,percent of total billed charges,,,5200.65,90,,percent of total billed charges,,,4911.73,85,,percent of total billed charges,,4356.99,5489.58, ATRIUM MESH SECURE 20.5 X 30.5CM,30181814,CDM,,,278,RC,inpatient,,7475,7475,,6346.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5636.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6353.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6578,88,,percent of total billed charges,,,,,,,,,5710.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6802.25,91,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,,,,,,,,,,,,,6204.25,83,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6129.5,82,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6353.75,85,,percent of total billed charges,,5636.15,7101.25, ATRIUM MESH SECURE 25.5 X 35.5CM,30181815,CDM,,,278,RC,inpatient,,9815,9815,,8332.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7400.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8342.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8637.2,88,,percent of total billed charges,,,,,,,,,7498.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8931.65,91,,percent of total billed charges,,,9324.25,95,,percent of total billed charges,,,8146.45,83,,percent of total billed charges,,,8146.45,83,,percent of total billed charges,,,,,,,,,,,,,,,8146.45,83,,percent of total billed charges,,,9324.25,95,,percent of total billed charges,,,8833.5,90,,percent of total billed charges,,,8833.5,90,,percent of total billed charges,,,8048.3,82,,percent of total billed charges,,,8833.5,90,,percent of total billed charges,,,8342.75,85,,percent of total billed charges,,7400.51,9324.25, ABSORBA 20TACK HERNIA DEVICE 5MM,30181817,CDM,,,270,RC,inpatient,,3893.5,3893.5,,3305.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2935.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3309.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3426.28,88,,percent of total billed charges,,,,,,,,,2974.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3543.09,91,,percent of total billed charges,,,3698.83,95,,percent of total billed charges,,,3231.61,83,,percent of total billed charges,,,3231.61,83,,percent of total billed charges,,,,,,,,,,,,,,,3231.61,83,,percent of total billed charges,,,3698.83,95,,percent of total billed charges,,,3504.15,90,,percent of total billed charges,,,3504.15,90,,percent of total billed charges,,,3192.67,82,,percent of total billed charges,,,3504.15,90,,percent of total billed charges,,,3309.48,85,,percent of total billed charges,,2935.7,3698.83, DEPUY CUSTOM IMPLANT T-F 64MM RT,30181818,CDM,,,278,RC,inpatient,,64675,64675,,54909.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48764.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54973.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56914,88,,percent of total billed charges,,,,,,,,,49411.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58854.25,91,,percent of total billed charges,,,61441.25,95,,percent of total billed charges,,,53680.25,83,,percent of total billed charges,,,53680.25,83,,percent of total billed charges,,,,,,,,,,,,,,,53680.25,83,,percent of total billed charges,,,61441.25,95,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,53033.5,82,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,54973.75,85,,percent of total billed charges,,48764.95,61441.25, GLIDEWIRE ANGLED .038 DIAMETER 150CM,30181819,CDM,,,270,RC,inpatient,,218.33,218.33,,185.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,164.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,185.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,192.13,88,,percent of total billed charges,,,,,,,,,166.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,198.68,91,,percent of total billed charges,,,207.41,95,,percent of total billed charges,,,181.21,83,,percent of total billed charges,,,181.21,83,,percent of total billed charges,,,,,,,,,,,,,,,181.21,83,,percent of total billed charges,,,207.41,95,,percent of total billed charges,,,196.5,90,,percent of total billed charges,,,196.5,90,,percent of total billed charges,,,179.03,82,,percent of total billed charges,,,196.5,90,,percent of total billed charges,,,185.58,85,,percent of total billed charges,,164.62,207.41, DEPUY INSERT STABILIZED 8MM SZ3,30181822,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY INSERT RP 10MM SZ4,30181824,CDM,,,278,RC,inpatient,,11480.69,11480.69,,9747.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8656.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9758.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10103.01,88,,percent of total billed charges,,,,,,,,,8771.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10447.43,91,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,,,,,,,,,,,,,9528.97,83,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9414.17,82,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9758.59,85,,percent of total billed charges,,8656.44,10906.66, DEPUY FEMUR SIGMA PS RT SZ4,30181825,CDM,,,278,RC,inpatient,,23868.72,23868.72,,20264.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17997.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20288.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21004.47,88,,percent of total billed charges,,,,,,,,,18235.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21720.54,91,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,,,,,,,,,,,,,19811.04,83,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,19572.35,82,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,20288.41,85,,percent of total billed charges,,17997.01,22675.28, RTI MATRIX HD 5X8CM,30181827,CDM,,,278,RC,inpatient,,18850,18850,,16003.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14212.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16022.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16588,88,,percent of total billed charges,,,,,,,,,14401.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17153.5,91,,percent of total billed charges,,,17907.5,95,,percent of total billed charges,,,15645.5,83,,percent of total billed charges,,,15645.5,83,,percent of total billed charges,,,,,,,,,,,,,,,15645.5,83,,percent of total billed charges,,,17907.5,95,,percent of total billed charges,,,16965,90,,percent of total billed charges,,,16965,90,,percent of total billed charges,,,15457,82,,percent of total billed charges,,,16965,90,,percent of total billed charges,,,16022.5,85,,percent of total billed charges,,14212.9,17907.5, DEPUY STEM BOWED SZ13.5 X 11,30181850,CDM,,,278,RC,inpatient,,68800.94,68800.94,,58412,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51875.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58480.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60544.83,88,,percent of total billed charges,,,,,,,,,52563.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62608.86,91,,percent of total billed charges,,,65360.89,95,,percent of total billed charges,,,57104.78,83,,percent of total billed charges,,,57104.78,83,,percent of total billed charges,,,,,,,,,,,,,,,57104.78,83,,percent of total billed charges,,,65360.89,95,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,56416.77,82,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,58480.8,85,,percent of total billed charges,,51875.91,65360.89, DEPUY RENTAL FEE - INSTRUMENTS 99-000,30181851,CDM,,,270,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, DEPUY LINER CONSTRAINED ESC 36 X 56,30181852,CDM,,,278,RC,inpatient,,36635.17,36635.17,,31103.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27622.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31139.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32238.95,88,,percent of total billed charges,,,,,,,,,27989.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33338,91,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,,,,,,,,,,,,,30407.19,83,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,30040.84,82,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,31139.89,85,,percent of total billed charges,,27622.92,34803.41, DEPUY STEM BOWED SZ10.5 X 8,30181853,CDM,,,270,RC,inpatient,,66522.3,66522.3,,56477.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50157.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56543.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58539.62,88,,percent of total billed charges,,,,,,,,,50823.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60535.29,91,,percent of total billed charges,,,63196.19,95,,percent of total billed charges,,,55213.51,83,,percent of total billed charges,,,55213.51,83,,percent of total billed charges,,,,,,,,,,,,,,,55213.51,83,,percent of total billed charges,,,63196.19,95,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,54548.29,82,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,56543.96,85,,percent of total billed charges,,50157.81,63196.19, DEPUY GLENOSPHERE 38MM,30181854,CDM,,,278,RC,inpatient,,17458.81,17458.81,,14822.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13163.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14839.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15363.75,88,,percent of total billed charges,,,,,,,,,13338.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15887.52,91,,percent of total billed charges,,,16585.87,95,,percent of total billed charges,,,14490.81,83,,percent of total billed charges,,,14490.81,83,,percent of total billed charges,,,,,,,,,,,,,,,14490.81,83,,percent of total billed charges,,,16585.87,95,,percent of total billed charges,,,15712.93,90,,percent of total billed charges,,,15712.93,90,,percent of total billed charges,,,14316.22,82,,percent of total billed charges,,,15712.93,90,,percent of total billed charges,,,14839.99,85,,percent of total billed charges,,13163.94,16585.87, MACROPLASTIQUE IMPLANT 2.5ML,30181855,CDM,,,278,RC,inpatient,,3539.25,3539.25,,3004.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2668.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3008.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3114.54,88,,percent of total billed charges,,,,,,,,,2703.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3220.72,91,,percent of total billed charges,,,3362.29,95,,percent of total billed charges,,,2937.58,83,,percent of total billed charges,,,2937.58,83,,percent of total billed charges,,,,,,,,,,,,,,,2937.58,83,,percent of total billed charges,,,3362.29,95,,percent of total billed charges,,,3185.33,90,,percent of total billed charges,,,3185.33,90,,percent of total billed charges,,,2902.19,82,,percent of total billed charges,,,3185.33,90,,percent of total billed charges,,,3008.36,85,,percent of total billed charges,,2668.59,3362.29, STONE RETRIEVAL BASKET 1.9FR,30181858,CDM,,,270,RC,inpatient,,1537.58,1537.58,,1305.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1159.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1306.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1353.07,88,,percent of total billed charges,,,,,,,,,1174.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1399.2,91,,percent of total billed charges,,,1460.7,95,,percent of total billed charges,,,1276.19,83,,percent of total billed charges,,,1276.19,83,,percent of total billed charges,,,,,,,,,,,,,,,1276.19,83,,percent of total billed charges,,,1460.7,95,,percent of total billed charges,,,1383.82,90,,percent of total billed charges,,,1383.82,90,,percent of total billed charges,,,1260.82,82,,percent of total billed charges,,,1383.82,90,,percent of total billed charges,,,1306.94,85,,percent of total billed charges,,1159.34,1460.7, DRAIN JACKSON PRATT FLUTED 19FR,30181865,CDM,,,270,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, SYNTHES DRILL BIT 4.3MM 310.431,30181868,CDM,,,270,RC,inpatient,,1217.84,1217.84,,1033.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,918.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1035.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1071.7,88,,percent of total billed charges,,,,,,,,,930.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1108.23,91,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1010.81,83,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,998.63,82,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1035.16,85,,percent of total billed charges,,918.25,1156.95, SYNTHES SCREW LOCKING 3.5X14MM,30181871,CDM,,,270,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, DEPUY UPCHARGE CERAMIC LINER(011),30181872,CDM,,,278,RC,inpatient,,4521.53,4521.53,,3838.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3409.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3843.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3978.95,88,,percent of total billed charges,,,,,,,,,3454.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4114.59,91,,percent of total billed charges,,,4295.45,95,,percent of total billed charges,,,3752.87,83,,percent of total billed charges,,,3752.87,83,,percent of total billed charges,,,,,,,,,,,,,,,3752.87,83,,percent of total billed charges,,,4295.45,95,,percent of total billed charges,,,4069.38,90,,percent of total billed charges,,,4069.38,90,,percent of total billed charges,,,3707.65,82,,percent of total billed charges,,,4069.38,90,,percent of total billed charges,,,3843.3,85,,percent of total billed charges,,3409.23,4295.45, SYNTHES SCREW SCHANZ 4.0X25MM,30181885,CDM,,,278,RC,inpatient,,1574.63,1574.63,,1336.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1187.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1338.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1385.67,88,,percent of total billed charges,,,,,,,,,1203.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1432.91,91,,percent of total billed charges,,,1495.9,95,,percent of total billed charges,,,1306.94,83,,percent of total billed charges,,,1306.94,83,,percent of total billed charges,,,,,,,,,,,,,,,1306.94,83,,percent of total billed charges,,,1495.9,95,,percent of total billed charges,,,1417.17,90,,percent of total billed charges,,,1417.17,90,,percent of total billed charges,,,1291.2,82,,percent of total billed charges,,,1417.17,90,,percent of total billed charges,,,1338.44,85,,percent of total billed charges,,1187.27,1495.9, SYNTHES SCREW SCHANZ 4.0X30MM,30181886,CDM,,,278,RC,inpatient,,1670.5,1670.5,,1418.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1259.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1419.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1470.04,88,,percent of total billed charges,,,,,,,,,1276.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1520.16,91,,percent of total billed charges,,,1586.98,95,,percent of total billed charges,,,1386.52,83,,percent of total billed charges,,,1386.52,83,,percent of total billed charges,,,,,,,,,,,,,,,1386.52,83,,percent of total billed charges,,,1586.98,95,,percent of total billed charges,,,1503.45,90,,percent of total billed charges,,,1503.45,90,,percent of total billed charges,,,1369.81,82,,percent of total billed charges,,,1503.45,90,,percent of total billed charges,,,1419.93,85,,percent of total billed charges,,1259.56,1586.98, SYNTHES CLAMP ADJUSTABLE,30181887,CDM,,,278,RC,inpatient,,8282.24,8282.24,,7031.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7039.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7288.37,88,,percent of total billed charges,,,,,,,,,6327.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7536.84,91,,percent of total billed charges,,,7868.13,95,,percent of total billed charges,,,6874.26,83,,percent of total billed charges,,,6874.26,83,,percent of total billed charges,,,,,,,,,,,,,,,6874.26,83,,percent of total billed charges,,,7868.13,95,,percent of total billed charges,,,7454.02,90,,percent of total billed charges,,,7454.02,90,,percent of total billed charges,,,6791.44,82,,percent of total billed charges,,,7454.02,90,,percent of total billed charges,,,7039.9,85,,percent of total billed charges,,6244.81,7868.13, ZIMMER BLADE EXPLANT 54MM X 10,30181891,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, ZIMMER BLADE EXPLANT 54MM X 20,30181892,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, DEPUY STEM CORAIL COLLARED SZ12,30181899,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY-MITEK ANCHOR INSTRUMENT KIT,30181901,CDM,,,270,RC,inpatient,,975,975,,827.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,735.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,828.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,858,88,,percent of total billed charges,,,,,,,,,744.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,887.25,91,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,,,,,,,,,,,,,809.25,83,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,799.5,82,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,828.75,85,,percent of total billed charges,,735.15,926.25, DEPUY-MITEK QUICKANCHOR PLUS GII,30181902,CDM,,,278,RC,inpatient,,2665,2665,,2262.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2009.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2265.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2345.2,88,,percent of total billed charges,,,,,,,,,2036.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2425.15,91,,percent of total billed charges,,,2531.75,95,,percent of total billed charges,,,2211.95,83,,percent of total billed charges,,,2211.95,83,,percent of total billed charges,,,,,,,,,,,,,,,2211.95,83,,percent of total billed charges,,,2531.75,95,,percent of total billed charges,,,2398.5,90,,percent of total billed charges,,,2398.5,90,,percent of total billed charges,,,2185.3,82,,percent of total billed charges,,,2398.5,90,,percent of total billed charges,,,2265.25,85,,percent of total billed charges,,2009.41,2531.75, DEPUY-MITEK QUICKANCHOR SUPER PLUS,30181903,CDM,,,278,RC,inpatient,,4608.5,4608.5,,3912.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3474.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3917.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4055.48,88,,percent of total billed charges,,,,,,,,,3520.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4193.74,91,,percent of total billed charges,,,4378.08,95,,percent of total billed charges,,,3825.06,83,,percent of total billed charges,,,3825.06,83,,percent of total billed charges,,,,,,,,,,,,,,,3825.06,83,,percent of total billed charges,,,4378.08,95,,percent of total billed charges,,,4147.65,90,,percent of total billed charges,,,4147.65,90,,percent of total billed charges,,,3778.97,82,,percent of total billed charges,,,4147.65,90,,percent of total billed charges,,,3917.23,85,,percent of total billed charges,,3474.81,4378.08, DEPUY FEMUR SIGMA PS RT SZ2.5,30181904,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT RP 10MM SZ2.5,30181905,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, DEPUY MBT KEEL TRAY SZ2.5,30181906,CDM,,,278,RC,inpatient,,22901.45,22901.45,,19443.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17267.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19466.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20153.28,88,,percent of total billed charges,,,,,,,,,17496.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20840.32,91,,percent of total billed charges,,,21756.38,95,,percent of total billed charges,,,19008.2,83,,percent of total billed charges,,,19008.2,83,,percent of total billed charges,,,,,,,,,,,,,,,19008.2,83,,percent of total billed charges,,,21756.38,95,,percent of total billed charges,,,20611.31,90,,percent of total billed charges,,,20611.31,90,,percent of total billed charges,,,18779.19,82,,percent of total billed charges,,,20611.31,90,,percent of total billed charges,,,19466.23,85,,percent of total billed charges,,17267.69,21756.38, BIOMET KNEE FEMORAL REPICCI II 54MM,30181907,CDM,,,278,RC,inpatient,,26266.5,26266.5,,22300.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19804.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22326.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23114.52,88,,percent of total billed charges,,,,,,,,,20067.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23902.52,91,,percent of total billed charges,,,24953.18,95,,percent of total billed charges,,,21801.2,83,,percent of total billed charges,,,21801.2,83,,percent of total billed charges,,,,,,,,,,,,,,,21801.2,83,,percent of total billed charges,,,24953.18,95,,percent of total billed charges,,,23639.85,90,,percent of total billed charges,,,23639.85,90,,percent of total billed charges,,,21538.53,82,,percent of total billed charges,,,23639.85,90,,percent of total billed charges,,,22326.53,85,,percent of total billed charges,,19804.94,24953.18, BIOMET KNEE TIBIAL COMPONENT 37 X 7.5,30181908,CDM,,,278,RC,inpatient,,9542,9542,,8101.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7194.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8110.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8396.96,88,,percent of total billed charges,,,,,,,,,7290.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8683.22,91,,percent of total billed charges,,,9064.9,95,,percent of total billed charges,,,7919.86,83,,percent of total billed charges,,,7919.86,83,,percent of total billed charges,,,,,,,,,,,,,,,7919.86,83,,percent of total billed charges,,,9064.9,95,,percent of total billed charges,,,8587.8,90,,percent of total billed charges,,,8587.8,90,,percent of total billed charges,,,7824.44,82,,percent of total billed charges,,,8587.8,90,,percent of total billed charges,,,8110.7,85,,percent of total billed charges,,7194.67,9064.9, DEPUY THOCHLEA IMPLANT PFI SZ1,30181909,CDM,,,278,RC,inpatient,,17793.75,17793.75,,15106.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13416.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15124.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15658.5,88,,percent of total billed charges,,,,,,,,,13594.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16192.31,91,,percent of total billed charges,,,16904.06,95,,percent of total billed charges,,,14768.81,83,,percent of total billed charges,,,14768.81,83,,percent of total billed charges,,,,,,,,,,,,,,,14768.81,83,,percent of total billed charges,,,16904.06,95,,percent of total billed charges,,,16014.38,90,,percent of total billed charges,,,16014.38,90,,percent of total billed charges,,,14590.88,82,,percent of total billed charges,,,16014.38,90,,percent of total billed charges,,,15124.69,85,,percent of total billed charges,,13416.49,16904.06, DEPUY THOCHLEA CUTTING B4,30181911,CDM,,,278,RC,inpatient,,1267.5,1267.5,,1076.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1077.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1115.4,88,,percent of total billed charges,,,,,,,,,968.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1153.43,91,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1052.03,83,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1039.35,82,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1077.38,85,,percent of total billed charges,,955.7,1204.13, DEPUY FEMORAL HEAD 44MM -2,30181917,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY LINER ALTRX NEUT 28 X 50,30181925,CDM,,,278,RC,inpatient,,10729.29,10729.29,,9109.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8089.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9119.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9441.78,88,,percent of total billed charges,,,,,,,,,8197.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9763.65,91,,percent of total billed charges,,,10192.83,95,,percent of total billed charges,,,8905.31,83,,percent of total billed charges,,,8905.31,83,,percent of total billed charges,,,,,,,,,,,,,,,8905.31,83,,percent of total billed charges,,,10192.83,95,,percent of total billed charges,,,9656.36,90,,percent of total billed charges,,,9656.36,90,,percent of total billed charges,,,8798.02,82,,percent of total billed charges,,,9656.36,90,,percent of total billed charges,,,9119.9,85,,percent of total billed charges,,8089.88,10192.83, DEPUY STEM ULTIMA SZ3,30181926,CDM,,,278,RC,inpatient,,18959.53,18959.53,,16096.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14295.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16115.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16684.39,88,,percent of total billed charges,,,,,,,,,14485.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17253.17,91,,percent of total billed charges,,,18011.55,95,,percent of total billed charges,,,15736.41,83,,percent of total billed charges,,,15736.41,83,,percent of total billed charges,,,,,,,,,,,,,,,15736.41,83,,percent of total billed charges,,,18011.55,95,,percent of total billed charges,,,17063.58,90,,percent of total billed charges,,,17063.58,90,,percent of total billed charges,,,15546.81,82,,percent of total billed charges,,,17063.58,90,,percent of total billed charges,,,16115.6,85,,percent of total billed charges,,14295.49,18011.55, DEPUY HEAD PFC 28MM+10,30181927,CDM,,,278,RC,inpatient,,7698.34,7698.34,,6535.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5804.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6543.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6774.54,88,,percent of total billed charges,,,,,,,,,5881.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7005.49,91,,percent of total billed charges,,,7313.42,95,,percent of total billed charges,,,6389.62,83,,percent of total billed charges,,,6389.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6389.62,83,,percent of total billed charges,,,7313.42,95,,percent of total billed charges,,,6928.51,90,,percent of total billed charges,,,6928.51,90,,percent of total billed charges,,,6312.64,82,,percent of total billed charges,,,6928.51,90,,percent of total billed charges,,,6543.59,85,,percent of total billed charges,,5804.55,7313.42, DEPUY CENTRALIZER 13MM,30181928,CDM,,,278,RC,inpatient,,863.59,863.59,,733.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,651.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,734.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,759.96,88,,percent of total billed charges,,,,,,,,,659.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,785.87,91,,percent of total billed charges,,,820.41,95,,percent of total billed charges,,,716.78,83,,percent of total billed charges,,,716.78,83,,percent of total billed charges,,,,,,,,,,,,,,,716.78,83,,percent of total billed charges,,,820.41,95,,percent of total billed charges,,,777.23,90,,percent of total billed charges,,,777.23,90,,percent of total billed charges,,,708.14,82,,percent of total billed charges,,,777.23,90,,percent of total billed charges,,,734.05,85,,percent of total billed charges,,651.15,820.41, DEPUY RENTAL FEE - INSTRUMENTS 97-000,30181929,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, DEPUY PINNACLE CUP SECTOR II 54MM,30181930,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, DRAIN FLUTE 10FR W/TROCAR,30181931,CDM,,,270,RC,inpatient,,199.94,199.94,,169.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,169.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,175.95,88,,percent of total billed charges,,,,,,,,,152.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,181.95,91,,percent of total billed charges,,,189.94,95,,percent of total billed charges,,,165.95,83,,percent of total billed charges,,,165.95,83,,percent of total billed charges,,,,,,,,,,,,,,,165.95,83,,percent of total billed charges,,,189.94,95,,percent of total billed charges,,,179.95,90,,percent of total billed charges,,,179.95,90,,percent of total billed charges,,,163.95,82,,percent of total billed charges,,,179.95,90,,percent of total billed charges,,,169.95,85,,percent of total billed charges,,150.75,189.94, DRAIN FLUTE 19FR W/TROCAR,30181932,CDM,,,270,RC,inpatient,,201.93,201.93,,171.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,152.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,171.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,177.7,88,,percent of total billed charges,,,,,,,,,154.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,183.76,91,,percent of total billed charges,,,191.83,95,,percent of total billed charges,,,167.6,83,,percent of total billed charges,,,167.6,83,,percent of total billed charges,,,,,,,,,,,,,,,167.6,83,,percent of total billed charges,,,191.83,95,,percent of total billed charges,,,181.74,90,,percent of total billed charges,,,181.74,90,,percent of total billed charges,,,165.58,82,,percent of total billed charges,,,181.74,90,,percent of total billed charges,,,171.64,85,,percent of total billed charges,,152.26,191.83, DEPUY FEMUR SIGMA PS LT SZ4,30181934,CDM,,,278,RC,inpatient,,23868.72,23868.72,,20264.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17997.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20288.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21004.47,88,,percent of total billed charges,,,,,,,,,18235.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21720.54,91,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,,,,,,,,,,,,,19811.04,83,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,19572.35,82,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,20288.41,85,,percent of total billed charges,,17997.01,22675.28, DEPUY SAWBLADE 90 X 13 (607),30181935,CDM,,,278,RC,inpatient,,550.55,550.55,,467.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,415.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,467.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,484.48,88,,percent of total billed charges,,,,,,,,,420.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,501,91,,percent of total billed charges,,,523.02,95,,percent of total billed charges,,,456.96,83,,percent of total billed charges,,,456.96,83,,percent of total billed charges,,,,,,,,,,,,,,,456.96,83,,percent of total billed charges,,,523.02,95,,percent of total billed charges,,,495.5,90,,percent of total billed charges,,,495.5,90,,percent of total billed charges,,,451.45,82,,percent of total billed charges,,,495.5,90,,percent of total billed charges,,,467.97,85,,percent of total billed charges,,415.11,523.02, TROCAR MAYO CATGUT 1/2 CIRCLE SZ4D,30181959,CDM,,,270,RC,inpatient,,55.27,55.27,,46.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,41.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,46.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,48.64,88,,percent of total billed charges,,,,,,,,,42.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,50.3,91,,percent of total billed charges,,,52.51,95,,percent of total billed charges,,,45.87,83,,percent of total billed charges,,,45.87,83,,percent of total billed charges,,,,,,,,,,,,,,,45.87,83,,percent of total billed charges,,,52.51,95,,percent of total billed charges,,,49.74,90,,percent of total billed charges,,,49.74,90,,percent of total billed charges,,,45.32,82,,percent of total billed charges,,,49.74,90,,percent of total billed charges,,,46.98,85,,percent of total billed charges,,41.67,52.51, DEPUY LINER CONSTRAINED +4 SZ52,30181978,CDM,,,278,RC,inpatient,,35737.78,35737.78,,30341.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26946.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30377.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31449.25,88,,percent of total billed charges,,,,,,,,,27303.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32521.38,91,,percent of total billed charges,,,33950.89,95,,percent of total billed charges,,,29662.36,83,,percent of total billed charges,,,29662.36,83,,percent of total billed charges,,,,,,,,,,,,,,,29662.36,83,,percent of total billed charges,,,33950.89,95,,percent of total billed charges,,,32164,90,,percent of total billed charges,,,32164,90,,percent of total billed charges,,,29304.98,82,,percent of total billed charges,,,32164,90,,percent of total billed charges,,,30377.11,85,,percent of total billed charges,,26946.29,33950.89, DEPUY INSERT RP 12.5MM SZ4,30181980,CDM,,,278,RC,inpatient,,11480.69,11480.69,,9747.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8656.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9758.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10103.01,88,,percent of total billed charges,,,,,,,,,8771.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10447.43,91,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,,,,,,,,,,,,,9528.97,83,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9414.17,82,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9758.59,85,,percent of total billed charges,,8656.44,10906.66, DEPUY UPCHARGE GRIPTON CUP(040),30181981,CDM,,,278,RC,inpatient,,2608.65,2608.65,,2214.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1966.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2217.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2295.61,88,,percent of total billed charges,,,,,,,,,1993.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2373.87,91,,percent of total billed charges,,,2478.22,95,,percent of total billed charges,,,2165.18,83,,percent of total billed charges,,,2165.18,83,,percent of total billed charges,,,,,,,,,,,,,,,2165.18,83,,percent of total billed charges,,,2478.22,95,,percent of total billed charges,,,2347.79,90,,percent of total billed charges,,,2347.79,90,,percent of total billed charges,,,2139.09,82,,percent of total billed charges,,,2347.79,90,,percent of total billed charges,,,2217.35,85,,percent of total billed charges,,1966.92,2478.22, DEPUY INSERT SIGMA XLK 2 X 12.5,30181982,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY WEDGE STEP 10MM SZ2,30181983,CDM,,,278,RC,inpatient,,13166.27,13166.27,,11178.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9927.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11191.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11586.32,88,,percent of total billed charges,,,,,,,,,10059.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11981.31,91,,percent of total billed charges,,,12507.96,95,,percent of total billed charges,,,10928,83,,percent of total billed charges,,,10928,83,,percent of total billed charges,,,,,,,,,,,,,,,10928,83,,percent of total billed charges,,,12507.96,95,,percent of total billed charges,,,11849.64,90,,percent of total billed charges,,,11849.64,90,,percent of total billed charges,,,10796.34,82,,percent of total billed charges,,,11849.64,90,,percent of total billed charges,,,11191.33,85,,percent of total billed charges,,9927.37,12507.96, DEPUY MODULAR PLUS TIBIAL TRAY SZ2,30181984,CDM,,,278,RC,inpatient,,25576.07,25576.07,,21714.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19284.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21739.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22506.94,88,,percent of total billed charges,,,,,,,,,19540.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23274.22,91,,percent of total billed charges,,,24297.27,95,,percent of total billed charges,,,21228.14,83,,percent of total billed charges,,,21228.14,83,,percent of total billed charges,,,,,,,,,,,,,,,21228.14,83,,percent of total billed charges,,,24297.27,95,,percent of total billed charges,,,23018.46,90,,percent of total billed charges,,,23018.46,90,,percent of total billed charges,,,20972.38,82,,percent of total billed charges,,,23018.46,90,,percent of total billed charges,,,21739.66,85,,percent of total billed charges,,19284.36,24297.27, SMOKE EVAPORATOR REDUCER,30181986,CDM,,,270,RC,inpatient,,51.04,51.04,,43.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,44.92,88,,percent of total billed charges,,,,,,,,,38.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46.45,91,,percent of total billed charges,,,48.49,95,,percent of total billed charges,,,42.36,83,,percent of total billed charges,,,42.36,83,,percent of total billed charges,,,,,,,,,,,,,,,42.36,83,,percent of total billed charges,,,48.49,95,,percent of total billed charges,,,45.94,90,,percent of total billed charges,,,45.94,90,,percent of total billed charges,,,41.85,82,,percent of total billed charges,,,45.94,90,,percent of total billed charges,,,43.38,85,,percent of total billed charges,,38.48,48.49, DEPUY MBT REVISION TIBIAL TRAY SZ3,30181987,CDM,,,278,RC,inpatient,,28838.62,28838.62,,24483.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21744.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24512.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25377.99,88,,percent of total billed charges,,,,,,,,,22032.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26243.14,91,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,23936.05,83,,percent of total billed charges,,,,,,,,,,,,,,,23936.05,83,,percent of total billed charges,,,27396.69,95,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,23647.67,82,,percent of total billed charges,,,25954.76,90,,percent of total billed charges,,,24512.83,85,,percent of total billed charges,,21744.32,27396.69, DEPUY POSTERIOR AUGMENT 8MM SZ3.0,30181988,CDM,,,278,RC,inpatient,,6245.14,6245.14,,5302.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4708.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5308.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5495.72,88,,percent of total billed charges,,,,,,,,,4771.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5683.08,91,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,,,,,,,,,,,,,5183.47,83,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5121.01,82,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5308.37,85,,percent of total billed charges,,4708.84,5932.88, DEPUY MBT STEP WEDGE,30181989,CDM,,,278,RC,inpatient,,11378.45,11378.45,,9660.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8579.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9671.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10013.04,88,,percent of total billed charges,,,,,,,,,8693.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10354.39,91,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,,,,,,,,,,,,,9444.11,83,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9330.33,82,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9671.68,85,,percent of total billed charges,,8579.35,10809.53, DEPUY STEM FLUTED UNIV 75 X 14,30181990,CDM,,,278,RC,inpatient,,12911.21,12911.21,,10961.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9735.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10974.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11361.86,88,,percent of total billed charges,,,,,,,,,9864.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11749.2,91,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,,,,,,,,,,,,,10716.3,83,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10587.19,82,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10974.53,85,,percent of total billed charges,,9735.05,12265.65, SYNTHES SCREW CANCEL 4.0X20MM,30181992,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, DEPUY STEM CORAIL COLLERED SZ14,30181995,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, STAPLER LINEAR RELOAD 45MM,30182003,CDM,,,270,RC,inpatient,,884.59,884.59,,751.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,666.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,751.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,778.44,88,,percent of total billed charges,,,,,,,,,675.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,804.98,91,,percent of total billed charges,,,840.36,95,,percent of total billed charges,,,734.21,83,,percent of total billed charges,,,734.21,83,,percent of total billed charges,,,,,,,,,,,,,,,734.21,83,,percent of total billed charges,,,840.36,95,,percent of total billed charges,,,796.13,90,,percent of total billed charges,,,796.13,90,,percent of total billed charges,,,725.36,82,,percent of total billed charges,,,796.13,90,,percent of total billed charges,,,751.9,85,,percent of total billed charges,,666.98,840.36, DEPUY STEM BOWED SZ18.0 X 10,30182004,CDM,,,278,RC,inpatient,,68800.94,68800.94,,58412,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51875.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58480.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60544.83,88,,percent of total billed charges,,,,,,,,,52563.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62608.86,91,,percent of total billed charges,,,65360.89,95,,percent of total billed charges,,,57104.78,83,,percent of total billed charges,,,57104.78,83,,percent of total billed charges,,,,,,,,,,,,,,,57104.78,83,,percent of total billed charges,,,65360.89,95,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,56416.77,82,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,58480.8,85,,percent of total billed charges,,51875.91,65360.89, DEPUY FEMUR TC3 LT SZ2.5,30182005,CDM,,,278,RC,inpatient,,36489.7,36489.7,,30979.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27513.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31016.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32110.94,88,,percent of total billed charges,,,,,,,,,27878.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33205.63,91,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,,,,,,,,,,,,,30286.45,83,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,29921.55,82,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,31016.25,85,,percent of total billed charges,,27513.23,34665.22, DEPUY INSERT TC3 RP 17.5MM SZ2.5,30182006,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY STEM FLUTED UNIV 75 X 10,30182007,CDM,,,278,RC,inpatient,,12911.21,12911.21,,10961.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9735.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10974.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11361.86,88,,percent of total billed charges,,,,,,,,,9864.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11749.2,91,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,,,,,,,,,,,,,10716.3,83,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10587.19,82,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10974.53,85,,percent of total billed charges,,9735.05,12265.65, DEPUY INSERT LPS 14MM X-SMALL,30182008,CDM,,,278,RC,inpatient,,33343.12,33343.12,,28308.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25140.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28341.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29341.95,88,,percent of total billed charges,,,,,,,,,25474.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30342.24,91,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,,,,,,,,,,,,,27674.79,83,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,27341.36,82,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,28341.65,85,,percent of total billed charges,,25140.71,31675.96, DEPUY DISTAL AUGMENT LT 8MM SZ2.5,30182009,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, BIOMET ULTRADRIVE 180MM,30182010,CDM,,,270,RC,inpatient,,4283.5,4283.5,,3636.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3640.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3769.48,88,,percent of total billed charges,,,,,,,,,3272.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3897.99,91,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3555.31,83,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3512.47,82,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3640.98,85,,percent of total billed charges,,3229.76,4069.33, BIOMET ULTRA DRIVE 11MM DISK DRILL,30182011,CDM,,,270,RC,inpatient,,4283.5,4283.5,,3636.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3640.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3769.48,88,,percent of total billed charges,,,,,,,,,3272.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3897.99,91,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3555.31,83,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3512.47,82,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3640.98,85,,percent of total billed charges,,3229.76,4069.33, BIOMET ULTRADRIVE 60MM,30182012,CDM,,,270,RC,inpatient,,4524,4524,,3840.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3411.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3845.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3981.12,88,,percent of total billed charges,,,,,,,,,3456.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4116.84,91,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,,,,,,,,,,,,,3754.92,83,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3709.68,82,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3845.4,85,,percent of total billed charges,,3411.1,4297.8, BIOMET ULTRADRIVE IMPLANT KIT,30182013,CDM,,,270,RC,inpatient,,4283.5,4283.5,,3636.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3640.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3769.48,88,,percent of total billed charges,,,,,,,,,3272.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3897.99,91,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3555.31,83,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3512.47,82,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3640.98,85,,percent of total billed charges,,3229.76,4069.33, SPLINT DENVER LARGE,30182016,CDM,,,270,RC,inpatient,,265.5,265.5,,225.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,200.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,225.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,233.64,88,,percent of total billed charges,,,,,,,,,202.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,241.61,91,,percent of total billed charges,,,252.23,95,,percent of total billed charges,,,220.37,83,,percent of total billed charges,,,220.37,83,,percent of total billed charges,,,,,,,,,,,,,,,220.37,83,,percent of total billed charges,,,252.23,95,,percent of total billed charges,,,238.95,90,,percent of total billed charges,,,238.95,90,,percent of total billed charges,,,217.71,82,,percent of total billed charges,,,238.95,90,,percent of total billed charges,,,225.68,85,,percent of total billed charges,,200.19,252.23, ELECTRODE CUTTING MONO 22FR,30182028,CDM,,,270,RC,inpatient,,648.45,648.45,,550.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,488.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,551.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,570.64,88,,percent of total billed charges,,,,,,,,,495.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,590.09,91,,percent of total billed charges,,,616.03,95,,percent of total billed charges,,,538.21,83,,percent of total billed charges,,,538.21,83,,percent of total billed charges,,,,,,,,,,,,,,,538.21,83,,percent of total billed charges,,,616.03,95,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,531.73,82,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,551.18,85,,percent of total billed charges,,488.93,616.03, SYNTHES SCREW CANNUL 16MM 6.5X55MM,30182029,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, DEPUY SCREW LOCKING 48MM,30182030,CDM,,,278,RC,inpatient,,2237.76,2237.76,,1899.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1687.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1902.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1969.23,88,,percent of total billed charges,,,,,,,,,1709.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2036.36,91,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1857.34,83,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1834.96,82,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1902.1,85,,percent of total billed charges,,1687.27,2125.87, DEPUY HUMERAL CUP HI MOD 38+3,30182031,CDM,,,278,RC,inpatient,,9534.2,9534.2,,8094.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7188.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8104.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8390.1,88,,percent of total billed charges,,,,,,,,,7284.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8676.12,91,,percent of total billed charges,,,9057.49,95,,percent of total billed charges,,,7913.39,83,,percent of total billed charges,,,7913.39,83,,percent of total billed charges,,,,,,,,,,,,,,,7913.39,83,,percent of total billed charges,,,9057.49,95,,percent of total billed charges,,,8580.78,90,,percent of total billed charges,,,8580.78,90,,percent of total billed charges,,,7818.04,82,,percent of total billed charges,,,8580.78,90,,percent of total billed charges,,,8104.07,85,,percent of total billed charges,,7188.79,9057.49, DEPUY STEM HUMERAL SZ8,30182032,CDM,,,278,RC,inpatient,,35653.09,35653.09,,30269.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26882.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30305.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31374.72,88,,percent of total billed charges,,,,,,,,,27238.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32444.31,91,,percent of total billed charges,,,33870.44,95,,percent of total billed charges,,,29592.06,83,,percent of total billed charges,,,29592.06,83,,percent of total billed charges,,,,,,,,,,,,,,,29592.06,83,,percent of total billed charges,,,33870.44,95,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,29235.53,82,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,30305.13,85,,percent of total billed charges,,26882.43,33870.44, DEPUY PINNACLE CUP W/GRIPTION 62MM,30182036,CDM,,,278,RC,inpatient,,31783.05,31783.05,,26983.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23964.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27015.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27969.08,88,,percent of total billed charges,,,,,,,,,24282.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28922.58,91,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,,,,,,,,,,,,,26379.93,83,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,26062.1,82,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,27015.59,85,,percent of total billed charges,,23964.42,30193.9, DEPUY LINER CONSTRAINED +4 SZ56,30182037,CDM,,,278,RC,inpatient,,36991.5,36991.5,,31405.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27891.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31442.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32552.52,88,,percent of total billed charges,,,,,,,,,28261.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33662.27,91,,percent of total billed charges,,,35141.93,95,,percent of total billed charges,,,30702.95,83,,percent of total billed charges,,,30702.95,83,,percent of total billed charges,,,,,,,,,,,,,,,30702.95,83,,percent of total billed charges,,,35141.93,95,,percent of total billed charges,,,33292.35,90,,percent of total billed charges,,,33292.35,90,,percent of total billed charges,,,30333.03,82,,percent of total billed charges,,,33292.35,90,,percent of total billed charges,,,31442.78,85,,percent of total billed charges,,27891.59,35141.93, DEPUY PINNACLE SCREW 40MM,30182038,CDM,,,278,RC,inpatient,,987.87,987.87,,838.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,744.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,839.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,869.33,88,,percent of total billed charges,,,,,,,,,754.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,898.96,91,,percent of total billed charges,,,938.48,95,,percent of total billed charges,,,819.93,83,,percent of total billed charges,,,819.93,83,,percent of total billed charges,,,,,,,,,,,,,,,819.93,83,,percent of total billed charges,,,938.48,95,,percent of total billed charges,,,889.08,90,,percent of total billed charges,,,889.08,90,,percent of total billed charges,,,810.05,82,,percent of total billed charges,,,889.08,90,,percent of total billed charges,,,839.69,85,,percent of total billed charges,,744.85,938.48, INTEROCCULAR EYE PACK,30182041,CDM,,,270,RC,inpatient,,353.85,353.85,,300.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,266.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,300.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,311.39,88,,percent of total billed charges,,,,,,,,,270.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,322,91,,percent of total billed charges,,,336.16,95,,percent of total billed charges,,,293.7,83,,percent of total billed charges,,,293.7,83,,percent of total billed charges,,,,,,,,,,,,,,,293.7,83,,percent of total billed charges,,,336.16,95,,percent of total billed charges,,,318.47,90,,percent of total billed charges,,,318.47,90,,percent of total billed charges,,,290.16,82,,percent of total billed charges,,,318.47,90,,percent of total billed charges,,,300.77,85,,percent of total billed charges,,266.8,336.16, DEPUY INSERT TC3 RP 10MM SZ2.5,30182042,CDM,,,278,RC,inpatient,,15465.58,15465.58,,13130.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11661.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13145.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13609.71,88,,percent of total billed charges,,,,,,,,,11815.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14073.68,91,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,,,,,,,,,,,,,12836.43,83,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,12681.78,82,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13145.74,85,,percent of total billed charges,,11661.05,14692.3, DEPUY PINNACLE CUP MULTIHOLE 52MM,30182043,CDM,,,278,RC,inpatient,,26741.78,26741.78,,22703.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20163.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22730.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23532.77,88,,percent of total billed charges,,,,,,,,,20430.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24335.02,91,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,,,,,,,,,,,,,22195.68,83,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,21928.26,82,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,22730.51,85,,percent of total billed charges,,20163.3,25404.69, DEPUY LINER CONSTRAINED +4 32 X 52,30182044,CDM,,,278,RC,inpatient,,36635.17,36635.17,,31103.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27622.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31139.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32238.95,88,,percent of total billed charges,,,,,,,,,27989.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33338,91,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,,,,,,,,,,,,,30407.19,83,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,30040.84,82,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,31139.89,85,,percent of total billed charges,,27622.92,34803.41, GYRUS BERKELEY VACURETTE 8MM,30182046,CDM,,,270,RC,inpatient,,43.7,43.7,,37.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,38.46,88,,percent of total billed charges,,,,,,,,,33.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,39.77,91,,percent of total billed charges,,,41.52,95,,percent of total billed charges,,,36.27,83,,percent of total billed charges,,,36.27,83,,percent of total billed charges,,,,,,,,,,,,,,,36.27,83,,percent of total billed charges,,,41.52,95,,percent of total billed charges,,,39.33,90,,percent of total billed charges,,,39.33,90,,percent of total billed charges,,,35.83,82,,percent of total billed charges,,,39.33,90,,percent of total billed charges,,,37.15,85,,percent of total billed charges,,32.95,41.52, GYRUS FALOPE RING BAND,30182047,CDM,,,270,RC,inpatient,,831.88,831.88,,706.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,627.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,707.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,732.05,88,,percent of total billed charges,,,,,,,,,635.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,757.01,91,,percent of total billed charges,,,790.29,95,,percent of total billed charges,,,690.46,83,,percent of total billed charges,,,690.46,83,,percent of total billed charges,,,,,,,,,,,,,,,690.46,83,,percent of total billed charges,,,790.29,95,,percent of total billed charges,,,748.69,90,,percent of total billed charges,,,748.69,90,,percent of total billed charges,,,682.14,82,,percent of total billed charges,,,748.69,90,,percent of total billed charges,,,707.1,85,,percent of total billed charges,,627.24,790.29, STRYKER ULTRA PLUME AWAY 6.0,30182051,CDM,,,270,RC,inpatient,,187.58,187.58,,159.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,141.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,159.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,165.07,88,,percent of total billed charges,,,,,,,,,143.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,170.7,91,,percent of total billed charges,,,178.2,95,,percent of total billed charges,,,155.69,83,,percent of total billed charges,,,155.69,83,,percent of total billed charges,,,,,,,,,,,,,,,155.69,83,,percent of total billed charges,,,178.2,95,,percent of total billed charges,,,168.82,90,,percent of total billed charges,,,168.82,90,,percent of total billed charges,,,153.82,82,,percent of total billed charges,,,168.82,90,,percent of total billed charges,,,159.44,85,,percent of total billed charges,,141.44,178.2, DEPUY PINNACLE CUP SECTOR II 62MM,30182054,CDM,,,278,RC,inpatient,,18892.32,18892.32,,16039.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14244.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16058.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16625.24,88,,percent of total billed charges,,,,,,,,,14433.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17192.01,91,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,15680.63,83,,percent of total billed charges,,,,,,,,,,,,,,,15680.63,83,,percent of total billed charges,,,17947.7,95,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,15491.7,82,,percent of total billed charges,,,17003.09,90,,percent of total billed charges,,,16058.47,85,,percent of total billed charges,,14244.81,17947.7, INTERSPACE HIP SPACER 54MM,30182055,CDM,,,278,RC,inpatient,,22295,22295,,18928.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16810.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18950.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19619.6,88,,percent of total billed charges,,,,,,,,,17033.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20288.45,91,,percent of total billed charges,,,21180.25,95,,percent of total billed charges,,,18504.85,83,,percent of total billed charges,,,18504.85,83,,percent of total billed charges,,,,,,,,,,,,,,,18504.85,83,,percent of total billed charges,,,21180.25,95,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,18281.9,82,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,18950.75,85,,percent of total billed charges,,16810.43,21180.25, DEPUY INSERT RP 10MM SZ3,30182057,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, DEPUY FEMUR SIGMA PS LT SZ3,30182058,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, BIOMET ULTRA DRIVE 7MM DISK DRILL,30182059,CDM,,,270,RC,inpatient,,4283.5,4283.5,,3636.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3640.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3769.48,88,,percent of total billed charges,,,,,,,,,3272.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3897.99,91,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3555.31,83,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3512.47,82,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3640.98,85,,percent of total billed charges,,3229.76,4069.33, DEPUY STEM FLUTED UNIV 150 X 10,30182060,CDM,,,278,RC,inpatient,,12911.21,12911.21,,10961.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9735.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10974.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11361.86,88,,percent of total billed charges,,,,,,,,,9864.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11749.2,91,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,,,,,,,,,,,,,10716.3,83,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10587.19,82,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10974.53,85,,percent of total billed charges,,9735.05,12265.65, DEPUY FEMUR TC3 LT SZ2,30182061,CDM,,,278,RC,inpatient,,48160.65,48160.65,,40888.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36313.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40936.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42381.37,88,,percent of total billed charges,,,,,,,,,36794.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43826.19,91,,percent of total billed charges,,,45752.62,95,,percent of total billed charges,,,39973.34,83,,percent of total billed charges,,,39973.34,83,,percent of total billed charges,,,,,,,,,,,,,,,39973.34,83,,percent of total billed charges,,,45752.62,95,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,39491.73,82,,percent of total billed charges,,,43344.59,90,,percent of total billed charges,,,40936.55,85,,percent of total billed charges,,36313.13,45752.62, DEPUY INSERT TC3 12.5MM SZ2,30182062,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY MBT REVISION TIBIAL TRAY SZ2,30182063,CDM,,,278,RC,inpatient,,39076.7,39076.7,,33176.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29463.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33215.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34387.5,88,,percent of total billed charges,,,,,,,,,29854.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35559.8,91,,percent of total billed charges,,,37122.87,95,,percent of total billed charges,,,32433.66,83,,percent of total billed charges,,,32433.66,83,,percent of total billed charges,,,,,,,,,,,,,,,32433.66,83,,percent of total billed charges,,,37122.87,95,,percent of total billed charges,,,35169.03,90,,percent of total billed charges,,,35169.03,90,,percent of total billed charges,,,32042.89,82,,percent of total billed charges,,,35169.03,90,,percent of total billed charges,,,33215.2,85,,percent of total billed charges,,29463.83,37122.87, DEPUY MODULAR PLUS TIBIAL TRAY SZ2.5,30182086,CDM,,,278,RC,inpatient,,25576.07,25576.07,,21714.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19284.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21739.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22506.94,88,,percent of total billed charges,,,,,,,,,19540.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23274.22,91,,percent of total billed charges,,,24297.27,95,,percent of total billed charges,,,21228.14,83,,percent of total billed charges,,,21228.14,83,,percent of total billed charges,,,,,,,,,,,,,,,21228.14,83,,percent of total billed charges,,,24297.27,95,,percent of total billed charges,,,23018.46,90,,percent of total billed charges,,,23018.46,90,,percent of total billed charges,,,20972.38,82,,percent of total billed charges,,,23018.46,90,,percent of total billed charges,,,21739.66,85,,percent of total billed charges,,19284.36,24297.27, DEPUY WEDGE STEP 10MM SZ2.5,30182087,CDM,,,278,RC,inpatient,,13166.27,13166.27,,11178.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9927.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11191.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11586.32,88,,percent of total billed charges,,,,,,,,,10059.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11981.31,91,,percent of total billed charges,,,12507.96,95,,percent of total billed charges,,,10928,83,,percent of total billed charges,,,10928,83,,percent of total billed charges,,,,,,,,,,,,,,,10928,83,,percent of total billed charges,,,12507.96,95,,percent of total billed charges,,,11849.64,90,,percent of total billed charges,,,11849.64,90,,percent of total billed charges,,,10796.34,82,,percent of total billed charges,,,11849.64,90,,percent of total billed charges,,,11191.33,85,,percent of total billed charges,,9927.37,12507.96, DEPUY MBT REVISION TIBIAL TRAY SZ2 15MM,30182088,CDM,,,278,RC,inpatient,,51595.57,51595.57,,43804.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38903.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43856.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45404.1,88,,percent of total billed charges,,,,,,,,,39419.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46951.97,91,,percent of total billed charges,,,49015.79,95,,percent of total billed charges,,,42824.32,83,,percent of total billed charges,,,42824.32,83,,percent of total billed charges,,,,,,,,,,,,,,,42824.32,83,,percent of total billed charges,,,49015.79,95,,percent of total billed charges,,,46436.01,90,,percent of total billed charges,,,46436.01,90,,percent of total billed charges,,,42308.37,82,,percent of total billed charges,,,46436.01,90,,percent of total billed charges,,,43856.23,85,,percent of total billed charges,,38903.06,49015.79, ALLODERM 6 X 16,30182089,CDM,,,278,RC,inpatient,,24804,24804,,21058.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18702.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21083.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21827.52,88,,percent of total billed charges,,,,,,,,,18950.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22571.64,91,,percent of total billed charges,,,23563.8,95,,percent of total billed charges,,,20587.32,83,,percent of total billed charges,,,20587.32,83,,percent of total billed charges,,,,,,,,,,,,,,,20587.32,83,,percent of total billed charges,,,23563.8,95,,percent of total billed charges,,,22323.6,90,,percent of total billed charges,,,22323.6,90,,percent of total billed charges,,,20339.28,82,,percent of total billed charges,,,22323.6,90,,percent of total billed charges,,,21083.4,85,,percent of total billed charges,,18702.22,23563.8, ALLERGAN TISSUE EXPANDER,30182090,CDM,,,278,RC,inpatient,,9067.5,9067.5,,7698.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6836.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7707.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7979.4,88,,percent of total billed charges,,,,,,,,,6927.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8251.43,91,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,,,,,,,,,,,,,7526.03,83,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7435.35,82,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7707.38,85,,percent of total billed charges,,6836.9,8614.13, ALLERGAN TISSUE EXPANDER 400CC,30182091,CDM,,,278,RC,inpatient,,9067.5,9067.5,,7698.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6836.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7707.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7979.4,88,,percent of total billed charges,,,,,,,,,6927.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8251.43,91,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,,,,,,,,,,,,,7526.03,83,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7435.35,82,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7707.38,85,,percent of total billed charges,,6836.9,8614.13, SYNTHES K-WIRE THREADED 2.5MM,30182094,CDM,,,278,RC,inpatient,,203.36,203.36,,172.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,153.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,172.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,178.96,88,,percent of total billed charges,,,,,,,,,155.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,185.06,91,,percent of total billed charges,,,193.19,95,,percent of total billed charges,,,168.79,83,,percent of total billed charges,,,168.79,83,,percent of total billed charges,,,,,,,,,,,,,,,168.79,83,,percent of total billed charges,,,193.19,95,,percent of total billed charges,,,183.02,90,,percent of total billed charges,,,183.02,90,,percent of total billed charges,,,166.76,82,,percent of total billed charges,,,183.02,90,,percent of total billed charges,,,172.86,85,,percent of total billed charges,,153.33,193.19, SYNTHES ROD CARBON FIBER 220MM,30182096,CDM,,,278,RC,inpatient,,1530.43,1530.43,,1299.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1153.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1300.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1346.78,88,,percent of total billed charges,,,,,,,,,1169.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1392.69,91,,percent of total billed charges,,,1453.91,95,,percent of total billed charges,,,1270.26,83,,percent of total billed charges,,,1270.26,83,,percent of total billed charges,,,,,,,,,,,,,,,1270.26,83,,percent of total billed charges,,,1453.91,95,,percent of total billed charges,,,1377.39,90,,percent of total billed charges,,,1377.39,90,,percent of total billed charges,,,1254.95,82,,percent of total billed charges,,,1377.39,90,,percent of total billed charges,,,1300.87,85,,percent of total billed charges,,1153.94,1453.91, INTERSPACE HIP SPACER 46MM,30182097,CDM,,,278,RC,inpatient,,22295,22295,,18928.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16810.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18950.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19619.6,88,,percent of total billed charges,,,,,,,,,17033.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20288.45,91,,percent of total billed charges,,,21180.25,95,,percent of total billed charges,,,18504.85,83,,percent of total billed charges,,,18504.85,83,,percent of total billed charges,,,,,,,,,,,,,,,18504.85,83,,percent of total billed charges,,,21180.25,95,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,18281.9,82,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,18950.75,85,,percent of total billed charges,,16810.43,21180.25, DEPUY LINER CONSTRAINED +4 SZ50,30182098,CDM,,,278,RC,inpatient,,33951.78,33951.78,,28825.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25599.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28859.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29877.57,88,,percent of total billed charges,,,,,,,,,25939.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30896.12,91,,percent of total billed charges,,,32254.19,95,,percent of total billed charges,,,28179.98,83,,percent of total billed charges,,,28179.98,83,,percent of total billed charges,,,,,,,,,,,,,,,28179.98,83,,percent of total billed charges,,,32254.19,95,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,27840.46,82,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,28859.01,85,,percent of total billed charges,,25599.64,32254.19, DEPUY STEM BOWED SZ16.5 X 7,30182099,CDM,,,278,RC,inpatient,,66522.3,66522.3,,56477.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50157.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56543.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58539.62,88,,percent of total billed charges,,,,,,,,,50823.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60535.29,91,,percent of total billed charges,,,63196.19,95,,percent of total billed charges,,,55213.51,83,,percent of total billed charges,,,55213.51,83,,percent of total billed charges,,,,,,,,,,,,,,,55213.51,83,,percent of total billed charges,,,63196.19,95,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,54548.29,82,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,56543.96,85,,percent of total billed charges,,50157.81,63196.19, TROCAR ENDO DILATING TIP 12MM,30182101,CDM,,,270,RC,inpatient,,184,184,,156.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,138.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,156.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,161.92,88,,percent of total billed charges,,,,,,,,,140.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,167.44,91,,percent of total billed charges,,,174.8,95,,percent of total billed charges,,,152.72,83,,percent of total billed charges,,,152.72,83,,percent of total billed charges,,,,,,,,,,,,,,,152.72,83,,percent of total billed charges,,,174.8,95,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,150.88,82,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,156.4,85,,percent of total billed charges,,138.74,174.8, TROCAR ENDO DILATING TIP 5MM,30182102,CDM,,,270,RC,inpatient,,184,184,,156.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,138.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,156.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,161.92,88,,percent of total billed charges,,,,,,,,,140.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,167.44,91,,percent of total billed charges,,,174.8,95,,percent of total billed charges,,,152.72,83,,percent of total billed charges,,,152.72,83,,percent of total billed charges,,,,,,,,,,,,,,,152.72,83,,percent of total billed charges,,,174.8,95,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,150.88,82,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,156.4,85,,percent of total billed charges,,138.74,174.8, DEPUY DISTAL AUGMENT LT 12MM SZ3.0,30182103,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY ANCHOR PEG GLENOID 44MM,30182104,CDM,,,278,RC,inpatient,,17098.9,17098.9,,14516.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12892.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14534.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15047.03,88,,percent of total billed charges,,,,,,,,,13063.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15560,91,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,,,,,,,,,,,,,14192.09,83,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14021.1,82,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14534.07,85,,percent of total billed charges,,12892.57,16243.96, REFLUX DISPENSING PIN,30182112,CDM,,,270,RC,inpatient,,18.36,18.36,,15.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16.16,88,,percent of total billed charges,,,,,,,,,14.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16.71,91,,percent of total billed charges,,,17.44,95,,percent of total billed charges,,,15.24,83,,percent of total billed charges,,,15.24,83,,percent of total billed charges,,,,,,,,,,,,,,,15.24,83,,percent of total billed charges,,,17.44,95,,percent of total billed charges,,,16.52,90,,percent of total billed charges,,,16.52,90,,percent of total billed charges,,,15.06,82,,percent of total billed charges,,,16.52,90,,percent of total billed charges,,,15.61,85,,percent of total billed charges,,13.84,17.44, COLOPLAST RESERVOIR,30182127,CDM,,,278,RC,inpatient,,10887.5,10887.5,,9243.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8209.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9254.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9581,88,,percent of total billed charges,,,,,,,,,8318.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9907.63,91,,percent of total billed charges,,,10343.13,95,,percent of total billed charges,,,9036.63,83,,percent of total billed charges,,,9036.63,83,,percent of total billed charges,,,,,,,,,,,,,,,9036.63,83,,percent of total billed charges,,,10343.13,95,,percent of total billed charges,,,9798.75,90,,percent of total billed charges,,,9798.75,90,,percent of total billed charges,,,8927.75,82,,percent of total billed charges,,,9798.75,90,,percent of total billed charges,,,9254.38,85,,percent of total billed charges,,8209.18,10343.13, COLOPLAST CYLINDERS/PUMP,30182128,CDM,,,278,RC,inpatient,,44616,44616,,37878.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33640.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37923.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39262.08,88,,percent of total billed charges,,,,,,,,,34086.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40600.56,91,,percent of total billed charges,,,42385.2,95,,percent of total billed charges,,,37031.28,83,,percent of total billed charges,,,37031.28,83,,percent of total billed charges,,,,,,,,,,,,,,,37031.28,83,,percent of total billed charges,,,42385.2,95,,percent of total billed charges,,,40154.4,90,,percent of total billed charges,,,40154.4,90,,percent of total billed charges,,,36585.12,82,,percent of total billed charges,,,40154.4,90,,percent of total billed charges,,,37923.6,85,,percent of total billed charges,,33640.46,42385.2, SYNTHES ROD CARBON FIBER 200MM,30182137,CDM,,,278,RC,inpatient,,1623.64,1623.64,,1378.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1224.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1380.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1428.8,88,,percent of total billed charges,,,,,,,,,1240.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1477.51,91,,percent of total billed charges,,,1542.46,95,,percent of total billed charges,,,1347.62,83,,percent of total billed charges,,,1347.62,83,,percent of total billed charges,,,,,,,,,,,,,,,1347.62,83,,percent of total billed charges,,,1542.46,95,,percent of total billed charges,,,1461.28,90,,percent of total billed charges,,,1461.28,90,,percent of total billed charges,,,1331.38,82,,percent of total billed charges,,,1461.28,90,,percent of total billed charges,,,1380.09,85,,percent of total billed charges,,1224.22,1542.46, DEPUY DISTAL AUGMENT LT 8MM SZ3.0,30182138,CDM,,,278,RC,inpatient,,6245.14,6245.14,,5302.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4708.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5308.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5495.72,88,,percent of total billed charges,,,,,,,,,4771.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5683.08,91,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,,,,,,,,,,,,,5183.47,83,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5121.01,82,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5308.37,85,,percent of total billed charges,,4708.84,5932.88, DEPUY SPACER TAPERED 12/14,30182139,CDM,,,278,RC,inpatient,,1935.57,1935.57,,1643.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1459.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1645.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1703.3,88,,percent of total billed charges,,,,,,,,,1478.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1761.37,91,,percent of total billed charges,,,1838.79,95,,percent of total billed charges,,,1606.52,83,,percent of total billed charges,,,1606.52,83,,percent of total billed charges,,,,,,,,,,,,,,,1606.52,83,,percent of total billed charges,,,1838.79,95,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1587.17,82,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1645.23,85,,percent of total billed charges,,1459.42,1838.79, DEPUY OSTEOTOME THIN 8MM X 5,30182149,CDM,,,278,RC,inpatient,,2970.5,2970.5,,2521.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2239.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2524.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2614.04,88,,percent of total billed charges,,,,,,,,,2269.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2703.16,91,,percent of total billed charges,,,2821.98,95,,percent of total billed charges,,,2465.52,83,,percent of total billed charges,,,2465.52,83,,percent of total billed charges,,,,,,,,,,,,,,,2465.52,83,,percent of total billed charges,,,2821.98,95,,percent of total billed charges,,,2673.45,90,,percent of total billed charges,,,2673.45,90,,percent of total billed charges,,,2435.81,82,,percent of total billed charges,,,2673.45,90,,percent of total billed charges,,,2524.93,85,,percent of total billed charges,,2239.76,2821.98, DEPUY LINER ALTRX NEUT 32 X 52,30182161,CDM,,,278,RC,inpatient,,10422.17,10422.17,,8848.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7858.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8858.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9171.51,88,,percent of total billed charges,,,,,,,,,7962.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9484.17,91,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,,,,,,,,,,,,,8650.4,83,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8546.18,82,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8858.84,85,,percent of total billed charges,,7858.32,9901.06, DEPUY SCREW BONE 60 X 5.0,30182163,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY PINNACLE CUP W/GRIPTION 56MM,30182164,CDM,,,278,RC,inpatient,,31783.05,31783.05,,26983.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23964.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27015.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27969.08,88,,percent of total billed charges,,,,,,,,,24282.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28922.58,91,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,,,,,,,,,,,,,26379.93,83,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,26062.1,82,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,27015.59,85,,percent of total billed charges,,23964.42,30193.9, HIP GRIP COVERSETS ANTERIOR PELVIC,30182165,CDM,,,270,RC,inpatient,,10.89,10.89,,9.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9.58,88,,percent of total billed charges,,,,,,,,,8.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9.91,91,,percent of total billed charges,,,10.35,95,,percent of total billed charges,,,9.04,83,,percent of total billed charges,,,9.04,83,,percent of total billed charges,,,,,,,,,,,,,,,9.04,83,,percent of total billed charges,,,10.35,95,,percent of total billed charges,,,9.8,90,,percent of total billed charges,,,9.8,90,,percent of total billed charges,,,8.93,82,,percent of total billed charges,,,9.8,90,,percent of total billed charges,,,9.26,85,,percent of total billed charges,,8.21,10.35, DEPUY FEMORAL ROTATING HINGE,30182166,CDM,,,278,RC,inpatient,,52982.02,52982.02,,44981.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39948.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45034.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,46624.18,88,,percent of total billed charges,,,,,,,,,40478.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,48213.64,91,,percent of total billed charges,,,50332.92,95,,percent of total billed charges,,,43975.08,83,,percent of total billed charges,,,43975.08,83,,percent of total billed charges,,,,,,,,,,,,,,,43975.08,83,,percent of total billed charges,,,50332.92,95,,percent of total billed charges,,,47683.82,90,,percent of total billed charges,,,47683.82,90,,percent of total billed charges,,,43445.26,82,,percent of total billed charges,,,47683.82,90,,percent of total billed charges,,,45034.72,85,,percent of total billed charges,,39948.44,50332.92, DEPUY TIBIAL INSERT HINGE 12MM SM,30182167,CDM,,,278,RC,inpatient,,33343.12,33343.12,,28308.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25140.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28341.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29341.95,88,,percent of total billed charges,,,,,,,,,25474.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30342.24,91,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,,,,,,,,,,,,,27674.79,83,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,27341.36,82,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,28341.65,85,,percent of total billed charges,,25140.71,31675.96, DEPUY POROUS FEMORAL SLEEVE 216,30182168,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY STEM FLUTED UNIV 115 X 14,30182169,CDM,,,278,RC,inpatient,,12911.21,12911.21,,10961.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9735.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10974.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11361.86,88,,percent of total billed charges,,,,,,,,,9864.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11749.2,91,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,,,,,,,,,,,,,10716.3,83,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10587.19,82,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10974.53,85,,percent of total billed charges,,9735.05,12265.65, DEPUY GUIDEWIRE BALL NOSE 3.0 X 80CM,30182170,CDM,,,278,RC,inpatient,,740.18,740.18,,628.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,558.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,629.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,651.36,88,,percent of total billed charges,,,,,,,,,565.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,673.56,91,,percent of total billed charges,,,703.17,95,,percent of total billed charges,,,614.35,83,,percent of total billed charges,,,614.35,83,,percent of total billed charges,,,,,,,,,,,,,,,614.35,83,,percent of total billed charges,,,703.17,95,,percent of total billed charges,,,666.16,90,,percent of total billed charges,,,666.16,90,,percent of total billed charges,,,606.95,82,,percent of total billed charges,,,666.16,90,,percent of total billed charges,,,629.15,85,,percent of total billed charges,,558.1,703.17, DEPUY PINNACLE CUP W/GRIPTION 60MM,30182171,CDM,,,278,RC,inpatient,,31783.05,31783.05,,26983.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23964.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27015.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27969.08,88,,percent of total billed charges,,,,,,,,,24282.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28922.58,91,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,,,,,,,,,,,,,26379.93,83,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,26062.1,82,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,27015.59,85,,percent of total billed charges,,23964.42,30193.9, DEPUY SCREW BONE 55 X 5.0,30182172,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW BONE TAPER 40 X 5.0,30182173,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY LINER CONSTRAINED +4 32 X 54,30182174,CDM,,,278,RC,inpatient,,36635.17,36635.17,,31103.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27622.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31139.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32238.95,88,,percent of total billed charges,,,,,,,,,27989.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33338,91,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,,,,,,,,,,,,,30407.19,83,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,30040.84,82,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,31139.89,85,,percent of total billed charges,,27622.92,34803.41, S&N ENDO BICEPTOR KIT 7 X 25,30182175,CDM,,,270,RC,inpatient,,2579.92,2579.92,,2190.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1945.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2192.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2270.33,88,,percent of total billed charges,,,,,,,,,1971.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2347.73,91,,percent of total billed charges,,,2450.92,95,,percent of total billed charges,,,2141.33,83,,percent of total billed charges,,,2141.33,83,,percent of total billed charges,,,,,,,,,,,,,,,2141.33,83,,percent of total billed charges,,,2450.92,95,,percent of total billed charges,,,2321.93,90,,percent of total billed charges,,,2321.93,90,,percent of total billed charges,,,2115.53,82,,percent of total billed charges,,,2321.93,90,,percent of total billed charges,,,2192.93,85,,percent of total billed charges,,1945.26,2450.92, LEEP CAUTERY PENCIL,30182176,CDM,,,270,RC,inpatient,,49.56,49.56,,42.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,42.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,43.61,88,,percent of total billed charges,,,,,,,,,37.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,45.1,91,,percent of total billed charges,,,47.08,95,,percent of total billed charges,,,41.13,83,,percent of total billed charges,,,41.13,83,,percent of total billed charges,,,,,,,,,,,,,,,41.13,83,,percent of total billed charges,,,47.08,95,,percent of total billed charges,,,44.6,90,,percent of total billed charges,,,44.6,90,,percent of total billed charges,,,40.64,82,,percent of total billed charges,,,44.6,90,,percent of total billed charges,,,42.13,85,,percent of total billed charges,,37.37,47.08, ESOPHYX KIT W/O CARTRIDGE SHORT,30182178,CDM,,,270,RC,inpatient,,23237.5,23237.5,,19728.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17521.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19751.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20449,88,,percent of total billed charges,,,,,,,,,17753.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21146.13,91,,percent of total billed charges,,,22075.63,95,,percent of total billed charges,,,19287.13,83,,percent of total billed charges,,,19287.13,83,,percent of total billed charges,,,,,,,,,,,,,,,19287.13,83,,percent of total billed charges,,,22075.63,95,,percent of total billed charges,,,20913.75,90,,percent of total billed charges,,,20913.75,90,,percent of total billed charges,,,19054.75,82,,percent of total billed charges,,,20913.75,90,,percent of total billed charges,,,19751.88,85,,percent of total billed charges,,17521.08,22075.63, ESOPHYX CARTRIDGE FASTENERS 6.5MM,30182179,CDM,,,270,RC,inpatient,,2762.5,2762.5,,2345.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2082.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2348.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2431,88,,percent of total billed charges,,,,,,,,,2110.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2513.88,91,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2292.88,83,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2265.25,82,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2348.13,85,,percent of total billed charges,,2082.93,2624.38, *ESOPHYX CARTRIDGE FASTENERS 7.5MM,30182180,CDM,,,270,RC,inpatient,,2762.5,2762.5,,2345.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2082.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2348.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2431,88,,percent of total billed charges,,,,,,,,,2110.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2513.88,91,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2292.88,83,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2265.25,82,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2348.13,85,,percent of total billed charges,,2082.93,2624.38, DEPUY STEM BOWED SZ13.5,30182182,CDM,,,278,RC,inpatient,,66522.3,66522.3,,56477.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,50157.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,56543.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,58539.62,88,,percent of total billed charges,,,,,,,,,50823.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,60535.29,91,,percent of total billed charges,,,63196.19,95,,percent of total billed charges,,,55213.51,83,,percent of total billed charges,,,55213.51,83,,percent of total billed charges,,,,,,,,,,,,,,,55213.51,83,,percent of total billed charges,,,63196.19,95,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,54548.29,82,,percent of total billed charges,,,59870.07,90,,percent of total billed charges,,,56543.96,85,,percent of total billed charges,,50157.81,63196.19, CELL SAVER SERVICE,30182185,CDM,,,270,RC,inpatient,,4446,4446,,3774.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3352.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3779.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3912.48,88,,percent of total billed charges,,,,,,,,,3396.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4045.86,91,,percent of total billed charges,,,4223.7,95,,percent of total billed charges,,,3690.18,83,,percent of total billed charges,,,3690.18,83,,percent of total billed charges,,,,,,,,,,,,,,,3690.18,83,,percent of total billed charges,,,4223.7,95,,percent of total billed charges,,,4001.4,90,,percent of total billed charges,,,4001.4,90,,percent of total billed charges,,,3645.72,82,,percent of total billed charges,,,4001.4,90,,percent of total billed charges,,,3779.1,85,,percent of total billed charges,,3352.28,4223.7, GYRUS HALO CUTTING FORCEP,30182193,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, GYRUS PLASMA SORD PKS,30182194,CDM,,,270,RC,inpatient,,4784,4784,,4061.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3607.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4066.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4209.92,88,,percent of total billed charges,,,,,,,,,3654.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4353.44,91,,percent of total billed charges,,,4544.8,95,,percent of total billed charges,,,3970.72,83,,percent of total billed charges,,,3970.72,83,,percent of total billed charges,,,,,,,,,,,,,,,3970.72,83,,percent of total billed charges,,,4544.8,95,,percent of total billed charges,,,4305.6,90,,percent of total billed charges,,,4305.6,90,,percent of total billed charges,,,3922.88,82,,percent of total billed charges,,,4305.6,90,,percent of total billed charges,,,4066.4,85,,percent of total billed charges,,3607.14,4544.8, DEPUY DISTAL FEM COMPONENT XSM RT,30182195,CDM,,,278,RC,inpatient,,97092.39,97092.39,,82431.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,73207.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,82528.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,85441.3,88,,percent of total billed charges,,,,,,,,,74178.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,88354.07,91,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,,,,,,,,,,,,,80586.68,83,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,79615.76,82,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,82528.53,85,,percent of total billed charges,,73207.66,92237.77, DEPUY SEGMENTAL COMPONENT 25MM,30182196,CDM,,,278,RC,inpatient,,18773.5,18773.5,,15938.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14155.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15957.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16520.68,88,,percent of total billed charges,,,,,,,,,14342.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17083.89,91,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,,,,,,,,,,,,,15582.01,83,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15394.27,82,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15957.48,85,,percent of total billed charges,,14155.22,17834.83, DEPUY STEM FEMORAL POROUS 16.5 X 150,30182197,CDM,,,278,RC,inpatient,,48015.11,48015.11,,40764.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36203.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40812.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42253.3,88,,percent of total billed charges,,,,,,,,,36683.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43693.75,91,,percent of total billed charges,,,45614.35,95,,percent of total billed charges,,,39852.54,83,,percent of total billed charges,,,39852.54,83,,percent of total billed charges,,,,,,,,,,,,,,,39852.54,83,,percent of total billed charges,,,45614.35,95,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,39372.39,82,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,40812.84,85,,percent of total billed charges,,36203.39,45614.35, DEPUY INSERT HINGE 16MM XSM,30182198,CDM,,,278,RC,inpatient,,33343.12,33343.12,,28308.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25140.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28341.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29341.95,88,,percent of total billed charges,,,,,,,,,25474.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30342.24,91,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,,,,,,,,,,,,,27674.79,83,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,27341.36,82,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,28341.65,85,,percent of total billed charges,,25140.71,31675.96, DEPUY STEM CORAIL STD SZ9,30182200,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY INSERT RP 12.5MM SZ3,30182201,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, CARPEL TUNNEL RELEASE BLADE,30182203,CDM,,,270,RC,inpatient,,1352,1352,,1147.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1019.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1149.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1189.76,88,,percent of total billed charges,,,,,,,,,1032.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1230.32,91,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,,,,,,,,,,,,,1122.16,83,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1108.64,82,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1149.2,85,,percent of total billed charges,,1019.41,1284.4, DEPUY GUIDE PIN 3.2MM,30182216,CDM,,,278,RC,inpatient,,270,270,,229.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,203.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,229.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,237.6,88,,percent of total billed charges,,,,,,,,,206.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,245.7,91,,percent of total billed charges,,,256.5,95,,percent of total billed charges,,,224.1,83,,percent of total billed charges,,,224.1,83,,percent of total billed charges,,,,,,,,,,,,,,,224.1,83,,percent of total billed charges,,,256.5,95,,percent of total billed charges,,,243,90,,percent of total billed charges,,,243,90,,percent of total billed charges,,,221.4,82,,percent of total billed charges,,,243,90,,percent of total billed charges,,,229.5,85,,percent of total billed charges,,203.58,256.5, DEPUY SCREW CANNULATED 80 X 6.5,30182217,CDM,,,278,RC,inpatient,,2046.33,2046.33,,1737.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1542.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1739.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1800.77,88,,percent of total billed charges,,,,,,,,,1563.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1862.16,91,,percent of total billed charges,,,1944.01,95,,percent of total billed charges,,,1698.45,83,,percent of total billed charges,,,1698.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1698.45,83,,percent of total billed charges,,,1944.01,95,,percent of total billed charges,,,1841.7,90,,percent of total billed charges,,,1841.7,90,,percent of total billed charges,,,1677.99,82,,percent of total billed charges,,,1841.7,90,,percent of total billed charges,,,1739.38,85,,percent of total billed charges,,1542.93,1944.01, DEPUY SCREW CANNULATED 85 X 6.5,30182218,CDM,,,278,RC,inpatient,,2046.33,2046.33,,1737.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1542.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1739.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1800.77,88,,percent of total billed charges,,,,,,,,,1563.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1862.16,91,,percent of total billed charges,,,1944.01,95,,percent of total billed charges,,,1698.45,83,,percent of total billed charges,,,1698.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1698.45,83,,percent of total billed charges,,,1944.01,95,,percent of total billed charges,,,1841.7,90,,percent of total billed charges,,,1841.7,90,,percent of total billed charges,,,1677.99,82,,percent of total billed charges,,,1841.7,90,,percent of total billed charges,,,1739.38,85,,percent of total billed charges,,1542.93,1944.01, DEPUY DRILL BIT CANNULATED 5.0,30182219,CDM,,,278,RC,inpatient,,2015,2015,,1710.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1519.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1712.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1773.2,88,,percent of total billed charges,,,,,,,,,1539.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1833.65,91,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1672.45,83,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1652.3,82,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1712.75,85,,percent of total billed charges,,1519.31,1914.25, COLOPLAST INFRAPUBIC CYLINDER SET W/OTR,30182221,CDM,,,278,RC,inpatient,,44616,44616,,37878.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33640.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37923.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39262.08,88,,percent of total billed charges,,,,,,,,,34086.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40600.56,91,,percent of total billed charges,,,42385.2,95,,percent of total billed charges,,,37031.28,83,,percent of total billed charges,,,37031.28,83,,percent of total billed charges,,,,,,,,,,,,,,,37031.28,83,,percent of total billed charges,,,42385.2,95,,percent of total billed charges,,,40154.4,90,,percent of total billed charges,,,40154.4,90,,percent of total billed charges,,,36585.12,82,,percent of total billed charges,,,40154.4,90,,percent of total billed charges,,,37923.6,85,,percent of total billed charges,,33640.46,42385.2, SYNTHES SCREW CANCEL 4.0X26MM,30182222,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, SYNTHES SCREW CORTEX TAP 3.5MM,30182223,CDM,,,278,RC,inpatient,,2077.4,2077.4,,1763.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1566.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1765.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1828.11,88,,percent of total billed charges,,,,,,,,,1587.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1890.43,91,,percent of total billed charges,,,1973.53,95,,percent of total billed charges,,,1724.24,83,,percent of total billed charges,,,1724.24,83,,percent of total billed charges,,,,,,,,,,,,,,,1724.24,83,,percent of total billed charges,,,1973.53,95,,percent of total billed charges,,,1869.66,90,,percent of total billed charges,,,1869.66,90,,percent of total billed charges,,,1703.47,82,,percent of total billed charges,,,1869.66,90,,percent of total billed charges,,,1765.79,85,,percent of total billed charges,,1566.36,1973.53, S&N ENDO TWINFIX 4.5 W/2 UB,30182224,CDM,,,270,RC,inpatient,,1807,1807,,1534.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1362.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1535.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1590.16,88,,percent of total billed charges,,,,,,,,,1380.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1644.37,91,,percent of total billed charges,,,1716.65,95,,percent of total billed charges,,,1499.81,83,,percent of total billed charges,,,1499.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1499.81,83,,percent of total billed charges,,,1716.65,95,,percent of total billed charges,,,1626.3,90,,percent of total billed charges,,,1626.3,90,,percent of total billed charges,,,1481.74,82,,percent of total billed charges,,,1626.3,90,,percent of total billed charges,,,1535.95,85,,percent of total billed charges,,1362.48,1716.65, DEPUY FEMUR SIGMA PS LT SZ2.5,30182230,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT STABILIZED 10MM SZ2.5,30182231,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY PINNACLE CUP W/GRIPTION 58MM,30182232,CDM,,,278,RC,inpatient,,31783.05,31783.05,,26983.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23964.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27015.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27969.08,88,,percent of total billed charges,,,,,,,,,24282.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28922.58,91,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,,,,,,,,,,,,,26379.93,83,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,26062.1,82,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,27015.59,85,,percent of total billed charges,,23964.42,30193.9, DEPUY MBT STEP WEDGE 5MM,30182233,CDM,,,278,RC,inpatient,,15761.79,15761.79,,13381.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11884.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13397.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13870.38,88,,percent of total billed charges,,,,,,,,,12042.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14343.23,91,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,,,,,,,,,,,,,13082.29,83,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,12924.67,82,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,13397.52,85,,percent of total billed charges,,11884.39,14973.7, DEPUY STEM FLUTTED UNIV 115 X 10,30182234,CDM,,,278,RC,inpatient,,12911.21,12911.21,,10961.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9735.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10974.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11361.86,88,,percent of total billed charges,,,,,,,,,9864.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11749.2,91,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,,,,,,,,,,,,,10716.3,83,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10587.19,82,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10974.53,85,,percent of total billed charges,,9735.05,12265.65, DEPUY INSERT RP 15MM SZ2,30182235,CDM,,,278,RC,inpatient,,11793.8,11793.8,,10012.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8892.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10024.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10378.54,88,,percent of total billed charges,,,,,,,,,9010.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10732.36,91,,percent of total billed charges,,,11204.11,95,,percent of total billed charges,,,9788.85,83,,percent of total billed charges,,,9788.85,83,,percent of total billed charges,,,,,,,,,,,,,,,9788.85,83,,percent of total billed charges,,,11204.11,95,,percent of total billed charges,,,10614.42,90,,percent of total billed charges,,,10614.42,90,,percent of total billed charges,,,9670.92,82,,percent of total billed charges,,,10614.42,90,,percent of total billed charges,,,10024.73,85,,percent of total billed charges,,8892.53,11204.11, SYNTHES SCREW CANNUL 16MM 6.5X70MM,30182242,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES PLATE LCP HOOK 3-HOLE 3.5MM,30182246,CDM,,,278,RC,inpatient,,6657.63,6657.63,,5652.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5019.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5658.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5858.71,88,,percent of total billed charges,,,,,,,,,5086.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6058.44,91,,percent of total billed charges,,,6324.75,95,,percent of total billed charges,,,5525.83,83,,percent of total billed charges,,,5525.83,83,,percent of total billed charges,,,,,,,,,,,,,,,5525.83,83,,percent of total billed charges,,,6324.75,95,,percent of total billed charges,,,5991.87,90,,percent of total billed charges,,,5991.87,90,,percent of total billed charges,,,5459.26,82,,percent of total billed charges,,,5991.87,90,,percent of total billed charges,,,5658.99,85,,percent of total billed charges,,5019.85,6324.75, BIOMET KNEE OSTEOTOME 6.5MM,30182248,CDM,,,270,RC,inpatient,,4777.5,4777.5,,4056.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3602.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4060.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4204.2,88,,percent of total billed charges,,,,,,,,,3650.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4347.53,91,,percent of total billed charges,,,4538.63,95,,percent of total billed charges,,,3965.33,83,,percent of total billed charges,,,3965.33,83,,percent of total billed charges,,,,,,,,,,,,,,,3965.33,83,,percent of total billed charges,,,4538.63,95,,percent of total billed charges,,,4299.75,90,,percent of total billed charges,,,4299.75,90,,percent of total billed charges,,,3917.55,82,,percent of total billed charges,,,4299.75,90,,percent of total billed charges,,,4060.88,85,,percent of total billed charges,,3602.24,4538.63, S&N ENDO PROBE 90-DEG WHIRLWIND,30182249,CDM,,,270,RC,inpatient,,1324.05,1324.05,,1124.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,998.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1125.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1165.16,88,,percent of total billed charges,,,,,,,,,1011.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1204.89,91,,percent of total billed charges,,,1257.85,95,,percent of total billed charges,,,1098.96,83,,percent of total billed charges,,,1098.96,83,,percent of total billed charges,,,,,,,,,,,,,,,1098.96,83,,percent of total billed charges,,,1257.85,95,,percent of total billed charges,,,1191.65,90,,percent of total billed charges,,,1191.65,90,,percent of total billed charges,,,1085.72,82,,percent of total billed charges,,,1191.65,90,,percent of total billed charges,,,1125.44,85,,percent of total billed charges,,998.33,1257.85, DEPUY STEM FEMORAL POROUS 18.5 X 200,30182250,CDM,,,278,RC,inpatient,,48015.11,48015.11,,40764.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36203.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40812.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42253.3,88,,percent of total billed charges,,,,,,,,,36683.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43693.75,91,,percent of total billed charges,,,45614.35,95,,percent of total billed charges,,,39852.54,83,,percent of total billed charges,,,39852.54,83,,percent of total billed charges,,,,,,,,,,,,,,,39852.54,83,,percent of total billed charges,,,45614.35,95,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,39372.39,82,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,40812.84,85,,percent of total billed charges,,36203.39,45614.35, DEPUY SEGMENTAL COMPONENT 40MM,30182251,CDM,,,278,RC,inpatient,,18773.5,18773.5,,15938.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14155.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15957.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16520.68,88,,percent of total billed charges,,,,,,,,,14342.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17083.89,91,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,,,,,,,,,,,,,15582.01,83,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15394.27,82,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15957.48,85,,percent of total billed charges,,14155.22,17834.83, DEPUY FEMUR DISTAL XSM LT,30182252,CDM,,,278,RC,inpatient,,97092.39,97092.39,,82431.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,73207.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,82528.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,85441.3,88,,percent of total billed charges,,,,,,,,,74178.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,88354.07,91,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,,,,,,,,,,,,,80586.68,83,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,79615.76,82,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,82528.53,85,,percent of total billed charges,,73207.66,92237.77, DEPUY INSERT TIBIAL HINGE 12MM XSM,30182253,CDM,,,278,RC,inpatient,,24320.34,24320.34,,20647.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18337.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20672.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21401.9,88,,percent of total billed charges,,,,,,,,,18580.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22131.51,91,,percent of total billed charges,,,23104.32,95,,percent of total billed charges,,,20185.88,83,,percent of total billed charges,,,20185.88,83,,percent of total billed charges,,,,,,,,,,,,,,,20185.88,83,,percent of total billed charges,,,23104.32,95,,percent of total billed charges,,,21888.31,90,,percent of total billed charges,,,21888.31,90,,percent of total billed charges,,,19942.68,82,,percent of total billed charges,,,21888.31,90,,percent of total billed charges,,,20672.29,85,,percent of total billed charges,,18337.54,23104.32, BIOMET ULTRADRIVE 6MM,30182255,CDM,,,270,RC,inpatient,,4946.5,4946.5,,4199.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3729.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4204.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4352.92,88,,percent of total billed charges,,,,,,,,,3779.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4501.32,91,,percent of total billed charges,,,4699.18,95,,percent of total billed charges,,,4105.6,83,,percent of total billed charges,,,4105.6,83,,percent of total billed charges,,,,,,,,,,,,,,,4105.6,83,,percent of total billed charges,,,4699.18,95,,percent of total billed charges,,,4451.85,90,,percent of total billed charges,,,4451.85,90,,percent of total billed charges,,,4056.13,82,,percent of total billed charges,,,4451.85,90,,percent of total billed charges,,,4204.53,85,,percent of total billed charges,,3729.66,4699.18, BIOMET ULTRADRIVE 120MM,30182256,CDM,,,270,RC,inpatient,,4524,4524,,3840.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3411.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3845.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3981.12,88,,percent of total billed charges,,,,,,,,,3456.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4116.84,91,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,,,,,,,,,,,,,3754.92,83,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3709.68,82,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3845.4,85,,percent of total billed charges,,3411.1,4297.8, EYE LENS IMPLANT - TORIC,30182257,CDM,,,278,RC,inpatient,,3217.5,3217.5,,2731.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2426,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2734.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2831.4,88,,percent of total billed charges,,,,,,,,,2458.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2927.93,91,,percent of total billed charges,,,3056.63,95,,percent of total billed charges,,,2670.53,83,,percent of total billed charges,,,2670.53,83,,percent of total billed charges,,,,,,,,,,,,,,,2670.53,83,,percent of total billed charges,,,3056.63,95,,percent of total billed charges,,,2895.75,90,,percent of total billed charges,,,2895.75,90,,percent of total billed charges,,,2638.35,82,,percent of total billed charges,,,2895.75,90,,percent of total billed charges,,,2734.88,85,,percent of total billed charges,,2426,3056.63, BIOPSY FORCEP 230CM ALLIGATOR W/SPKIE,30182264,CDM,,,270,RC,inpatient,,37.14,37.14,,31.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32.68,88,,percent of total billed charges,,,,,,,,,28.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33.8,91,,percent of total billed charges,,,35.28,95,,percent of total billed charges,,,30.83,83,,percent of total billed charges,,,30.83,83,,percent of total billed charges,,,,,,,,,,,,,,,30.83,83,,percent of total billed charges,,,35.28,95,,percent of total billed charges,,,33.43,90,,percent of total billed charges,,,33.43,90,,percent of total billed charges,,,30.45,82,,percent of total billed charges,,,33.43,90,,percent of total billed charges,,,31.57,85,,percent of total billed charges,,28,35.28, BIOPSY FORCEP LARGE CAPACITY ALLIGATOR W,30182265,CDM,,,270,RC,inpatient,,57.77,57.77,,49.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,43.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,49.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,50.84,88,,percent of total billed charges,,,,,,,,,44.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,52.57,91,,percent of total billed charges,,,54.88,95,,percent of total billed charges,,,47.95,83,,percent of total billed charges,,,47.95,83,,percent of total billed charges,,,,,,,,,,,,,,,47.95,83,,percent of total billed charges,,,54.88,95,,percent of total billed charges,,,51.99,90,,percent of total billed charges,,,51.99,90,,percent of total billed charges,,,47.37,82,,percent of total billed charges,,,51.99,90,,percent of total billed charges,,,49.1,85,,percent of total billed charges,,43.56,54.88, PROCERVA HTA ABLATION KIT,30182273,CDM,,,270,RC,inpatient,,9100,9100,,7725.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6861.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7735,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8008,88,,percent of total billed charges,,,,,,,,,6952.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8281,91,,percent of total billed charges,,,8645,95,,percent of total billed charges,,,7553,83,,percent of total billed charges,,,7553,83,,percent of total billed charges,,,,,,,,,,,,,,,7553,83,,percent of total billed charges,,,8645,95,,percent of total billed charges,,,8190,90,,percent of total billed charges,,,8190,90,,percent of total billed charges,,,7462,82,,percent of total billed charges,,,8190,90,,percent of total billed charges,,,7735,85,,percent of total billed charges,,6861.4,8645, DRESSING ISLAND 4X10,30182279,CDM,,,270,RC,inpatient,,225,225,,191.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,169.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,191.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198,88,,percent of total billed charges,,,,,,,,,171.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,204.75,91,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,,,,,,,,,,,,,186.75,83,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,184.5,82,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,191.25,85,,percent of total billed charges,,169.65,213.75, DRESSING ISLAND 4X12,30182280,CDM,,,270,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, DEPUY PINNACLE CUP MULTIHOLE 50MM,30182281,CDM,,,278,RC,inpatient,,26741.78,26741.78,,22703.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20163.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22730.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23532.77,88,,percent of total billed charges,,,,,,,,,20430.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24335.02,91,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,,,,,,,,,,,,,22195.68,83,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,21928.26,82,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,22730.51,85,,percent of total billed charges,,20163.3,25404.69, DEPUY LINER CONSTRAINED +4 28 X 50,30182282,CDM,,,278,RC,inpatient,,36635.17,36635.17,,31103.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27622.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31139.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32238.95,88,,percent of total billed charges,,,,,,,,,27989.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33338,91,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,,,,,,,,,,,,,30407.19,83,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,30040.84,82,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,31139.89,85,,percent of total billed charges,,27622.92,34803.41, DEPUY FEMUR NEUTRAL STD PROXIMAL,30182283,CDM,,,278,RC,inpatient,,56410.06,56410.06,,47892.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42533.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47948.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49640.85,88,,percent of total billed charges,,,,,,,,,43097.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,51333.15,91,,percent of total billed charges,,,53589.56,95,,percent of total billed charges,,,46820.35,83,,percent of total billed charges,,,46820.35,83,,percent of total billed charges,,,,,,,,,,,,,,,46820.35,83,,percent of total billed charges,,,53589.56,95,,percent of total billed charges,,,50769.05,90,,percent of total billed charges,,,50769.05,90,,percent of total billed charges,,,46256.25,82,,percent of total billed charges,,,50769.05,90,,percent of total billed charges,,,47948.55,85,,percent of total billed charges,,42533.19,53589.56, DEPUY STEM FEMORAL POROUS 14.5 X 150,30182284,CDM,,,278,RC,inpatient,,48015.11,48015.11,,40764.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36203.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40812.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42253.3,88,,percent of total billed charges,,,,,,,,,36683.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43693.75,91,,percent of total billed charges,,,45614.35,95,,percent of total billed charges,,,39852.54,83,,percent of total billed charges,,,39852.54,83,,percent of total billed charges,,,,,,,,,,,,,,,39852.54,83,,percent of total billed charges,,,45614.35,95,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,39372.39,82,,percent of total billed charges,,,43213.6,90,,percent of total billed charges,,,40812.84,85,,percent of total billed charges,,36203.39,45614.35, DEPUY PINNACLE CUP MULTIHOLE 54MM,30182285,CDM,,,278,RC,inpatient,,26741.78,26741.78,,22703.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20163.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22730.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23532.77,88,,percent of total billed charges,,,,,,,,,20430.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24335.02,91,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,,,,,,,,,,,,,22195.68,83,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,21928.26,82,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,22730.51,85,,percent of total billed charges,,20163.3,25404.69, DEPUY FEMORAL HEAD 32MM +3,30182286,CDM,,,278,RC,inpatient,,6061.9,6061.9,,5146.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4570.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5152.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5334.47,88,,percent of total billed charges,,,,,,,,,4631.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5516.33,91,,percent of total billed charges,,,5758.81,95,,percent of total billed charges,,,5031.38,83,,percent of total billed charges,,,5031.38,83,,percent of total billed charges,,,,,,,,,,,,,,,5031.38,83,,percent of total billed charges,,,5758.81,95,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,4970.76,82,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,5152.62,85,,percent of total billed charges,,4570.67,5758.81, S&N ENDO BICEPTOR BIOSURE 7 X 15,30182287,CDM,,,278,RC,inpatient,,1584.38,1584.38,,1345.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1194.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1346.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1394.25,88,,percent of total billed charges,,,,,,,,,1210.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1441.79,91,,percent of total billed charges,,,1505.16,95,,percent of total billed charges,,,1315.04,83,,percent of total billed charges,,,1315.04,83,,percent of total billed charges,,,,,,,,,,,,,,,1315.04,83,,percent of total billed charges,,,1505.16,95,,percent of total billed charges,,,1425.94,90,,percent of total billed charges,,,1425.94,90,,percent of total billed charges,,,1299.19,82,,percent of total billed charges,,,1425.94,90,,percent of total billed charges,,,1346.72,85,,percent of total billed charges,,1194.62,1505.16, BONE-TENDON-BONE PATELLA 40CM W/ BONE,30182291,CDM,,,278,RC,inpatient,,11700,11700,,9933.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8821.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9945,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10296,88,,percent of total billed charges,,,,,,,,,8938.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10647,91,,percent of total billed charges,,,11115,95,,percent of total billed charges,,,9711,83,,percent of total billed charges,,,9711,83,,percent of total billed charges,,,,,,,,,,,,,,,9711,83,,percent of total billed charges,,,11115,95,,percent of total billed charges,,,10530,90,,percent of total billed charges,,,10530,90,,percent of total billed charges,,,9594,82,,percent of total billed charges,,,10530,90,,percent of total billed charges,,,9945,85,,percent of total billed charges,,8821.8,11115, S&N ENDO SHOULDER SUSPENSION KIT,30182292,CDM,,,270,RC,inpatient,,599.34,599.34,,508.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,451.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,509.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,527.42,88,,percent of total billed charges,,,,,,,,,457.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,545.4,91,,percent of total billed charges,,,569.37,95,,percent of total billed charges,,,497.45,83,,percent of total billed charges,,,497.45,83,,percent of total billed charges,,,,,,,,,,,,,,,497.45,83,,percent of total billed charges,,,569.37,95,,percent of total billed charges,,,539.41,90,,percent of total billed charges,,,539.41,90,,percent of total billed charges,,,491.46,82,,percent of total billed charges,,,539.41,90,,percent of total billed charges,,,509.44,85,,percent of total billed charges,,451.9,569.37, RTI FEMORAL STRUT FRESH FROZEN 6,30182297,CDM,,,278,RC,inpatient,,12584,12584,,10683.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9488.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10696.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11073.92,88,,percent of total billed charges,,,,,,,,,9614.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11451.44,91,,percent of total billed charges,,,11954.8,95,,percent of total billed charges,,,10444.72,83,,percent of total billed charges,,,10444.72,83,,percent of total billed charges,,,,,,,,,,,,,,,10444.72,83,,percent of total billed charges,,,11954.8,95,,percent of total billed charges,,,11325.6,90,,percent of total billed charges,,,11325.6,90,,percent of total billed charges,,,10318.88,82,,percent of total billed charges,,,11325.6,90,,percent of total billed charges,,,10696.4,85,,percent of total billed charges,,9488.34,11954.8, S&N ENDO BUTTON CL ULTRA 1.2,30182298,CDM,,,270,RC,inpatient,,2383.1,2383.1,,2023.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1796.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2025.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2097.13,88,,percent of total billed charges,,,,,,,,,1820.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2168.62,91,,percent of total billed charges,,,2263.95,95,,percent of total billed charges,,,1977.97,83,,percent of total billed charges,,,1977.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1977.97,83,,percent of total billed charges,,,2263.95,95,,percent of total billed charges,,,2144.79,90,,percent of total billed charges,,,2144.79,90,,percent of total billed charges,,,1954.14,82,,percent of total billed charges,,,2144.79,90,,percent of total billed charges,,,2025.64,85,,percent of total billed charges,,1796.86,2263.95, S&N ENDO SCREW SOFT SILK 8 X 20,30182299,CDM,,,278,RC,inpatient,,1487.85,1487.85,,1263.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1121.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1264.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1309.31,88,,percent of total billed charges,,,,,,,,,1136.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1353.94,91,,percent of total billed charges,,,1413.46,95,,percent of total billed charges,,,1234.92,83,,percent of total billed charges,,,1234.92,83,,percent of total billed charges,,,,,,,,,,,,,,,1234.92,83,,percent of total billed charges,,,1413.46,95,,percent of total billed charges,,,1339.07,90,,percent of total billed charges,,,1339.07,90,,percent of total billed charges,,,1220.04,82,,percent of total billed charges,,,1339.07,90,,percent of total billed charges,,,1264.67,85,,percent of total billed charges,,1121.84,1413.46, S&N ENDO SCREW SOFT SILK 7 X 20,30182300,CDM,,,278,RC,inpatient,,1417,1417,,1203.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1068.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1204.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1246.96,88,,percent of total billed charges,,,,,,,,,1082.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1289.47,91,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,,,,,,,,,,,,,1176.11,83,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1161.94,82,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1204.45,85,,percent of total billed charges,,1068.42,1346.15, S&N ENDO ACL RENTAL FEE,30182301,CDM,,,270,RC,inpatient,,6467.5,6467.5,,5490.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4876.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5497.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5691.4,88,,percent of total billed charges,,,,,,,,,4941.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5885.43,91,,percent of total billed charges,,,6144.13,95,,percent of total billed charges,,,5368.03,83,,percent of total billed charges,,,5368.03,83,,percent of total billed charges,,,,,,,,,,,,,,,5368.03,83,,percent of total billed charges,,,6144.13,95,,percent of total billed charges,,,5820.75,90,,percent of total billed charges,,,5820.75,90,,percent of total billed charges,,,5303.35,82,,percent of total billed charges,,,5820.75,90,,percent of total billed charges,,,5497.38,85,,percent of total billed charges,,4876.5,6144.13, DEPUY NAIL FUSION TTC,30182302,CDM,,,278,RC,inpatient,,16728.92,16728.92,,14202.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12613.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14219.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14721.45,88,,percent of total billed charges,,,,,,,,,12780.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15223.32,91,,percent of total billed charges,,,15892.47,95,,percent of total billed charges,,,13885,83,,percent of total billed charges,,,13885,83,,percent of total billed charges,,,,,,,,,,,,,,,13885,83,,percent of total billed charges,,,15892.47,95,,percent of total billed charges,,,15056.03,90,,percent of total billed charges,,,15056.03,90,,percent of total billed charges,,,13717.71,82,,percent of total billed charges,,,15056.03,90,,percent of total billed charges,,,14219.58,85,,percent of total billed charges,,12613.61,15892.47, SYNTHES SCREW CANNUL 16MM 6.5X60MM,30182303,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, ALLERGAN SILICONE BREAST IMPLANT 450CC,30182307,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, ALLERGAN NATRELLE SIZER HIGH PROFILE,30182308,CDM,,,270,RC,inpatient,,1625,1625,,1379.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1225.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1381.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1430,88,,percent of total billed charges,,,,,,,,,1241.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1478.75,91,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1348.75,83,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1332.5,82,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1381.25,85,,percent of total billed charges,,1225.25,1543.75, VENTRALEX HERNIA PATCH SM,30182310,CDM,,,278,RC,inpatient,,2718.6,2718.6,,2308.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2049.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2310.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2392.37,88,,percent of total billed charges,,,,,,,,,2077.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2473.93,91,,percent of total billed charges,,,2582.67,95,,percent of total billed charges,,,2256.44,83,,percent of total billed charges,,,2256.44,83,,percent of total billed charges,,,,,,,,,,,,,,,2256.44,83,,percent of total billed charges,,,2582.67,95,,percent of total billed charges,,,2446.74,90,,percent of total billed charges,,,2446.74,90,,percent of total billed charges,,,2229.25,82,,percent of total billed charges,,,2446.74,90,,percent of total billed charges,,,2310.81,85,,percent of total billed charges,,2049.82,2582.67, DEPUY INSERT RP 17.5MM SZ4,30182311,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, ARISTA 5X3GM,30182313,CDM,,,270,RC,inpatient,,1690,1690,,1434.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1274.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1436.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1487.2,88,,percent of total billed charges,,,,,,,,,1291.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1537.9,91,,percent of total billed charges,,,1605.5,95,,percent of total billed charges,,,1402.7,83,,percent of total billed charges,,,1402.7,83,,percent of total billed charges,,,,,,,,,,,,,,,1402.7,83,,percent of total billed charges,,,1605.5,95,,percent of total billed charges,,,1521,90,,percent of total billed charges,,,1521,90,,percent of total billed charges,,,1385.8,82,,percent of total billed charges,,,1521,90,,percent of total billed charges,,,1436.5,85,,percent of total billed charges,,1274.26,1605.5, ARISTA 5X5GM,30182314,CDM,,,270,RC,inpatient,,2437.5,2437.5,,2069.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1837.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2071.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2145,88,,percent of total billed charges,,,,,,,,,1862.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2218.13,91,,percent of total billed charges,,,2315.63,95,,percent of total billed charges,,,2023.13,83,,percent of total billed charges,,,2023.13,83,,percent of total billed charges,,,,,,,,,,,,,,,2023.13,83,,percent of total billed charges,,,2315.63,95,,percent of total billed charges,,,2193.75,90,,percent of total billed charges,,,2193.75,90,,percent of total billed charges,,,1998.75,82,,percent of total billed charges,,,2193.75,90,,percent of total billed charges,,,2071.88,85,,percent of total billed charges,,1837.88,2315.63, ARISTA FLEXITIP APPLICATOR XL,30182315,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, S&N ENDO TWINFIX 5.5 W/3 UB,30182316,CDM,,,270,RC,inpatient,,2003.5,2003.5,,1700.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1510.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1702.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1763.08,88,,percent of total billed charges,,,,,,,,,1530.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1823.19,91,,percent of total billed charges,,,1903.33,95,,percent of total billed charges,,,1662.91,83,,percent of total billed charges,,,1662.91,83,,percent of total billed charges,,,,,,,,,,,,,,,1662.91,83,,percent of total billed charges,,,1903.33,95,,percent of total billed charges,,,1803.15,90,,percent of total billed charges,,,1803.15,90,,percent of total billed charges,,,1642.87,82,,percent of total billed charges,,,1803.15,90,,percent of total billed charges,,,1702.98,85,,percent of total billed charges,,1510.64,1903.33, S&N ENDO TWINFIX 5.5 W/2 UB,30182317,CDM,,,270,RC,inpatient,,1945.13,1945.13,,1651.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.71,88,,percent of total billed charges,,,,,,,,,1486.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1770.07,91,,percent of total billed charges,,,1847.87,95,,percent of total billed charges,,,1614.46,83,,percent of total billed charges,,,1614.46,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.46,83,,percent of total billed charges,,,1847.87,95,,percent of total billed charges,,,1750.62,90,,percent of total billed charges,,,1750.62,90,,percent of total billed charges,,,1595.01,82,,percent of total billed charges,,,1750.62,90,,percent of total billed charges,,,1653.36,85,,percent of total billed charges,,1466.63,1847.87, S&N ENDO BICEPTOR KIT 7 X 15,30182318,CDM,,,270,RC,inpatient,,2657.27,2657.27,,2256.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2003.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2258.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2338.4,88,,percent of total billed charges,,,,,,,,,2030.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2418.12,91,,percent of total billed charges,,,2524.41,95,,percent of total billed charges,,,2205.53,83,,percent of total billed charges,,,2205.53,83,,percent of total billed charges,,,,,,,,,,,,,,,2205.53,83,,percent of total billed charges,,,2524.41,95,,percent of total billed charges,,,2391.54,90,,percent of total billed charges,,,2391.54,90,,percent of total billed charges,,,2178.96,82,,percent of total billed charges,,,2391.54,90,,percent of total billed charges,,,2258.68,85,,percent of total billed charges,,2003.58,2524.41, S&N ENDO CROCHET HOOK,30182319,CDM,,,270,RC,inpatient,,1795.11,1795.11,,1524.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1353.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1525.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1579.7,88,,percent of total billed charges,,,,,,,,,1371.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1633.55,91,,percent of total billed charges,,,1705.35,95,,percent of total billed charges,,,1489.94,83,,percent of total billed charges,,,1489.94,83,,percent of total billed charges,,,,,,,,,,,,,,,1489.94,83,,percent of total billed charges,,,1705.35,95,,percent of total billed charges,,,1615.6,90,,percent of total billed charges,,,1615.6,90,,percent of total billed charges,,,1471.99,82,,percent of total billed charges,,,1615.6,90,,percent of total billed charges,,,1525.84,85,,percent of total billed charges,,1353.51,1705.35, VENTRALEX HERNIA PATCH MED,30182320,CDM,,,278,RC,inpatient,,3521.7,3521.7,,2989.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2655.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2993.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3099.1,88,,percent of total billed charges,,,,,,,,,2690.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3204.75,91,,percent of total billed charges,,,3345.62,95,,percent of total billed charges,,,2923.01,83,,percent of total billed charges,,,2923.01,83,,percent of total billed charges,,,,,,,,,,,,,,,2923.01,83,,percent of total billed charges,,,3345.62,95,,percent of total billed charges,,,3169.53,90,,percent of total billed charges,,,3169.53,90,,percent of total billed charges,,,2887.79,82,,percent of total billed charges,,,3169.53,90,,percent of total billed charges,,,2993.45,85,,percent of total billed charges,,2655.36,3345.62, VENTRALEX HERNIA PATCH LG,30182321,CDM,,,278,RC,inpatient,,4097.6,4097.6,,3478.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3089.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3482.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3605.89,88,,percent of total billed charges,,,,,,,,,3130.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3728.82,91,,percent of total billed charges,,,3892.72,95,,percent of total billed charges,,,3401.01,83,,percent of total billed charges,,,3401.01,83,,percent of total billed charges,,,,,,,,,,,,,,,3401.01,83,,percent of total billed charges,,,3892.72,95,,percent of total billed charges,,,3687.84,90,,percent of total billed charges,,,3687.84,90,,percent of total billed charges,,,3360.03,82,,percent of total billed charges,,,3687.84,90,,percent of total billed charges,,,3482.96,85,,percent of total billed charges,,3089.59,3892.72, S&N ENDO ANCHOR TAPERED AWL 3.8,30182322,CDM,,,270,RC,inpatient,,372.83,372.83,,316.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,281.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,316.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,328.09,88,,percent of total billed charges,,,,,,,,,284.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,339.28,91,,percent of total billed charges,,,354.19,95,,percent of total billed charges,,,309.45,83,,percent of total billed charges,,,309.45,83,,percent of total billed charges,,,,,,,,,,,,,,,309.45,83,,percent of total billed charges,,,354.19,95,,percent of total billed charges,,,335.55,90,,percent of total billed charges,,,335.55,90,,percent of total billed charges,,,305.72,82,,percent of total billed charges,,,335.55,90,,percent of total billed charges,,,316.91,85,,percent of total billed charges,,281.11,354.19, S&N ENDO ANCHOR 4.5,30182324,CDM,,,270,RC,inpatient,,2811.9,2811.9,,2387.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2120.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2390.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2474.47,88,,percent of total billed charges,,,,,,,,,2148.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2558.83,91,,percent of total billed charges,,,2671.31,95,,percent of total billed charges,,,2333.88,83,,percent of total billed charges,,,2333.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2333.88,83,,percent of total billed charges,,,2671.31,95,,percent of total billed charges,,,2530.71,90,,percent of total billed charges,,,2530.71,90,,percent of total billed charges,,,2305.76,82,,percent of total billed charges,,,2530.71,90,,percent of total billed charges,,,2390.12,85,,percent of total billed charges,,2120.17,2671.31, DEPUY HEAD FX MOD CATH 47MM,30182325,CDM,,,278,RC,inpatient,,4693.78,4693.78,,3985.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3539.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3989.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4130.53,88,,percent of total billed charges,,,,,,,,,3586.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4271.34,91,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3895.84,83,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3848.9,82,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3989.71,85,,percent of total billed charges,,3539.11,4459.09, DEPUY SPACER 3 MODULAR CATHEART,30182326,CDM,,,278,RC,inpatient,,1935.57,1935.57,,1643.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1459.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1645.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1703.3,88,,percent of total billed charges,,,,,,,,,1478.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1761.37,91,,percent of total billed charges,,,1838.79,95,,percent of total billed charges,,,1606.52,83,,percent of total billed charges,,,1606.52,83,,percent of total billed charges,,,,,,,,,,,,,,,1606.52,83,,percent of total billed charges,,,1838.79,95,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1587.17,82,,percent of total billed charges,,,1742.01,90,,percent of total billed charges,,,1645.23,85,,percent of total billed charges,,1459.42,1838.79, MESH VAGINAL UPHOLD,30182328,CDM,,,270,RC,inpatient,,13097.5,13097.5,,11119.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9875.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11132.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11525.8,88,,percent of total billed charges,,,,,,,,,10006.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11918.73,91,,percent of total billed charges,,,12442.63,95,,percent of total billed charges,,,10870.93,83,,percent of total billed charges,,,10870.93,83,,percent of total billed charges,,,,,,,,,,,,,,,10870.93,83,,percent of total billed charges,,,12442.63,95,,percent of total billed charges,,,11787.75,90,,percent of total billed charges,,,11787.75,90,,percent of total billed charges,,,10739.95,82,,percent of total billed charges,,,11787.75,90,,percent of total billed charges,,,11132.88,85,,percent of total billed charges,,9875.52,12442.63, PINS DISTRACTION 14MM,30182329,CDM,,,278,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, DEPUY LINER CONSTRAINED +4 36 X 58,30182335,CDM,,,278,RC,inpatient,,24183.97,24183.97,,20532.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18234.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20556.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21281.89,88,,percent of total billed charges,,,,,,,,,18476.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22007.41,91,,percent of total billed charges,,,22974.77,95,,percent of total billed charges,,,20072.7,83,,percent of total billed charges,,,20072.7,83,,percent of total billed charges,,,,,,,,,,,,,,,20072.7,83,,percent of total billed charges,,,22974.77,95,,percent of total billed charges,,,21765.57,90,,percent of total billed charges,,,21765.57,90,,percent of total billed charges,,,19830.86,82,,percent of total billed charges,,,21765.57,90,,percent of total billed charges,,,20556.37,85,,percent of total billed charges,,18234.71,22974.77, STRYKER OIL CARTRIDGE,30182337,CDM,,,270,RC,inpatient,,176.4,176.4,,149.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,133.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,155.23,88,,percent of total billed charges,,,,,,,,,134.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.52,91,,percent of total billed charges,,,167.58,95,,percent of total billed charges,,,146.41,83,,percent of total billed charges,,,146.41,83,,percent of total billed charges,,,,,,,,,,,,,,,146.41,83,,percent of total billed charges,,,167.58,95,,percent of total billed charges,,,158.76,90,,percent of total billed charges,,,158.76,90,,percent of total billed charges,,,144.65,82,,percent of total billed charges,,,158.76,90,,percent of total billed charges,,,149.94,85,,percent of total billed charges,,133.01,167.58, STRYKER DIFFUSER,30182338,CDM,,,270,RC,inpatient,,101.44,101.44,,86.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,76.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,86.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,89.27,88,,percent of total billed charges,,,,,,,,,77.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,92.31,91,,percent of total billed charges,,,96.37,95,,percent of total billed charges,,,84.2,83,,percent of total billed charges,,,84.2,83,,percent of total billed charges,,,,,,,,,,,,,,,84.2,83,,percent of total billed charges,,,96.37,95,,percent of total billed charges,,,91.3,90,,percent of total billed charges,,,91.3,90,,percent of total billed charges,,,83.18,82,,percent of total billed charges,,,91.3,90,,percent of total billed charges,,,86.22,85,,percent of total billed charges,,76.49,96.37, ALLERGAN SILICONE BREAST IMPLANT 500CC,30182355,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, GABRIELLE VEST,30182356,CDM,,,270,RC,inpatient,,299.63,299.63,,254.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,225.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,254.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,263.67,88,,percent of total billed charges,,,,,,,,,228.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,272.66,91,,percent of total billed charges,,,284.65,95,,percent of total billed charges,,,248.69,83,,percent of total billed charges,,,248.69,83,,percent of total billed charges,,,,,,,,,,,,,,,248.69,83,,percent of total billed charges,,,284.65,95,,percent of total billed charges,,,269.67,90,,percent of total billed charges,,,269.67,90,,percent of total billed charges,,,245.7,82,,percent of total billed charges,,,269.67,90,,percent of total billed charges,,,254.69,85,,percent of total billed charges,,225.92,284.65, DEPUY HIP POROUS ALTRX 36MM,30182358,CDM,,,278,RC,inpatient,,38243.21,38243.21,,32468.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28835.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32506.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33654.02,88,,percent of total billed charges,,,,,,,,,29217.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34801.32,91,,percent of total billed charges,,,36331.05,95,,percent of total billed charges,,,31741.86,83,,percent of total billed charges,,,31741.86,83,,percent of total billed charges,,,,,,,,,,,,,,,31741.86,83,,percent of total billed charges,,,36331.05,95,,percent of total billed charges,,,34418.89,90,,percent of total billed charges,,,34418.89,90,,percent of total billed charges,,,31359.43,82,,percent of total billed charges,,,34418.89,90,,percent of total billed charges,,,32506.73,85,,percent of total billed charges,,28835.38,36331.05, DEPUY INSERT RP 12.5MM SZ2.5,30182359,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, DEPUY FEMUR TC3 LT SZ5,30182360,CDM,,,278,RC,inpatient,,36489.7,36489.7,,30979.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27513.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31016.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32110.94,88,,percent of total billed charges,,,,,,,,,27878.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33205.63,91,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,,,,,,,,,,,,,30286.45,83,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,29921.55,82,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,31016.25,85,,percent of total billed charges,,27513.23,34665.22, SYNTHES K-WIRE 2.8MM,30182362,CDM,,,278,RC,inpatient,,1037.47,1037.47,,880.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,782.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,881.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,912.97,88,,percent of total billed charges,,,,,,,,,792.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,944.1,91,,percent of total billed charges,,,985.6,95,,percent of total billed charges,,,861.1,83,,percent of total billed charges,,,861.1,83,,percent of total billed charges,,,,,,,,,,,,,,,861.1,83,,percent of total billed charges,,,985.6,95,,percent of total billed charges,,,933.72,90,,percent of total billed charges,,,933.72,90,,percent of total billed charges,,,850.73,82,,percent of total billed charges,,,933.72,90,,percent of total billed charges,,,881.85,85,,percent of total billed charges,,782.25,985.6, MESH HERNIA REBOUND 2.44 X 3.03,30182363,CDM,,,270,RC,inpatient,,1946.75,1946.75,,1652.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1467.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1654.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1713.14,88,,percent of total billed charges,,,,,,,,,1487.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1771.54,91,,percent of total billed charges,,,1849.41,95,,percent of total billed charges,,,1615.8,83,,percent of total billed charges,,,1615.8,83,,percent of total billed charges,,,,,,,,,,,,,,,1615.8,83,,percent of total billed charges,,,1849.41,95,,percent of total billed charges,,,1752.08,90,,percent of total billed charges,,,1752.08,90,,percent of total billed charges,,,1596.34,82,,percent of total billed charges,,,1752.08,90,,percent of total billed charges,,,1654.74,85,,percent of total billed charges,,1467.85,1849.41, DEPUY CUSTOM IMPLANT T-F 74MM RT,30182364,CDM,,,278,RC,inpatient,,64675,64675,,54909.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48764.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54973.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56914,88,,percent of total billed charges,,,,,,,,,49411.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58854.25,91,,percent of total billed charges,,,61441.25,95,,percent of total billed charges,,,53680.25,83,,percent of total billed charges,,,53680.25,83,,percent of total billed charges,,,,,,,,,,,,,,,53680.25,83,,percent of total billed charges,,,61441.25,95,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,53033.5,82,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,54973.75,85,,percent of total billed charges,,48764.95,61441.25, ARTHREX AC GRAFT ROPE,30182365,CDM,,,278,RC,inpatient,,6454.5,6454.5,,5479.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4866.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5486.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5679.96,88,,percent of total billed charges,,,,,,,,,4931.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5873.6,91,,percent of total billed charges,,,6131.78,95,,percent of total billed charges,,,5357.24,83,,percent of total billed charges,,,5357.24,83,,percent of total billed charges,,,,,,,,,,,,,,,5357.24,83,,percent of total billed charges,,,6131.78,95,,percent of total billed charges,,,5809.05,90,,percent of total billed charges,,,5809.05,90,,percent of total billed charges,,,5292.69,82,,percent of total billed charges,,,5809.05,90,,percent of total billed charges,,,5486.33,85,,percent of total billed charges,,4866.69,6131.78, S&N ENDO ANCHOR OSTEORAPTOR 2.9,30182367,CDM,,,278,RC,inpatient,,1996.35,1996.35,,1694.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1505.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1696.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1756.79,88,,percent of total billed charges,,,,,,,,,1525.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1816.68,91,,percent of total billed charges,,,1896.53,95,,percent of total billed charges,,,1656.97,83,,percent of total billed charges,,,1656.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1656.97,83,,percent of total billed charges,,,1896.53,95,,percent of total billed charges,,,1796.72,90,,percent of total billed charges,,,1796.72,90,,percent of total billed charges,,,1637.01,82,,percent of total billed charges,,,1796.72,90,,percent of total billed charges,,,1696.9,85,,percent of total billed charges,,1505.25,1896.53, DEPUY KNEE CEMENTED MTB/RP,30182368,CDM,,,278,RC,inpatient,,32605.76,32605.76,,27682.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24584.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27714.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28693.07,88,,percent of total billed charges,,,,,,,,,24910.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29671.24,91,,percent of total billed charges,,,30975.47,95,,percent of total billed charges,,,27062.78,83,,percent of total billed charges,,,27062.78,83,,percent of total billed charges,,,,,,,,,,,,,,,27062.78,83,,percent of total billed charges,,,30975.47,95,,percent of total billed charges,,,29345.18,90,,percent of total billed charges,,,29345.18,90,,percent of total billed charges,,,26736.72,82,,percent of total billed charges,,,29345.18,90,,percent of total billed charges,,,27714.9,85,,percent of total billed charges,,24584.74,30975.47, DEPUY KNEE CEMENTED W/XKL,30182369,CDM,,,278,RC,inpatient,,27652.89,27652.89,,23477.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20850.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23504.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24334.54,88,,percent of total billed charges,,,,,,,,,21126.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25164.13,91,,percent of total billed charges,,,26270.25,95,,percent of total billed charges,,,22951.9,83,,percent of total billed charges,,,22951.9,83,,percent of total billed charges,,,,,,,,,,,,,,,22951.9,83,,percent of total billed charges,,,26270.25,95,,percent of total billed charges,,,24887.6,90,,percent of total billed charges,,,24887.6,90,,percent of total billed charges,,,22675.37,82,,percent of total billed charges,,,24887.6,90,,percent of total billed charges,,,23504.96,85,,percent of total billed charges,,20850.28,26270.25, DEPUY HIP POROUS ALTRX 40/44MM,30182376,CDM,,,278,RC,inpatient,,42018.93,42018.93,,35674.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31682.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,35716.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36976.66,88,,percent of total billed charges,,,,,,,,,32102.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,38237.23,91,,percent of total billed charges,,,39917.98,95,,percent of total billed charges,,,34875.71,83,,percent of total billed charges,,,34875.71,83,,percent of total billed charges,,,,,,,,,,,,,,,34875.71,83,,percent of total billed charges,,,39917.98,95,,percent of total billed charges,,,37817.04,90,,percent of total billed charges,,,37817.04,90,,percent of total billed charges,,,34455.52,82,,percent of total billed charges,,,37817.04,90,,percent of total billed charges,,,35716.09,85,,percent of total billed charges,,31682.27,39917.98, DRAIN FLUTE 15FR W/TROCAR,30182382,CDM,,,270,RC,inpatient,,194.29,194.29,,164.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,146.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,165.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,170.98,88,,percent of total billed charges,,,,,,,,,148.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,176.8,91,,percent of total billed charges,,,184.58,95,,percent of total billed charges,,,161.26,83,,percent of total billed charges,,,161.26,83,,percent of total billed charges,,,,,,,,,,,,,,,161.26,83,,percent of total billed charges,,,184.58,95,,percent of total billed charges,,,174.86,90,,percent of total billed charges,,,174.86,90,,percent of total billed charges,,,159.32,82,,percent of total billed charges,,,174.86,90,,percent of total billed charges,,,165.15,85,,percent of total billed charges,,146.49,184.58, DEPUY DRILL BIT CANNULATED 5.5,30182383,CDM,,,278,RC,inpatient,,2015,2015,,1710.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1519.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1712.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1773.2,88,,percent of total billed charges,,,,,,,,,1539.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1833.65,91,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1672.45,83,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1652.3,82,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1712.75,85,,percent of total billed charges,,1519.31,1914.25, STRYKER BLADE RECIP HEAVY DUTY LON,30182384,CDM,,,270,RC,inpatient,,283.65,283.65,,240.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,213.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.61,88,,percent of total billed charges,,,,,,,,,216.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.12,91,,percent of total billed charges,,,269.47,95,,percent of total billed charges,,,235.43,83,,percent of total billed charges,,,235.43,83,,percent of total billed charges,,,,,,,,,,,,,,,235.43,83,,percent of total billed charges,,,269.47,95,,percent of total billed charges,,,255.29,90,,percent of total billed charges,,,255.29,90,,percent of total billed charges,,,232.59,82,,percent of total billed charges,,,255.29,90,,percent of total billed charges,,,241.1,85,,percent of total billed charges,,213.87,269.47, DEPUY HIP POROUS ALTRX 28/32MM,30182386,CDM,,,278,RC,inpatient,,37986.33,37986.33,,32250.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28641.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32288.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33427.97,88,,percent of total billed charges,,,,,,,,,29021.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34567.56,91,,percent of total billed charges,,,36087.01,95,,percent of total billed charges,,,31528.65,83,,percent of total billed charges,,,31528.65,83,,percent of total billed charges,,,,,,,,,,,,,,,31528.65,83,,percent of total billed charges,,,36087.01,95,,percent of total billed charges,,,34187.7,90,,percent of total billed charges,,,34187.7,90,,percent of total billed charges,,,31148.79,82,,percent of total billed charges,,,34187.7,90,,percent of total billed charges,,,32288.38,85,,percent of total billed charges,,28641.69,36087.01, DEPUY LINER ALTRX NEUT 32 X 48,30182387,CDM,,,278,RC,inpatient,,10422.17,10422.17,,8848.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7858.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8858.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9171.51,88,,percent of total billed charges,,,,,,,,,7962.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9484.17,91,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,,,,,,,,,,,,,8650.4,83,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8546.18,82,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8858.84,85,,percent of total billed charges,,7858.32,9901.06, DEPUY INSERT TC3 15MM SZ2.5,30182388,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DRILL TAP 5.0MM & 3.5MM,30182391,CDM,,,270,RC,inpatient,,420,420,,356.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,316.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,357,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,369.6,88,,percent of total billed charges,,,,,,,,,320.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,382.2,91,,percent of total billed charges,,,399,95,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,,,,,,,,,,,,,348.6,83,,percent of total billed charges,,,399,95,,percent of total billed charges,,,378,90,,percent of total billed charges,,,378,90,,percent of total billed charges,,,344.4,82,,percent of total billed charges,,,378,90,,percent of total billed charges,,,357,85,,percent of total billed charges,,316.68,399, PROXIMAL SCREW 5.0MM X 30.0MM,30182394,CDM,,,278,RC,inpatient,,1196,1196,,1015.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,901.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1016.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1052.48,88,,percent of total billed charges,,,,,,,,,913.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1088.36,91,,percent of total billed charges,,,1136.2,95,,percent of total billed charges,,,992.68,83,,percent of total billed charges,,,992.68,83,,percent of total billed charges,,,,,,,,,,,,,,,992.68,83,,percent of total billed charges,,,1136.2,95,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,980.72,82,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,1016.6,85,,percent of total billed charges,,901.78,1136.2, CAP SCREW ASSEMBLY,30182396,CDM,,,278,RC,inpatient,,1196,1196,,1015.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,901.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1016.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1052.48,88,,percent of total billed charges,,,,,,,,,913.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1088.36,91,,percent of total billed charges,,,1136.2,95,,percent of total billed charges,,,992.68,83,,percent of total billed charges,,,992.68,83,,percent of total billed charges,,,,,,,,,,,,,,,992.68,83,,percent of total billed charges,,,1136.2,95,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,980.72,82,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,1016.6,85,,percent of total billed charges,,901.78,1136.2, STRYKER HELIOCOIDAL RASP 3.2MM X 18.3MM,30182400,CDM,,,270,RC,inpatient,,911.82,911.82,,774.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,687.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,775.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,802.4,88,,percent of total billed charges,,,,,,,,,696.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,829.76,91,,percent of total billed charges,,,866.23,95,,percent of total billed charges,,,756.81,83,,percent of total billed charges,,,756.81,83,,percent of total billed charges,,,,,,,,,,,,,,,756.81,83,,percent of total billed charges,,,866.23,95,,percent of total billed charges,,,820.64,90,,percent of total billed charges,,,820.64,90,,percent of total billed charges,,,747.69,82,,percent of total billed charges,,,820.64,90,,percent of total billed charges,,,775.05,85,,percent of total billed charges,,687.51,866.23, DRILL BIT 2.9MM,30182401,CDM,,,270,RC,inpatient,,1365,1365,,1158.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1029.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1160.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1201.2,88,,percent of total billed charges,,,,,,,,,1042.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1242.15,91,,percent of total billed charges,,,1296.75,95,,percent of total billed charges,,,1132.95,83,,percent of total billed charges,,,1132.95,83,,percent of total billed charges,,,,,,,,,,,,,,,1132.95,83,,percent of total billed charges,,,1296.75,95,,percent of total billed charges,,,1228.5,90,,percent of total billed charges,,,1228.5,90,,percent of total billed charges,,,1119.3,82,,percent of total billed charges,,,1228.5,90,,percent of total billed charges,,,1160.25,85,,percent of total billed charges,,1029.21,1296.75, SCREW DISTRACTION 12MM STERILE,30182402,CDM,,,270,RC,inpatient,,337.5,337.5,,286.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,254.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,286.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,297,88,,percent of total billed charges,,,,,,,,,257.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,307.13,91,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,,,,,,,,,,,,,280.13,83,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,276.75,82,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,286.88,85,,percent of total billed charges,,254.48,320.63, SCREW DISTRACTION 14MM STERILE,30182403,CDM,,,270,RC,inpatient,,337.5,337.5,,286.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,254.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,286.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,297,88,,percent of total billed charges,,,,,,,,,257.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,307.13,91,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,,,,,,,,,,,,,280.13,83,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,276.75,82,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,286.88,85,,percent of total billed charges,,254.48,320.63, BIOMET ULTRADRIVE 7MM,30182411,CDM,,,270,RC,inpatient,,4524,4524,,3840.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3411.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3845.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3981.12,88,,percent of total billed charges,,,,,,,,,3456.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4116.84,91,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,,,,,,,,,,,,,3754.92,83,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3709.68,82,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3845.4,85,,percent of total billed charges,,3411.1,4297.8, DEPUY WEDGE STEP 5MM SZ5,30182412,CDM,,,278,RC,inpatient,,11378.45,11378.45,,9660.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8579.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9671.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10013.04,88,,percent of total billed charges,,,,,,,,,8693.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10354.39,91,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,,,,,,,,,,,,,9444.11,83,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9330.33,82,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9671.68,85,,percent of total billed charges,,8579.35,10809.53, DEPUY STEM CORAIL SZ18,30182416,CDM,,,278,RC,inpatient,,33799.35,33799.35,,28695.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25484.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28729.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29743.43,88,,percent of total billed charges,,,,,,,,,25822.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30757.41,91,,percent of total billed charges,,,32109.38,95,,percent of total billed charges,,,28053.46,83,,percent of total billed charges,,,28053.46,83,,percent of total billed charges,,,,,,,,,,,,,,,28053.46,83,,percent of total billed charges,,,32109.38,95,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,27715.47,82,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,28729.45,85,,percent of total billed charges,,25484.71,32109.38, DURASEAL EXACT 5ML,30182423,CDM,,,270,RC,inpatient,,4355,4355,,3697.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3283.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3701.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3832.4,88,,percent of total billed charges,,,,,,,,,3327.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3963.05,91,,percent of total billed charges,,,4137.25,95,,percent of total billed charges,,,3614.65,83,,percent of total billed charges,,,3614.65,83,,percent of total billed charges,,,,,,,,,,,,,,,3614.65,83,,percent of total billed charges,,,4137.25,95,,percent of total billed charges,,,3919.5,90,,percent of total billed charges,,,3919.5,90,,percent of total billed charges,,,3571.1,82,,percent of total billed charges,,,3919.5,90,,percent of total billed charges,,,3701.75,85,,percent of total billed charges,,3283.67,4137.25, DURASEAL EXTENDED TIP APPLICATOR,30182424,CDM,,,270,RC,inpatient,,665,665,,564.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,501.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,565.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,585.2,88,,percent of total billed charges,,,,,,,,,508.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,605.15,91,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,,,,,,,,,,,,,551.95,83,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,545.3,82,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,565.25,85,,percent of total billed charges,,501.41,631.75, BIOMET ULTRADRIVE 5MM,30182425,CDM,,,270,RC,inpatient,,4524,4524,,3840.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3411.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3845.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3981.12,88,,percent of total billed charges,,,,,,,,,3456.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4116.84,91,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,3754.92,83,,percent of total billed charges,,,,,,,,,,,,,,,3754.92,83,,percent of total billed charges,,,4297.8,95,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3709.68,82,,percent of total billed charges,,,4071.6,90,,percent of total billed charges,,,3845.4,85,,percent of total billed charges,,3411.1,4297.8, NEUROMONITOR SERVICE - MIDWEST,30182435,CDM,,,270,RC,inpatient,,5525,5525,,4690.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4165.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4696.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4862,88,,percent of total billed charges,,,,,,,,,4221.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5027.75,91,,percent of total billed charges,,,5248.75,95,,percent of total billed charges,,,4585.75,83,,percent of total billed charges,,,4585.75,83,,percent of total billed charges,,,,,,,,,,,,,,,4585.75,83,,percent of total billed charges,,,5248.75,95,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4530.5,82,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4696.25,85,,percent of total billed charges,,4165.85,5248.75, SYNTHES DRILL BIT CANNULATED 2.5MM,30182436,CDM,,,270,RC,inpatient,,832.33,832.33,,706.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,627.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,707.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,732.45,88,,percent of total billed charges,,,,,,,,,635.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,757.42,91,,percent of total billed charges,,,790.71,95,,percent of total billed charges,,,690.83,83,,percent of total billed charges,,,690.83,83,,percent of total billed charges,,,,,,,,,,,,,,,690.83,83,,percent of total billed charges,,,790.71,95,,percent of total billed charges,,,749.1,90,,percent of total billed charges,,,749.1,90,,percent of total billed charges,,,682.51,82,,percent of total billed charges,,,749.1,90,,percent of total billed charges,,,707.48,85,,percent of total billed charges,,627.58,790.71, S&N ENDO ACCUPASS 45-DEG,30182443,CDM,,,278,RC,inpatient,,859.95,859.95,,730.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,648.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,730.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,756.76,88,,percent of total billed charges,,,,,,,,,657,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,782.55,91,,percent of total billed charges,,,816.95,95,,percent of total billed charges,,,713.76,83,,percent of total billed charges,,,713.76,83,,percent of total billed charges,,,,,,,,,,,,,,,713.76,83,,percent of total billed charges,,,816.95,95,,percent of total billed charges,,,773.96,90,,percent of total billed charges,,,773.96,90,,percent of total billed charges,,,705.16,82,,percent of total billed charges,,,773.96,90,,percent of total billed charges,,,730.96,85,,percent of total billed charges,,648.4,816.95, S&N ENDO ANCHOR OSTEORAPTOR 2.3,30182444,CDM,,,270,RC,inpatient,,2170.35,2170.35,,1842.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1636.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1844.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1909.91,88,,percent of total billed charges,,,,,,,,,1658.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1975.02,91,,percent of total billed charges,,,2061.83,95,,percent of total billed charges,,,1801.39,83,,percent of total billed charges,,,1801.39,83,,percent of total billed charges,,,,,,,,,,,,,,,1801.39,83,,percent of total billed charges,,,2061.83,95,,percent of total billed charges,,,1953.32,90,,percent of total billed charges,,,1953.32,90,,percent of total billed charges,,,1779.69,82,,percent of total billed charges,,,1953.32,90,,percent of total billed charges,,,1844.8,85,,percent of total billed charges,,1636.44,2061.83, CONMED SUTURE SAVER KIT,30182445,CDM,,,270,RC,inpatient,,267.3,267.3,,226.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,201.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,227.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,235.22,88,,percent of total billed charges,,,,,,,,,204.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,243.24,91,,percent of total billed charges,,,253.94,95,,percent of total billed charges,,,221.86,83,,percent of total billed charges,,,221.86,83,,percent of total billed charges,,,,,,,,,,,,,,,221.86,83,,percent of total billed charges,,,253.94,95,,percent of total billed charges,,,240.57,90,,percent of total billed charges,,,240.57,90,,percent of total billed charges,,,219.19,82,,percent of total billed charges,,,240.57,90,,percent of total billed charges,,,227.21,85,,percent of total billed charges,,201.54,253.94, SORBAFIX SHOT 30,30182447,CDM,,,270,RC,inpatient,,5037.5,5037.5,,4276.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3798.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4281.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4433,88,,percent of total billed charges,,,,,,,,,3848.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4584.13,91,,percent of total billed charges,,,4785.63,95,,percent of total billed charges,,,4181.13,83,,percent of total billed charges,,,4181.13,83,,percent of total billed charges,,,,,,,,,,,,,,,4181.13,83,,percent of total billed charges,,,4785.63,95,,percent of total billed charges,,,4533.75,90,,percent of total billed charges,,,4533.75,90,,percent of total billed charges,,,4130.75,82,,percent of total billed charges,,,4533.75,90,,percent of total billed charges,,,4281.88,85,,percent of total billed charges,,3798.28,4785.63, MESH VENTRALIGHT W/ECHO 6X8,30182448,CDM,,,270,RC,inpatient,,11261.25,11261.25,,9560.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8490.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9572.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9909.9,88,,percent of total billed charges,,,,,,,,,8603.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10247.74,91,,percent of total billed charges,,,10698.19,95,,percent of total billed charges,,,9346.84,83,,percent of total billed charges,,,9346.84,83,,percent of total billed charges,,,,,,,,,,,,,,,9346.84,83,,percent of total billed charges,,,10698.19,95,,percent of total billed charges,,,10135.13,90,,percent of total billed charges,,,10135.13,90,,percent of total billed charges,,,9234.23,82,,percent of total billed charges,,,10135.13,90,,percent of total billed charges,,,9572.06,85,,percent of total billed charges,,8490.98,10698.19, BONE MILL DISPOSABLE - FINE,30182449,CDM,,,270,RC,inpatient,,2600,2600,,2207.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1960.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2210,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2288,88,,percent of total billed charges,,,,,,,,,1986.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2366,91,,percent of total billed charges,,,2470,95,,percent of total billed charges,,,2158,83,,percent of total billed charges,,,2158,83,,percent of total billed charges,,,,,,,,,,,,,,,2158,83,,percent of total billed charges,,,2470,95,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2132,82,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2210,85,,percent of total billed charges,,1960.4,2470, SYNTHES SCREW CORTEX S-T 2.7X16MM,30182451,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, STRYKER BUR ROUND PRECISION 5MM,30182455,CDM,,,270,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, ALLOPATCH HD THICK 5X5 0.8-1.7,30182456,CDM,,,270,RC,inpatient,,9312.68,9312.68,,7906.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7021.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7915.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8195.16,88,,percent of total billed charges,,,,,,,,,7114.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8474.54,91,,percent of total billed charges,,,8847.05,95,,percent of total billed charges,,,7729.52,83,,percent of total billed charges,,,7729.52,83,,percent of total billed charges,,,,,,,,,,,,,,,7729.52,83,,percent of total billed charges,,,8847.05,95,,percent of total billed charges,,,8381.41,90,,percent of total billed charges,,,8381.41,90,,percent of total billed charges,,,7636.4,82,,percent of total billed charges,,,8381.41,90,,percent of total billed charges,,,7915.78,85,,percent of total billed charges,,7021.76,8847.05, ALLOPATCH HD ULTRA THICK 5X5 1.8-3.9,30182457,CDM,,,270,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, MESH PERFIX PLUG X-LARGE,30182466,CDM,,,270,RC,inpatient,,1121.25,1121.25,,951.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,845.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,953.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,986.7,88,,percent of total billed charges,,,,,,,,,856.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1020.34,91,,percent of total billed charges,,,1065.19,95,,percent of total billed charges,,,930.64,83,,percent of total billed charges,,,930.64,83,,percent of total billed charges,,,,,,,,,,,,,,,930.64,83,,percent of total billed charges,,,1065.19,95,,percent of total billed charges,,,1009.13,90,,percent of total billed charges,,,1009.13,90,,percent of total billed charges,,,919.43,82,,percent of total billed charges,,,1009.13,90,,percent of total billed charges,,,953.06,85,,percent of total billed charges,,845.42,1065.19, DEPUY INSERT TC3 10MM SZ5,30182477,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY TIBIAL AUGMENT 5MM SZ2.5,30182478,CDM,,,278,RC,inpatient,,11378.45,11378.45,,9660.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8579.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9671.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10013.04,88,,percent of total billed charges,,,,,,,,,8693.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10354.39,91,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,9444.11,83,,percent of total billed charges,,,,,,,,,,,,,,,9444.11,83,,percent of total billed charges,,,10809.53,95,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9330.33,82,,percent of total billed charges,,,10240.61,90,,percent of total billed charges,,,9671.68,85,,percent of total billed charges,,8579.35,10809.53, DEPUY LINER CONSTRAINED +4 36 X 56,30182480,CDM,,,278,RC,inpatient,,33951.78,33951.78,,28825.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25599.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28859.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29877.57,88,,percent of total billed charges,,,,,,,,,25939.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30896.12,91,,percent of total billed charges,,,32254.19,95,,percent of total billed charges,,,28179.98,83,,percent of total billed charges,,,28179.98,83,,percent of total billed charges,,,,,,,,,,,,,,,28179.98,83,,percent of total billed charges,,,32254.19,95,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,27840.46,82,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,28859.01,85,,percent of total billed charges,,25599.64,32254.19, APPLIED BLADED OBTURATOR 5MM X 150,30182481,CDM,,,270,RC,inpatient,,152,152,,129.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,114.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,129.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,133.76,88,,percent of total billed charges,,,,,,,,,116.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,138.32,91,,percent of total billed charges,,,144.4,95,,percent of total billed charges,,,126.16,83,,percent of total billed charges,,,126.16,83,,percent of total billed charges,,,,,,,,,,,,,,,126.16,83,,percent of total billed charges,,,144.4,95,,percent of total billed charges,,,136.8,90,,percent of total billed charges,,,136.8,90,,percent of total billed charges,,,124.64,82,,percent of total billed charges,,,136.8,90,,percent of total billed charges,,,129.2,85,,percent of total billed charges,,114.61,144.4, APPLIED BLADED OBTURATOR 12MM X 150,30182482,CDM,,,270,RC,inpatient,,280.43,280.43,,238.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,211.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,238.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,246.78,88,,percent of total billed charges,,,,,,,,,214.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,255.19,91,,percent of total billed charges,,,266.41,95,,percent of total billed charges,,,232.76,83,,percent of total billed charges,,,232.76,83,,percent of total billed charges,,,,,,,,,,,,,,,232.76,83,,percent of total billed charges,,,266.41,95,,percent of total billed charges,,,252.39,90,,percent of total billed charges,,,252.39,90,,percent of total billed charges,,,229.95,82,,percent of total billed charges,,,252.39,90,,percent of total billed charges,,,238.37,85,,percent of total billed charges,,211.44,266.41, S&N ENDO CANNULA TWIST 7.0,30182483,CDM,,,270,RC,inpatient,,253.05,253.05,,214.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,190.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,215.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,222.68,88,,percent of total billed charges,,,,,,,,,193.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,230.28,91,,percent of total billed charges,,,240.4,95,,percent of total billed charges,,,210.03,83,,percent of total billed charges,,,210.03,83,,percent of total billed charges,,,,,,,,,,,,,,,210.03,83,,percent of total billed charges,,,240.4,95,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,207.5,82,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,215.09,85,,percent of total billed charges,,190.8,240.4, S&N ROD GUIDE BALL TIP 3MM X 1000,30182489,CDM,,,278,RC,inpatient,,1785.55,1785.55,,1515.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1346.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1517.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1571.28,88,,percent of total billed charges,,,,,,,,,1364.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1624.85,91,,percent of total billed charges,,,1696.27,95,,percent of total billed charges,,,1482.01,83,,percent of total billed charges,,,1482.01,83,,percent of total billed charges,,,,,,,,,,,,,,,1482.01,83,,percent of total billed charges,,,1696.27,95,,percent of total billed charges,,,1607,90,,percent of total billed charges,,,1607,90,,percent of total billed charges,,,1464.15,82,,percent of total billed charges,,,1607,90,,percent of total billed charges,,,1517.72,85,,percent of total billed charges,,1346.3,1696.27, SOLYX SIS SYSTEM,30182505,CDM,,,270,RC,inpatient,,7751.25,7751.25,,6580.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5844.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6588.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6821.1,88,,percent of total billed charges,,,,,,,,,5921.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7053.64,91,,percent of total billed charges,,,7363.69,95,,percent of total billed charges,,,6433.54,83,,percent of total billed charges,,,6433.54,83,,percent of total billed charges,,,,,,,,,,,,,,,6433.54,83,,percent of total billed charges,,,7363.69,95,,percent of total billed charges,,,6976.13,90,,percent of total billed charges,,,6976.13,90,,percent of total billed charges,,,6356.03,82,,percent of total billed charges,,,6976.13,90,,percent of total billed charges,,,6588.56,85,,percent of total billed charges,,5844.44,7363.69, DEPUY PINNACLE FLANGE CUSTOM RT 66MM,30182506,CDM,,,278,RC,inpatient,,64675,64675,,54909.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,48764.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,54973.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,56914,88,,percent of total billed charges,,,,,,,,,49411.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,58854.25,91,,percent of total billed charges,,,61441.25,95,,percent of total billed charges,,,53680.25,83,,percent of total billed charges,,,53680.25,83,,percent of total billed charges,,,,,,,,,,,,,,,53680.25,83,,percent of total billed charges,,,61441.25,95,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,53033.5,82,,percent of total billed charges,,,58207.5,90,,percent of total billed charges,,,54973.75,85,,percent of total billed charges,,48764.95,61441.25, STOPCOCK PLUG 3MM,30182509,CDM,,,270,RC,inpatient,,115.6,115.6,,98.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,87.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,98.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,101.73,88,,percent of total billed charges,,,,,,,,,88.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,105.2,91,,percent of total billed charges,,,109.82,95,,percent of total billed charges,,,95.95,83,,percent of total billed charges,,,95.95,83,,percent of total billed charges,,,,,,,,,,,,,,,95.95,83,,percent of total billed charges,,,109.82,95,,percent of total billed charges,,,104.04,90,,percent of total billed charges,,,104.04,90,,percent of total billed charges,,,94.79,82,,percent of total billed charges,,,104.04,90,,percent of total billed charges,,,98.26,85,,percent of total billed charges,,87.16,109.82, DRAIN FLUTE 7MM FLAT,30182512,CDM,,,270,RC,inpatient,,124.48,124.48,,105.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,93.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,105.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,109.54,88,,percent of total billed charges,,,,,,,,,95.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,113.28,91,,percent of total billed charges,,,118.26,95,,percent of total billed charges,,,103.32,83,,percent of total billed charges,,,103.32,83,,percent of total billed charges,,,,,,,,,,,,,,,103.32,83,,percent of total billed charges,,,118.26,95,,percent of total billed charges,,,112.03,90,,percent of total billed charges,,,112.03,90,,percent of total billed charges,,,102.07,82,,percent of total billed charges,,,112.03,90,,percent of total billed charges,,,105.81,85,,percent of total billed charges,,93.86,118.26, DEPUY DISTAL AUGMENT LT 4MM SZ2.5,30182513,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, ALLERGAN SILICONE BREAST IMPLANT 400CC,30182514,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, DEPUY INSERT TC3 RP 12.5MM SZ3,30182524,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY INSERT TC3 RP 17.5MM SZ5,30182525,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY STEM FLUTED UNIV 75 X 24,30182526,CDM,,,278,RC,inpatient,,12911.21,12911.21,,10961.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9735.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10974.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11361.86,88,,percent of total billed charges,,,,,,,,,9864.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11749.2,91,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,,,,,,,,,,,,,10716.3,83,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10587.19,82,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10974.53,85,,percent of total billed charges,,9735.05,12265.65, DEPUY DISTAL AUGMENT RT 8MM,30182527,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY MBT TRAY SLEEVE 45MM,30182528,CDM,,,270,RC,inpatient,,12860.84,12860.84,,10918.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9697.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10931.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11317.54,88,,percent of total billed charges,,,,,,,,,9825.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11703.36,91,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10674.5,83,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10545.89,82,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10931.71,85,,percent of total billed charges,,9697.07,12217.8, DRILL TWIST 3.2MM,30182532,CDM,,,270,RC,inpatient,,250.28,250.28,,212.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,188.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,212.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,220.25,88,,percent of total billed charges,,,,,,,,,191.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,227.75,91,,percent of total billed charges,,,237.77,95,,percent of total billed charges,,,207.73,83,,percent of total billed charges,,,207.73,83,,percent of total billed charges,,,,,,,,,,,,,,,207.73,83,,percent of total billed charges,,,237.77,95,,percent of total billed charges,,,225.25,90,,percent of total billed charges,,,225.25,90,,percent of total billed charges,,,205.23,82,,percent of total billed charges,,,225.25,90,,percent of total billed charges,,,212.74,85,,percent of total billed charges,,188.71,237.77, DRILL TWIST 4.5MM,30182533,CDM,,,270,RC,inpatient,,250.28,250.28,,212.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,188.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,212.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,220.25,88,,percent of total billed charges,,,,,,,,,191.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,227.75,91,,percent of total billed charges,,,237.77,95,,percent of total billed charges,,,207.73,83,,percent of total billed charges,,,207.73,83,,percent of total billed charges,,,,,,,,,,,,,,,207.73,83,,percent of total billed charges,,,237.77,95,,percent of total billed charges,,,225.25,90,,percent of total billed charges,,,225.25,90,,percent of total billed charges,,,205.23,82,,percent of total billed charges,,,225.25,90,,percent of total billed charges,,,212.74,85,,percent of total billed charges,,188.71,237.77, DEPUY DISTAL AUGMENT LT 12MM SZ2.5,30182534,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, AVAMAX PLUS CEMENT DELIVERY,30182549,CDM,,,270,RC,inpatient,,4508.4,4508.4,,3827.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3399.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3832.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3967.39,88,,percent of total billed charges,,,,,,,,,3444.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4102.64,91,,percent of total billed charges,,,4282.98,95,,percent of total billed charges,,,3741.97,83,,percent of total billed charges,,,3741.97,83,,percent of total billed charges,,,,,,,,,,,,,,,3741.97,83,,percent of total billed charges,,,4282.98,95,,percent of total billed charges,,,4057.56,90,,percent of total billed charges,,,4057.56,90,,percent of total billed charges,,,3696.89,82,,percent of total billed charges,,,4057.56,90,,percent of total billed charges,,,3832.14,85,,percent of total billed charges,,3399.33,4282.98, AVAFLEX PLUS CURVED NEEDLE,30182550,CDM,,,270,RC,inpatient,,2996.57,2996.57,,2544.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2259.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2547.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2636.98,88,,percent of total billed charges,,,,,,,,,2289.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2726.88,91,,percent of total billed charges,,,2846.74,95,,percent of total billed charges,,,2487.15,83,,percent of total billed charges,,,2487.15,83,,percent of total billed charges,,,,,,,,,,,,,,,2487.15,83,,percent of total billed charges,,,2846.74,95,,percent of total billed charges,,,2696.91,90,,percent of total billed charges,,,2696.91,90,,percent of total billed charges,,,2457.19,82,,percent of total billed charges,,,2696.91,90,,percent of total billed charges,,,2547.08,85,,percent of total billed charges,,2259.41,2846.74, S&N ENDO CANNULA TWIST 8.5,30182551,CDM,,,270,RC,inpatient,,253.05,253.05,,214.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,190.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,215.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,222.68,88,,percent of total billed charges,,,,,,,,,193.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,230.28,91,,percent of total billed charges,,,240.4,95,,percent of total billed charges,,,210.03,83,,percent of total billed charges,,,210.03,83,,percent of total billed charges,,,,,,,,,,,,,,,210.03,83,,percent of total billed charges,,,240.4,95,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,207.5,82,,percent of total billed charges,,,227.75,90,,percent of total billed charges,,,215.09,85,,percent of total billed charges,,190.8,240.4, MESH VENTRALIGHT W/ECHO 7X9,30182552,CDM,,,278,RC,inpatient,,9912.5,9912.5,,8415.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7474.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8425.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8723,88,,percent of total billed charges,,,,,,,,,7573.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9020.38,91,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,,,,,,,,,,,,,8227.38,83,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8128.25,82,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8425.63,85,,percent of total billed charges,,7474.03,9416.88, MESH VENTRALIGHT W/ECHO 8X10,30182553,CDM,,,270,RC,inpatient,,11635,11635,,9878.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8772.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9889.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10238.8,88,,percent of total billed charges,,,,,,,,,8889.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10587.85,91,,percent of total billed charges,,,11053.25,95,,percent of total billed charges,,,9657.05,83,,percent of total billed charges,,,9657.05,83,,percent of total billed charges,,,,,,,,,,,,,,,9657.05,83,,percent of total billed charges,,,11053.25,95,,percent of total billed charges,,,10471.5,90,,percent of total billed charges,,,10471.5,90,,percent of total billed charges,,,9540.7,82,,percent of total billed charges,,,10471.5,90,,percent of total billed charges,,,9889.75,85,,percent of total billed charges,,8772.79,11053.25, DEPUY STEM CORAIL KLA SZ10,30182555,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY FEMUR SIGMA PS NL SZ4,30182556,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY DISTAL AUGMENT RT 16MM,30182557,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY POSTERIOR AUGMENT 8MM,30182558,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY MBT STEP WEDGE 10MM SZ4,30182559,CDM,,,278,RC,inpatient,,15761.79,15761.79,,13381.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11884.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13397.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13870.38,88,,percent of total billed charges,,,,,,,,,12042.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14343.23,91,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,,,,,,,,,,,,,13082.29,83,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,12924.67,82,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,13397.52,85,,percent of total billed charges,,11884.39,14973.7, DEPUY INSERT TC3 RP 20MM SZ5,30182560,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY SCREW PROTROSIO 52MM,30182566,CDM,,,278,RC,inpatient,,21625.7,21625.7,,18360.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16305.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18381.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19030.62,88,,percent of total billed charges,,,,,,,,,16522.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19679.39,91,,percent of total billed charges,,,20544.42,95,,percent of total billed charges,,,17949.33,83,,percent of total billed charges,,,17949.33,83,,percent of total billed charges,,,,,,,,,,,,,,,17949.33,83,,percent of total billed charges,,,20544.42,95,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,17733.07,82,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,18381.85,85,,percent of total billed charges,,16305.78,20544.42, DEPUY SCREW SELF TAP 45MM,30182567,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW SELF TAP 40MM,30182568,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW SELF TAP 35MM,30182569,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW SELF TAP 25MM,30182570,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW SELF TAP 30MM,30182571,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY STEM BOWED SZ16.5 X 11,30182572,CDM,,,278,RC,inpatient,,68800.94,68800.94,,58412,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51875.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,58480.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,60544.83,88,,percent of total billed charges,,,,,,,,,52563.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,62608.86,91,,percent of total billed charges,,,65360.89,95,,percent of total billed charges,,,57104.78,83,,percent of total billed charges,,,57104.78,83,,percent of total billed charges,,,,,,,,,,,,,,,57104.78,83,,percent of total billed charges,,,65360.89,95,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,56416.77,82,,percent of total billed charges,,,61920.85,90,,percent of total billed charges,,,58480.8,85,,percent of total billed charges,,51875.91,65360.89, SYNTHES SCREW CANCEL 4.0X40MM,30182573,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, STRYKER BLADE SAGITTAL DUAL CUT,30182575,CDM,,,270,RC,inpatient,,355.32,355.32,,301.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,267.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,302.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,312.68,88,,percent of total billed charges,,,,,,,,,271.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,323.34,91,,percent of total billed charges,,,337.55,95,,percent of total billed charges,,,294.92,83,,percent of total billed charges,,,294.92,83,,percent of total billed charges,,,,,,,,,,,,,,,294.92,83,,percent of total billed charges,,,337.55,95,,percent of total billed charges,,,319.79,90,,percent of total billed charges,,,319.79,90,,percent of total billed charges,,,291.36,82,,percent of total billed charges,,,319.79,90,,percent of total billed charges,,,302.02,85,,percent of total billed charges,,267.91,337.55, DEPUY LINER CONSTRAINED +4 40 X 66,30182586,CDM,,,278,RC,inpatient,,39314.21,39314.21,,33377.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29642.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33417.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34596.5,88,,percent of total billed charges,,,,,,,,,30036.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35775.93,91,,percent of total billed charges,,,37348.5,95,,percent of total billed charges,,,32630.79,83,,percent of total billed charges,,,32630.79,83,,percent of total billed charges,,,,,,,,,,,,,,,32630.79,83,,percent of total billed charges,,,37348.5,95,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,32237.65,82,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,33417.08,85,,percent of total billed charges,,29642.91,37348.5, DEPUY SCREW SELF TAP 50MM,30182587,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW SELF TAP 60MM,30182588,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, DEPUY SCREW SELF TAP 55MM,30182589,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, BACKSTOP CLEAR GEL X 3FR CATH KIT,30182595,CDM,,,270,RC,inpatient,,2925,2925,,2483.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2205.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2486.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2574,88,,percent of total billed charges,,,,,,,,,2234.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2661.75,91,,percent of total billed charges,,,2778.75,95,,percent of total billed charges,,,2427.75,83,,percent of total billed charges,,,2427.75,83,,percent of total billed charges,,,,,,,,,,,,,,,2427.75,83,,percent of total billed charges,,,2778.75,95,,percent of total billed charges,,,2632.5,90,,percent of total billed charges,,,2632.5,90,,percent of total billed charges,,,2398.5,82,,percent of total billed charges,,,2632.5,90,,percent of total billed charges,,,2486.25,85,,percent of total billed charges,,2205.45,2778.75, BALLOON DILATATION CATH KIT 18FR,30182596,CDM,,,270,RC,inpatient,,2506.73,2506.73,,2128.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1890.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2130.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2205.92,88,,percent of total billed charges,,,,,,,,,1915.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2281.12,91,,percent of total billed charges,,,2381.39,95,,percent of total billed charges,,,2080.59,83,,percent of total billed charges,,,2080.59,83,,percent of total billed charges,,,,,,,,,,,,,,,2080.59,83,,percent of total billed charges,,,2381.39,95,,percent of total billed charges,,,2256.06,90,,percent of total billed charges,,,2256.06,90,,percent of total billed charges,,,2055.52,82,,percent of total billed charges,,,2256.06,90,,percent of total billed charges,,,2130.72,85,,percent of total billed charges,,1890.07,2381.39, GYRUS THUNDERBEAT 5M 35CM,30182602,CDM,,,270,RC,inpatient,,6251.7,6251.7,,5307.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4713.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5313.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5501.5,88,,percent of total billed charges,,,,,,,,,4776.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5689.05,91,,percent of total billed charges,,,5939.12,95,,percent of total billed charges,,,5188.91,83,,percent of total billed charges,,,5188.91,83,,percent of total billed charges,,,,,,,,,,,,,,,5188.91,83,,percent of total billed charges,,,5939.12,95,,percent of total billed charges,,,5626.53,90,,percent of total billed charges,,,5626.53,90,,percent of total billed charges,,,5126.39,82,,percent of total billed charges,,,5626.53,90,,percent of total billed charges,,,5313.95,85,,percent of total billed charges,,4713.78,5939.12, STRYKER BLADE MICRO SAGITAL LONG MED,30182603,CDM,,,270,RC,inpatient,,314.48,314.48,,266.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,237.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,267.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,276.74,88,,percent of total billed charges,,,,,,,,,240.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,286.18,91,,percent of total billed charges,,,298.76,95,,percent of total billed charges,,,261.02,83,,percent of total billed charges,,,261.02,83,,percent of total billed charges,,,,,,,,,,,,,,,261.02,83,,percent of total billed charges,,,298.76,95,,percent of total billed charges,,,283.03,90,,percent of total billed charges,,,283.03,90,,percent of total billed charges,,,257.87,82,,percent of total billed charges,,,283.03,90,,percent of total billed charges,,,267.31,85,,percent of total billed charges,,237.12,298.76, MESH OVAL MEDIUM 4.3 X 5.5,30182606,CDM,,,278,RC,inpatient,,5791.5,5791.5,,4916.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4366.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4922.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5096.52,88,,percent of total billed charges,,,,,,,,,4424.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5270.27,91,,percent of total billed charges,,,5501.93,95,,percent of total billed charges,,,4806.95,83,,percent of total billed charges,,,4806.95,83,,percent of total billed charges,,,,,,,,,,,,,,,4806.95,83,,percent of total billed charges,,,5501.93,95,,percent of total billed charges,,,5212.35,90,,percent of total billed charges,,,5212.35,90,,percent of total billed charges,,,4749.03,82,,percent of total billed charges,,,5212.35,90,,percent of total billed charges,,,4922.78,85,,percent of total billed charges,,4366.79,5501.93, MESH OVAL LARGE 5.4 X 7.0,30182607,CDM,,,278,RC,inpatient,,7637.5,7637.5,,6484.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5758.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6491.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6721,88,,percent of total billed charges,,,,,,,,,5835.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6950.13,91,,percent of total billed charges,,,7255.63,95,,percent of total billed charges,,,6339.13,83,,percent of total billed charges,,,6339.13,83,,percent of total billed charges,,,,,,,,,,,,,,,6339.13,83,,percent of total billed charges,,,7255.63,95,,percent of total billed charges,,,6873.75,90,,percent of total billed charges,,,6873.75,90,,percent of total billed charges,,,6262.75,82,,percent of total billed charges,,,6873.75,90,,percent of total billed charges,,,6491.88,85,,percent of total billed charges,,5758.68,7255.63, DEPUY INSERT TC3 12.5MM SZ3,30182608,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, DEPUY BONE CEMENT ENDURANCE,30182609,CDM,,,278,RC,inpatient,,700,700,,594.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,527.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,595,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,616,88,,percent of total billed charges,,,,,,,,,534.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,637,91,,percent of total billed charges,,,665,95,,percent of total billed charges,,,581,83,,percent of total billed charges,,,581,83,,percent of total billed charges,,,,,,,,,,,,,,,581,83,,percent of total billed charges,,,665,95,,percent of total billed charges,,,630,90,,percent of total billed charges,,,630,90,,percent of total billed charges,,,574,82,,percent of total billed charges,,,630,90,,percent of total billed charges,,,595,85,,percent of total billed charges,,527.8,665, DEPUY KNEE CEMENTED W/AOX,30182611,CDM,,,278,RC,inpatient,,35205.76,35205.76,,29889.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26545.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29924.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,30981.07,88,,percent of total billed charges,,,,,,,,,26897.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32037.24,91,,percent of total billed charges,,,33445.47,95,,percent of total billed charges,,,29220.78,83,,percent of total billed charges,,,29220.78,83,,percent of total billed charges,,,,,,,,,,,,,,,29220.78,83,,percent of total billed charges,,,33445.47,95,,percent of total billed charges,,,31685.18,90,,percent of total billed charges,,,31685.18,90,,percent of total billed charges,,,28868.72,82,,percent of total billed charges,,,31685.18,90,,percent of total billed charges,,,29924.9,85,,percent of total billed charges,,26545.14,33445.47, DEPUY INSERT TIBIAL AOX 20MM SZ5,30182612,CDM,,,278,RC,inpatient,,17068.29,17068.29,,14490.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12869.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14508.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15020.1,88,,percent of total billed charges,,,,,,,,,13040.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15532.14,91,,percent of total billed charges,,,16214.88,95,,percent of total billed charges,,,14166.68,83,,percent of total billed charges,,,14166.68,83,,percent of total billed charges,,,,,,,,,,,,,,,14166.68,83,,percent of total billed charges,,,16214.88,95,,percent of total billed charges,,,15361.46,90,,percent of total billed charges,,,15361.46,90,,percent of total billed charges,,,13996,82,,percent of total billed charges,,,15361.46,90,,percent of total billed charges,,,14508.05,85,,percent of total billed charges,,12869.49,16214.88, I.L.A. NICRON FIBER 200,30182615,CDM,,,270,RC,inpatient,,1300,1300,,1103.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,980.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1105,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1144,88,,percent of total billed charges,,,,,,,,,993.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1183,91,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,,,,,,,,,,,,,1079,83,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1066,82,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1105,85,,percent of total billed charges,,980.2,1235, STRYKER BUR 4.0 EGG,30182617,CDM,,,270,RC,inpatient,,472.01,472.01,,400.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,355.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,401.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,415.37,88,,percent of total billed charges,,,,,,,,,360.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,429.53,91,,percent of total billed charges,,,448.41,95,,percent of total billed charges,,,391.77,83,,percent of total billed charges,,,391.77,83,,percent of total billed charges,,,,,,,,,,,,,,,391.77,83,,percent of total billed charges,,,448.41,95,,percent of total billed charges,,,424.81,90,,percent of total billed charges,,,424.81,90,,percent of total billed charges,,,387.05,82,,percent of total billed charges,,,424.81,90,,percent of total billed charges,,,401.21,85,,percent of total billed charges,,355.9,448.41, INTEGRA ACCELL EVO3C 10CC,30182629,CDM,,,278,RC,inpatient,,16508.12,16508.12,,14015.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12447.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14031.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14527.15,88,,percent of total billed charges,,,,,,,,,12612.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15022.39,91,,percent of total billed charges,,,15682.71,95,,percent of total billed charges,,,13701.74,83,,percent of total billed charges,,,13701.74,83,,percent of total billed charges,,,,,,,,,,,,,,,13701.74,83,,percent of total billed charges,,,15682.71,95,,percent of total billed charges,,,14857.31,90,,percent of total billed charges,,,14857.31,90,,percent of total billed charges,,,13536.66,82,,percent of total billed charges,,,14857.31,90,,percent of total billed charges,,,14031.9,85,,percent of total billed charges,,12447.12,15682.71, INTEGRA MOZAIK STRIP 15CC,30182630,CDM,,,278,RC,inpatient,,11235.51,11235.51,,9538.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8471.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9550.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9887.25,88,,percent of total billed charges,,,,,,,,,8583.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10224.31,91,,percent of total billed charges,,,10673.73,95,,percent of total billed charges,,,9325.47,83,,percent of total billed charges,,,9325.47,83,,percent of total billed charges,,,,,,,,,,,,,,,9325.47,83,,percent of total billed charges,,,10673.73,95,,percent of total billed charges,,,10111.96,90,,percent of total billed charges,,,10111.96,90,,percent of total billed charges,,,9213.12,82,,percent of total billed charges,,,10111.96,90,,percent of total billed charges,,,9550.18,85,,percent of total billed charges,,8471.57,10673.73, INTEGRA ASPIREX PLUS BONE MARROW KIT,30182631,CDM,,,270,RC,inpatient,,883.42,883.42,,750.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,666.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,750.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,777.41,88,,percent of total billed charges,,,,,,,,,674.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,803.91,91,,percent of total billed charges,,,839.25,95,,percent of total billed charges,,,733.24,83,,percent of total billed charges,,,733.24,83,,percent of total billed charges,,,,,,,,,,,,,,,733.24,83,,percent of total billed charges,,,839.25,95,,percent of total billed charges,,,795.08,90,,percent of total billed charges,,,795.08,90,,percent of total billed charges,,,724.4,82,,percent of total billed charges,,,795.08,90,,percent of total billed charges,,,750.91,85,,percent of total billed charges,,666.1,839.25, DEPUY NAIL HUMERAL 9 X 220,30182632,CDM,,,278,RC,inpatient,,12857,12857,,10915.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9694.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10928.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11314.16,88,,percent of total billed charges,,,,,,,,,9822.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11699.87,91,,percent of total billed charges,,,12214.15,95,,percent of total billed charges,,,10671.31,83,,percent of total billed charges,,,10671.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10671.31,83,,percent of total billed charges,,,12214.15,95,,percent of total billed charges,,,11571.3,90,,percent of total billed charges,,,11571.3,90,,percent of total billed charges,,,10542.74,82,,percent of total billed charges,,,11571.3,90,,percent of total billed charges,,,10928.45,85,,percent of total billed charges,,9694.18,12214.15, DEPUY NAIL PROXIMAL 10 X 15,30182633,CDM,,,278,RC,inpatient,,6854.25,6854.25,,5819.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5168.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5826.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6031.74,88,,percent of total billed charges,,,,,,,,,5236.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6237.37,91,,percent of total billed charges,,,6511.54,95,,percent of total billed charges,,,5689.03,83,,percent of total billed charges,,,5689.03,83,,percent of total billed charges,,,,,,,,,,,,,,,5689.03,83,,percent of total billed charges,,,6511.54,95,,percent of total billed charges,,,6168.83,90,,percent of total billed charges,,,6168.83,90,,percent of total billed charges,,,5620.49,82,,percent of total billed charges,,,6168.83,90,,percent of total billed charges,,,5826.11,85,,percent of total billed charges,,5168.1,6511.54, DEPUY NAIL HUMERAL 9 X 300,30182634,CDM,,,278,RC,inpatient,,6428.5,6428.5,,5457.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4847.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5464.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5657.08,88,,percent of total billed charges,,,,,,,,,4911.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5849.94,91,,percent of total billed charges,,,6107.08,95,,percent of total billed charges,,,5335.66,83,,percent of total billed charges,,,5335.66,83,,percent of total billed charges,,,,,,,,,,,,,,,5335.66,83,,percent of total billed charges,,,6107.08,95,,percent of total billed charges,,,5785.65,90,,percent of total billed charges,,,5785.65,90,,percent of total billed charges,,,5271.37,82,,percent of total billed charges,,,5785.65,90,,percent of total billed charges,,,5464.23,85,,percent of total billed charges,,4847.09,6107.08, DEPUY POROUS FEMORAL SLEEVE 245,30182635,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY SLEEVE ADAPTER LPS +0MM,30182636,CDM,,,278,RC,inpatient,,6309.03,6309.03,,5356.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4757.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5362.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5551.95,88,,percent of total billed charges,,,,,,,,,4820.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5741.22,91,,percent of total billed charges,,,5993.58,95,,percent of total billed charges,,,5236.49,83,,percent of total billed charges,,,5236.49,83,,percent of total billed charges,,,,,,,,,,,,,,,5236.49,83,,percent of total billed charges,,,5993.58,95,,percent of total billed charges,,,5678.13,90,,percent of total billed charges,,,5678.13,90,,percent of total billed charges,,,5173.4,82,,percent of total billed charges,,,5678.13,90,,percent of total billed charges,,,5362.68,85,,percent of total billed charges,,4757.01,5993.58, DEPUY MBT TRAY SLEEVE 53MM,30182637,CDM,,,278,RC,inpatient,,12860.84,12860.84,,10918.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9697.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10931.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11317.54,88,,percent of total billed charges,,,,,,,,,9825.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11703.36,91,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,10674.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10674.5,83,,percent of total billed charges,,,12217.8,95,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10545.89,82,,percent of total billed charges,,,11574.76,90,,percent of total billed charges,,,10931.71,85,,percent of total billed charges,,9697.07,12217.8, DEPUY FEMUR DISTAL XXSM RT,30182638,CDM,,,278,RC,inpatient,,97092.39,97092.39,,82431.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,73207.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,82528.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,85441.3,88,,percent of total billed charges,,,,,,,,,74178.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,88354.07,91,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,,,,,,,,,,,,,80586.68,83,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,79615.76,82,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,82528.53,85,,percent of total billed charges,,73207.66,92237.77, DEPUY INSERT LPS XXSM 12MM,30182639,CDM,,,278,RC,inpatient,,27579.5,27579.5,,23415,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20794.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23442.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24269.96,88,,percent of total billed charges,,,,,,,,,21070.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25097.35,91,,percent of total billed charges,,,26200.53,95,,percent of total billed charges,,,22890.99,83,,percent of total billed charges,,,22890.99,83,,percent of total billed charges,,,,,,,,,,,,,,,22890.99,83,,percent of total billed charges,,,26200.53,95,,percent of total billed charges,,,24821.55,90,,percent of total billed charges,,,24821.55,90,,percent of total billed charges,,,22615.19,82,,percent of total billed charges,,,24821.55,90,,percent of total billed charges,,,23442.58,85,,percent of total billed charges,,20794.94,26200.53, DEPUY STEM CEMENTED 13 X 120,30182640,CDM,,,278,RC,inpatient,,8116.23,8116.23,,6890.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6119.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6898.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7142.28,88,,percent of total billed charges,,,,,,,,,6200.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7385.77,91,,percent of total billed charges,,,7710.42,95,,percent of total billed charges,,,6736.47,83,,percent of total billed charges,,,6736.47,83,,percent of total billed charges,,,,,,,,,,,,,,,6736.47,83,,percent of total billed charges,,,7710.42,95,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,6655.31,82,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,6898.8,85,,percent of total billed charges,,6119.64,7710.42, DEPUY STEM CEMENTED 13 X 30,30182641,CDM,,,278,RC,inpatient,,6179.68,6179.68,,5246.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4659.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5252.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5438.12,88,,percent of total billed charges,,,,,,,,,4721.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5623.51,91,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,5129.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5129.13,83,,percent of total billed charges,,,5870.7,95,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5067.34,82,,percent of total billed charges,,,5561.71,90,,percent of total billed charges,,,5252.73,85,,percent of total billed charges,,4659.48,5870.7, DEPUY FRACTURE HEAD HIP BALL 41MM,30182643,CDM,,,278,RC,inpatient,,4693.78,4693.78,,3985.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3539.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3989.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4130.53,88,,percent of total billed charges,,,,,,,,,3586.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4271.34,91,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3895.84,83,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3848.9,82,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3989.71,85,,percent of total billed charges,,3539.11,4459.09, S&N ENDO BIORAPTOR KIT 2.9,30182645,CDM,,,270,RC,inpatient,,1910.55,1910.55,,1622.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1440.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1623.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1681.28,88,,percent of total billed charges,,,,,,,,,1459.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1738.6,91,,percent of total billed charges,,,1815.02,95,,percent of total billed charges,,,1585.76,83,,percent of total billed charges,,,1585.76,83,,percent of total billed charges,,,,,,,,,,,,,,,1585.76,83,,percent of total billed charges,,,1815.02,95,,percent of total billed charges,,,1719.5,90,,percent of total billed charges,,,1719.5,90,,percent of total billed charges,,,1566.65,82,,percent of total billed charges,,,1719.5,90,,percent of total billed charges,,,1623.97,85,,percent of total billed charges,,1440.55,1815.02, AVAMAX VERTEBRAL BALLOON TRAY,30182646,CDM,,,270,RC,inpatient,,7475,7475,,6346.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5636.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6353.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6578,88,,percent of total billed charges,,,,,,,,,5710.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6802.25,91,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,,,,,,,,,,,,,6204.25,83,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6129.5,82,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6353.75,85,,percent of total billed charges,,5636.15,7101.25, AUTOLOGOUS CULTURED CHONDROCYTES,30182650,CDM,,,278,RC,inpatient,,225981.6,225981.6,,191858.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,170390.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,192084.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198863.81,88,,percent of total billed charges,,,,,,,,,172649.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,205643.26,91,,percent of total billed charges,,,214682.52,95,,percent of total billed charges,,,187564.73,83,,percent of total billed charges,,,187564.73,83,,percent of total billed charges,,,,,,,,,,,,,,,187564.73,83,,percent of total billed charges,,,214682.52,95,,percent of total billed charges,,,203383.44,90,,percent of total billed charges,,,203383.44,90,,percent of total billed charges,,,185304.91,82,,percent of total billed charges,,,203383.44,90,,percent of total billed charges,,,192084.36,85,,percent of total billed charges,,170390.13,214682.52, DEPUY RENTAL FEE - MORELAND 98-000,30182652,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, DEPUY PINNACLE CUP MULTIHOLE 58MM,30182653,CDM,,,278,RC,inpatient,,16354,16354,,13884.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12330.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13900.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14391.52,88,,percent of total billed charges,,,,,,,,,12494.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14882.14,91,,percent of total billed charges,,,15536.3,95,,percent of total billed charges,,,13573.82,83,,percent of total billed charges,,,13573.82,83,,percent of total billed charges,,,,,,,,,,,,,,,13573.82,83,,percent of total billed charges,,,15536.3,95,,percent of total billed charges,,,14718.6,90,,percent of total billed charges,,,14718.6,90,,percent of total billed charges,,,13410.28,82,,percent of total billed charges,,,14718.6,90,,percent of total billed charges,,,13900.9,85,,percent of total billed charges,,12330.92,15536.3, MICROPORT ADVANCE PATELLA 10MM X 38MM,30182655,CDM,,,278,RC,inpatient,,7163,7163,,6081.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5400.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6088.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6303.44,88,,percent of total billed charges,,,,,,,,,5472.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6518.33,91,,percent of total billed charges,,,6804.85,95,,percent of total billed charges,,,5945.29,83,,percent of total billed charges,,,5945.29,83,,percent of total billed charges,,,,,,,,,,,,,,,5945.29,83,,percent of total billed charges,,,6804.85,95,,percent of total billed charges,,,6446.7,90,,percent of total billed charges,,,6446.7,90,,percent of total billed charges,,,5873.66,82,,percent of total billed charges,,,6446.7,90,,percent of total billed charges,,,6088.55,85,,percent of total billed charges,,5400.9,6804.85, DEPUY INSERT,30182657,CDM,,,278,RC,inpatient,,6061.9,6061.9,,5146.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4570.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5152.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5334.47,88,,percent of total billed charges,,,,,,,,,4631.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5516.33,91,,percent of total billed charges,,,5758.81,95,,percent of total billed charges,,,5031.38,83,,percent of total billed charges,,,5031.38,83,,percent of total billed charges,,,,,,,,,,,,,,,5031.38,83,,percent of total billed charges,,,5758.81,95,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,4970.76,82,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,5152.62,85,,percent of total billed charges,,4570.67,5758.81, MESH VENTRALIGHT W/ECHO 3X3,30182660,CDM,,,278,RC,inpatient,,3315,3315,,2814.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2499.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2817.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2917.2,88,,percent of total billed charges,,,,,,,,,2532.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3016.65,91,,percent of total billed charges,,,3149.25,95,,percent of total billed charges,,,2751.45,83,,percent of total billed charges,,,2751.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2751.45,83,,percent of total billed charges,,,3149.25,95,,percent of total billed charges,,,2983.5,90,,percent of total billed charges,,,2983.5,90,,percent of total billed charges,,,2718.3,82,,percent of total billed charges,,,2983.5,90,,percent of total billed charges,,,2817.75,85,,percent of total billed charges,,2499.51,3149.25, DRILL BIT SENTINEL CANNULATED 10X229MM,30182663,CDM,,,270,RC,inpatient,,864.76,864.76,,734.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,652.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,735.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,760.99,88,,percent of total billed charges,,,,,,,,,660.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,786.93,91,,percent of total billed charges,,,821.52,95,,percent of total billed charges,,,717.75,83,,percent of total billed charges,,,717.75,83,,percent of total billed charges,,,,,,,,,,,,,,,717.75,83,,percent of total billed charges,,,821.52,95,,percent of total billed charges,,,778.28,90,,percent of total billed charges,,,778.28,90,,percent of total billed charges,,,709.1,82,,percent of total billed charges,,,778.28,90,,percent of total billed charges,,,735.05,85,,percent of total billed charges,,652.03,821.52, DRILL BIT Y-KNOT,30182665,CDM,,,270,RC,inpatient,,665,665,,564.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,501.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,565.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,585.2,88,,percent of total billed charges,,,,,,,,,508.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,605.15,91,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,,,,,,,,,,,,,551.95,83,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,545.3,82,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,565.25,85,,percent of total billed charges,,501.41,631.75, DEPUY STEM HUMERAL SZ11,30182666,CDM,,,278,RC,inpatient,,49679.57,49679.57,,42177.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37458.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,42227.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,43718.02,88,,percent of total billed charges,,,,,,,,,37955.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,45208.41,91,,percent of total billed charges,,,47195.59,95,,percent of total billed charges,,,41234.04,83,,percent of total billed charges,,,41234.04,83,,percent of total billed charges,,,,,,,,,,,,,,,41234.04,83,,percent of total billed charges,,,47195.59,95,,percent of total billed charges,,,44711.61,90,,percent of total billed charges,,,44711.61,90,,percent of total billed charges,,,40737.25,82,,percent of total billed charges,,,44711.61,90,,percent of total billed charges,,,42227.63,85,,percent of total billed charges,,37458.4,47195.59, DEPUY ECC GLENOSPHERE 42MM,30182667,CDM,,,278,RC,inpatient,,19816.55,19816.55,,16824.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14941.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16844.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17438.56,88,,percent of total billed charges,,,,,,,,,15139.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18033.06,91,,percent of total billed charges,,,18825.72,95,,percent of total billed charges,,,16447.74,83,,percent of total billed charges,,,16447.74,83,,percent of total billed charges,,,,,,,,,,,,,,,16447.74,83,,percent of total billed charges,,,18825.72,95,,percent of total billed charges,,,17834.9,90,,percent of total billed charges,,,17834.9,90,,percent of total billed charges,,,16249.57,82,,percent of total billed charges,,,17834.9,90,,percent of total billed charges,,,16844.07,85,,percent of total billed charges,,14941.68,18825.72, DEPUY SPACER +9,30182668,CDM,,,278,RC,inpatient,,16003.46,16003.46,,13586.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12066.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13602.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14083.04,88,,percent of total billed charges,,,,,,,,,12226.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14563.15,91,,percent of total billed charges,,,15203.29,95,,percent of total billed charges,,,13282.87,83,,percent of total billed charges,,,13282.87,83,,percent of total billed charges,,,,,,,,,,,,,,,13282.87,83,,percent of total billed charges,,,15203.29,95,,percent of total billed charges,,,14403.11,90,,percent of total billed charges,,,14403.11,90,,percent of total billed charges,,,13122.84,82,,percent of total billed charges,,,14403.11,90,,percent of total billed charges,,,13602.94,85,,percent of total billed charges,,12066.61,15203.29, DEPUY HUMERAL CUP 42+6,30182669,CDM,,,278,RC,inpatient,,13066.69,13066.69,,11093.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9852.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11106.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11498.69,88,,percent of total billed charges,,,,,,,,,9982.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11890.69,91,,percent of total billed charges,,,12413.36,95,,percent of total billed charges,,,10845.35,83,,percent of total billed charges,,,10845.35,83,,percent of total billed charges,,,,,,,,,,,,,,,10845.35,83,,percent of total billed charges,,,12413.36,95,,percent of total billed charges,,,11760.02,90,,percent of total billed charges,,,11760.02,90,,percent of total billed charges,,,10714.69,82,,percent of total billed charges,,,11760.02,90,,percent of total billed charges,,,11106.69,85,,percent of total billed charges,,9852.28,12413.36, RTI HUMERUS PROXIMAL RIGHT,30182670,CDM,,,278,RC,inpatient,,20150,20150,,17107.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15193.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17127.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17732,88,,percent of total billed charges,,,,,,,,,15394.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18336.5,91,,percent of total billed charges,,,19142.5,95,,percent of total billed charges,,,16724.5,83,,percent of total billed charges,,,16724.5,83,,percent of total billed charges,,,,,,,,,,,,,,,16724.5,83,,percent of total billed charges,,,19142.5,95,,percent of total billed charges,,,18135,90,,percent of total billed charges,,,18135,90,,percent of total billed charges,,,16523,82,,percent of total billed charges,,,18135,90,,percent of total billed charges,,,17127.5,85,,percent of total billed charges,,15193.1,19142.5, INTEGRA ACCELL EVO3C 5CC,30182671,CDM,,,270,RC,inpatient,,8885.11,8885.11,,7543.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6699.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7552.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7818.9,88,,percent of total billed charges,,,,,,,,,6788.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8085.45,91,,percent of total billed charges,,,8440.85,95,,percent of total billed charges,,,7374.64,83,,percent of total billed charges,,,7374.64,83,,percent of total billed charges,,,,,,,,,,,,,,,7374.64,83,,percent of total billed charges,,,8440.85,95,,percent of total billed charges,,,7996.6,90,,percent of total billed charges,,,7996.6,90,,percent of total billed charges,,,7285.79,82,,percent of total billed charges,,,7996.6,90,,percent of total billed charges,,,7552.34,85,,percent of total billed charges,,6699.37,8440.85, AMNIOTIC ALLOGRAFT 3CM X 3CM,30182672,CDM,,,278,RC,inpatient,,8092.5,8092.5,,6870.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6101.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6878.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7121.4,88,,percent of total billed charges,,,,,,,,,6182.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7364.18,91,,percent of total billed charges,,,7687.88,95,,percent of total billed charges,,,6716.78,83,,percent of total billed charges,,,6716.78,83,,percent of total billed charges,,,,,,,,,,,,,,,6716.78,83,,percent of total billed charges,,,7687.88,95,,percent of total billed charges,,,7283.25,90,,percent of total billed charges,,,7283.25,90,,percent of total billed charges,,,6635.85,82,,percent of total billed charges,,,7283.25,90,,percent of total billed charges,,,6878.63,85,,percent of total billed charges,,6101.75,7687.88, DEPUY DISTAL AUGMENT RT 8MM SZ3.0,30182676,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, SYNTHES SCREW CANNUL 6.5X70MM,30182677,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANNUL 6.5X85MM,30182678,CDM,,,278,RC,inpatient,,2696.27,2696.27,,2289.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2032.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2291.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2372.72,88,,percent of total billed charges,,,,,,,,,2059.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2453.61,91,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2237.9,83,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2210.94,82,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2291.83,85,,percent of total billed charges,,2032.99,2561.46, DEPUY FEMUR TC3 RT SZ3,30182682,CDM,,,278,RC,inpatient,,36489.7,36489.7,,30979.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27513.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31016.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32110.94,88,,percent of total billed charges,,,,,,,,,27878.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33205.63,91,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,30286.45,83,,percent of total billed charges,,,,,,,,,,,,,,,30286.45,83,,percent of total billed charges,,,34665.22,95,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,29921.55,82,,percent of total billed charges,,,32840.73,90,,percent of total billed charges,,,31016.25,85,,percent of total billed charges,,27513.23,34665.22, DEPUY INSERT TIBIAL AOX 10MM SZ4,30182685,CDM,,,278,RC,inpatient,,17068.29,17068.29,,14490.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12869.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14508.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15020.1,88,,percent of total billed charges,,,,,,,,,13040.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15532.14,91,,percent of total billed charges,,,16214.88,95,,percent of total billed charges,,,14166.68,83,,percent of total billed charges,,,14166.68,83,,percent of total billed charges,,,,,,,,,,,,,,,14166.68,83,,percent of total billed charges,,,16214.88,95,,percent of total billed charges,,,15361.46,90,,percent of total billed charges,,,15361.46,90,,percent of total billed charges,,,13996,82,,percent of total billed charges,,,15361.46,90,,percent of total billed charges,,,14508.05,85,,percent of total billed charges,,12869.49,16214.88, SYNTHES GUIDEWIRE 1.6MM,30182693,CDM,,,270,RC,inpatient,,446.25,446.25,,378.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,336.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,379.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,392.7,88,,percent of total billed charges,,,,,,,,,340.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,406.09,91,,percent of total billed charges,,,423.94,95,,percent of total billed charges,,,370.39,83,,percent of total billed charges,,,370.39,83,,percent of total billed charges,,,,,,,,,,,,,,,370.39,83,,percent of total billed charges,,,423.94,95,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,365.93,82,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,379.31,85,,percent of total billed charges,,336.47,423.94, CARTICEL ESSENTIALS KIT,30182694,CDM,,,270,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, DEPUY STEM SUMMIT BASIC SZ3,30182695,CDM,,,278,RC,inpatient,,10372.96,10372.96,,8806.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7821.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8817.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9128.2,88,,percent of total billed charges,,,,,,,,,7924.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9439.39,91,,percent of total billed charges,,,9854.31,95,,percent of total billed charges,,,8609.56,83,,percent of total billed charges,,,8609.56,83,,percent of total billed charges,,,,,,,,,,,,,,,8609.56,83,,percent of total billed charges,,,9854.31,95,,percent of total billed charges,,,9335.66,90,,percent of total billed charges,,,9335.66,90,,percent of total billed charges,,,8505.83,82,,percent of total billed charges,,,9335.66,90,,percent of total billed charges,,,8817.02,85,,percent of total billed charges,,7821.21,9854.31, DEPUY OSTEOTOME RADIAL 10MM X 5,30182696,CDM,,,278,RC,inpatient,,5167.5,5167.5,,4387.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3896.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4392.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4547.4,88,,percent of total billed charges,,,,,,,,,3947.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4702.43,91,,percent of total billed charges,,,4909.13,95,,percent of total billed charges,,,4289.03,83,,percent of total billed charges,,,4289.03,83,,percent of total billed charges,,,,,,,,,,,,,,,4289.03,83,,percent of total billed charges,,,4909.13,95,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4237.35,82,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4392.38,85,,percent of total billed charges,,3896.3,4909.13, ZIMMER DRILL BIT 4.5MM,30182698,CDM,,,270,RC,inpatient,,230.7,230.7,,195.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,173.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,196.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,203.02,88,,percent of total billed charges,,,,,,,,,176.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,209.94,91,,percent of total billed charges,,,219.17,95,,percent of total billed charges,,,191.48,83,,percent of total billed charges,,,191.48,83,,percent of total billed charges,,,,,,,,,,,,,,,191.48,83,,percent of total billed charges,,,219.17,95,,percent of total billed charges,,,207.63,90,,percent of total billed charges,,,207.63,90,,percent of total billed charges,,,189.17,82,,percent of total billed charges,,,207.63,90,,percent of total billed charges,,,196.1,85,,percent of total billed charges,,173.95,219.17, INTEGRA ACCELL EVO3C 2.5CC,30182699,CDM,,,270,RC,inpatient,,5074.29,5074.29,,4308.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3826.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4313.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4465.38,88,,percent of total billed charges,,,,,,,,,3876.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4617.6,91,,percent of total billed charges,,,4820.58,95,,percent of total billed charges,,,4211.66,83,,percent of total billed charges,,,4211.66,83,,percent of total billed charges,,,,,,,,,,,,,,,4211.66,83,,percent of total billed charges,,,4820.58,95,,percent of total billed charges,,,4566.86,90,,percent of total billed charges,,,4566.86,90,,percent of total billed charges,,,4160.92,82,,percent of total billed charges,,,4566.86,90,,percent of total billed charges,,,4313.15,85,,percent of total billed charges,,3826.01,4820.58, DEPUY DISTAL AUGMENT RT 4MM SZ4.0,30182701,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, ALLOSOURCE 1/3 FEMORAL STRUT 20CM,30182702,CDM,,,278,RC,inpatient,,4043,4043,,3432.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3048.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3436.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3557.84,88,,percent of total billed charges,,,,,,,,,3088.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3679.13,91,,percent of total billed charges,,,3840.85,95,,percent of total billed charges,,,3355.69,83,,percent of total billed charges,,,3355.69,83,,percent of total billed charges,,,,,,,,,,,,,,,3355.69,83,,percent of total billed charges,,,3840.85,95,,percent of total billed charges,,,3638.7,90,,percent of total billed charges,,,3638.7,90,,percent of total billed charges,,,3315.26,82,,percent of total billed charges,,,3638.7,90,,percent of total billed charges,,,3436.55,85,,percent of total billed charges,,3048.42,3840.85, ALLOSOURCE 1/3 FEMORAL STRUT 30CM,30182703,CDM,,,278,RC,inpatient,,5011.5,5011.5,,4254.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3778.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4259.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4410.12,88,,percent of total billed charges,,,,,,,,,3828.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4560.47,91,,percent of total billed charges,,,4760.93,95,,percent of total billed charges,,,4159.55,83,,percent of total billed charges,,,4159.55,83,,percent of total billed charges,,,,,,,,,,,,,,,4159.55,83,,percent of total billed charges,,,4760.93,95,,percent of total billed charges,,,4510.35,90,,percent of total billed charges,,,4510.35,90,,percent of total billed charges,,,4109.43,82,,percent of total billed charges,,,4510.35,90,,percent of total billed charges,,,4259.78,85,,percent of total billed charges,,3778.67,4760.93, MTF AFT STRAIGHT TUBE,30182720,CDM,,,278,RC,inpatient,,1092,1092,,927.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,823.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,928.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,960.96,88,,percent of total billed charges,,,,,,,,,834.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,993.72,91,,percent of total billed charges,,,1037.4,95,,percent of total billed charges,,,906.36,83,,percent of total billed charges,,,906.36,83,,percent of total billed charges,,,,,,,,,,,,,,,906.36,83,,percent of total billed charges,,,1037.4,95,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,895.44,82,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,928.2,85,,percent of total billed charges,,823.37,1037.4, MTF AFT DIVERTED TUBE,30182721,CDM,,,278,RC,inpatient,,1612,1612,,1368.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1215.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1370.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1418.56,88,,percent of total billed charges,,,,,,,,,1231.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1466.92,91,,percent of total billed charges,,,1531.4,95,,percent of total billed charges,,,1337.96,83,,percent of total billed charges,,,1337.96,83,,percent of total billed charges,,,,,,,,,,,,,,,1337.96,83,,percent of total billed charges,,,1531.4,95,,percent of total billed charges,,,1450.8,90,,percent of total billed charges,,,1450.8,90,,percent of total billed charges,,,1321.84,82,,percent of total billed charges,,,1450.8,90,,percent of total billed charges,,,1370.2,85,,percent of total billed charges,,1215.45,1531.4, SYNTHES SCREW LOCKING 3.5X34MM,30182723,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, SYNTHES SCREW LOCKING 3.5X38MM,30182724,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, SYNTHES SCREW LOCKING 3.5X50MM,30182725,CDM,,,278,RC,inpatient,,1217.84,1217.84,,1033.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,918.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1035.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1071.7,88,,percent of total billed charges,,,,,,,,,930.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1108.23,91,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1010.81,83,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,998.63,82,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1035.16,85,,percent of total billed charges,,918.25,1156.95, DIOMED SCREW SET 9.9MM,30182729,CDM,,,278,RC,inpatient,,1488.5,1488.5,,1263.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1122.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1265.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1309.88,88,,percent of total billed charges,,,,,,,,,1137.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1354.54,91,,percent of total billed charges,,,1414.08,95,,percent of total billed charges,,,1235.46,83,,percent of total billed charges,,,1235.46,83,,percent of total billed charges,,,,,,,,,,,,,,,1235.46,83,,percent of total billed charges,,,1414.08,95,,percent of total billed charges,,,1339.65,90,,percent of total billed charges,,,1339.65,90,,percent of total billed charges,,,1220.57,82,,percent of total billed charges,,,1339.65,90,,percent of total billed charges,,,1265.23,85,,percent of total billed charges,,1122.33,1414.08, BIOGIDE PATCH 40X50MM,30182736,CDM,,,278,RC,inpatient,,2535,2535,,2152.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1911.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2154.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2230.8,88,,percent of total billed charges,,,,,,,,,1936.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2306.85,91,,percent of total billed charges,,,2408.25,95,,percent of total billed charges,,,2104.05,83,,percent of total billed charges,,,2104.05,83,,percent of total billed charges,,,,,,,,,,,,,,,2104.05,83,,percent of total billed charges,,,2408.25,95,,percent of total billed charges,,,2281.5,90,,percent of total billed charges,,,2281.5,90,,percent of total billed charges,,,2078.7,82,,percent of total billed charges,,,2281.5,90,,percent of total billed charges,,,2154.75,85,,percent of total billed charges,,1911.39,2408.25, DEPUY DISTAL AUGMENT LT 4MM SZ4.0,30182737,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, ALLERGAN NATRELLE SIZER 339CC,30182738,CDM,,,270,RC,inpatient,,1625,1625,,1379.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1225.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1381.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1430,88,,percent of total billed charges,,,,,,,,,1241.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1478.75,91,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1348.75,83,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1332.5,82,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1381.25,85,,percent of total billed charges,,1225.25,1543.75, DEPUY PINNACLE CUP REVISION 58MM,30182739,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, DEPUY CERAMIC HEAD 32MM +1MM TS,30182740,CDM,,,278,RC,inpatient,,14631.05,14631.05,,12421.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11031.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12436.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12875.32,88,,percent of total billed charges,,,,,,,,,11178.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13314.26,91,,percent of total billed charges,,,13899.5,95,,percent of total billed charges,,,12143.77,83,,percent of total billed charges,,,12143.77,83,,percent of total billed charges,,,,,,,,,,,,,,,12143.77,83,,percent of total billed charges,,,13899.5,95,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,11997.46,82,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,12436.39,85,,percent of total billed charges,,11031.81,13899.5, OBTRYX HALO SLING,30182745,CDM,,,270,RC,inpatient,,9109.1,9109.1,,7733.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6868.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7742.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8016.01,88,,percent of total billed charges,,,,,,,,,6959.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8289.28,91,,percent of total billed charges,,,8653.65,95,,percent of total billed charges,,,7560.55,83,,percent of total billed charges,,,7560.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7560.55,83,,percent of total billed charges,,,8653.65,95,,percent of total billed charges,,,8198.19,90,,percent of total billed charges,,,8198.19,90,,percent of total billed charges,,,7469.46,82,,percent of total billed charges,,,8198.19,90,,percent of total billed charges,,,7742.74,85,,percent of total billed charges,,6868.26,8653.65, SURGICAL PATTIES 1/2 X 1.5,30182746,CDM,,,270,RC,inpatient,,21.56,21.56,,18.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18.97,88,,percent of total billed charges,,,,,,,,,16.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.62,91,,percent of total billed charges,,,20.48,95,,percent of total billed charges,,,17.89,83,,percent of total billed charges,,,17.89,83,,percent of total billed charges,,,,,,,,,,,,,,,17.89,83,,percent of total billed charges,,,20.48,95,,percent of total billed charges,,,19.4,90,,percent of total billed charges,,,19.4,90,,percent of total billed charges,,,17.68,82,,percent of total billed charges,,,19.4,90,,percent of total billed charges,,,18.33,85,,percent of total billed charges,,16.26,20.48, I.L.A. LASER END-FIRE,30182748,CDM,,,270,RC,inpatient,,1625,1625,,1379.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1225.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1381.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1430,88,,percent of total billed charges,,,,,,,,,1241.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1478.75,91,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1348.75,83,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1332.5,82,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1381.25,85,,percent of total billed charges,,1225.25,1543.75, MTF AFT DIVERTED BONE TUBE,30182749,CDM,,,278,RC,inpatient,,1612,1612,,1368.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1215.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1370.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1418.56,88,,percent of total billed charges,,,,,,,,,1231.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1466.92,91,,percent of total billed charges,,,1531.4,95,,percent of total billed charges,,,1337.96,83,,percent of total billed charges,,,1337.96,83,,percent of total billed charges,,,,,,,,,,,,,,,1337.96,83,,percent of total billed charges,,,1531.4,95,,percent of total billed charges,,,1450.8,90,,percent of total billed charges,,,1450.8,90,,percent of total billed charges,,,1321.84,82,,percent of total billed charges,,,1450.8,90,,percent of total billed charges,,,1370.2,85,,percent of total billed charges,,1215.45,1531.4, CAPIO DELIVERY DEVICE,30182761,CDM,,,270,RC,inpatient,,9301.5,9301.5,,7896.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7013.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7906.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8185.32,88,,percent of total billed charges,,,,,,,,,7106.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8464.37,91,,percent of total billed charges,,,8836.43,95,,percent of total billed charges,,,7720.25,83,,percent of total billed charges,,,7720.25,83,,percent of total billed charges,,,,,,,,,,,,,,,7720.25,83,,percent of total billed charges,,,8836.43,95,,percent of total billed charges,,,8371.35,90,,percent of total billed charges,,,8371.35,90,,percent of total billed charges,,,7627.23,82,,percent of total billed charges,,,8371.35,90,,percent of total billed charges,,,7906.28,85,,percent of total billed charges,,7013.33,8836.43, ARIS PROCESSED DERMIS 6X12CM,30182763,CDM,,,270,RC,inpatient,,12740,12740,,10816.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9605.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10829,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11211.2,88,,percent of total billed charges,,,,,,,,,9733.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11593.4,91,,percent of total billed charges,,,12103,95,,percent of total billed charges,,,10574.2,83,,percent of total billed charges,,,10574.2,83,,percent of total billed charges,,,,,,,,,,,,,,,10574.2,83,,percent of total billed charges,,,12103,95,,percent of total billed charges,,,11466,90,,percent of total billed charges,,,11466,90,,percent of total billed charges,,,10446.8,82,,percent of total billed charges,,,11466,90,,percent of total billed charges,,,10829,85,,percent of total billed charges,,9605.96,12103, ALLERGAN SILICONE BREAST IMPLANT 650CC,30182764,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, GUIDEWIRE CORE URO PTFE .038,30182765,CDM,,,270,RC,inpatient,,149.68,149.68,,127.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,112.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,127.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,131.72,88,,percent of total billed charges,,,,,,,,,114.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,136.21,91,,percent of total billed charges,,,142.2,95,,percent of total billed charges,,,124.23,83,,percent of total billed charges,,,124.23,83,,percent of total billed charges,,,,,,,,,,,,,,,124.23,83,,percent of total billed charges,,,142.2,95,,percent of total billed charges,,,134.71,90,,percent of total billed charges,,,134.71,90,,percent of total billed charges,,,122.74,82,,percent of total billed charges,,,134.71,90,,percent of total billed charges,,,127.23,85,,percent of total billed charges,,112.86,142.2, MYOSURE TISSUE REMOVAL DEVICE,30182768,CDM,,,270,RC,inpatient,,8417.5,8417.5,,7146.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6346.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7154.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7407.4,88,,percent of total billed charges,,,,,,,,,6430.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7659.93,91,,percent of total billed charges,,,7996.63,95,,percent of total billed charges,,,6986.53,83,,percent of total billed charges,,,6986.53,83,,percent of total billed charges,,,,,,,,,,,,,,,6986.53,83,,percent of total billed charges,,,7996.63,95,,percent of total billed charges,,,7575.75,90,,percent of total billed charges,,,7575.75,90,,percent of total billed charges,,,6902.35,82,,percent of total billed charges,,,7575.75,90,,percent of total billed charges,,,7154.88,85,,percent of total billed charges,,6346.8,7996.63, DEPUY LINER CONSTRAINED +4 36 X 60,30182769,CDM,,,278,RC,inpatient,,33951.78,33951.78,,28825.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25599.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28859.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29877.57,88,,percent of total billed charges,,,,,,,,,25939.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30896.12,91,,percent of total billed charges,,,32254.19,95,,percent of total billed charges,,,28179.98,83,,percent of total billed charges,,,28179.98,83,,percent of total billed charges,,,,,,,,,,,,,,,28179.98,83,,percent of total billed charges,,,32254.19,95,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,27840.46,82,,percent of total billed charges,,,30556.6,90,,percent of total billed charges,,,28859.01,85,,percent of total billed charges,,25599.64,32254.19, DEPUY CERAMIC HEAD 36MM +12,30182770,CDM,,,278,RC,inpatient,,8767.27,8767.27,,7443.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6610.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7452.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7715.2,88,,percent of total billed charges,,,,,,,,,6698.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7978.22,91,,percent of total billed charges,,,8328.91,95,,percent of total billed charges,,,7276.83,83,,percent of total billed charges,,,7276.83,83,,percent of total billed charges,,,,,,,,,,,,,,,7276.83,83,,percent of total billed charges,,,8328.91,95,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7189.16,82,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7452.18,85,,percent of total billed charges,,6610.52,8328.91, AMNIOTIC ALLOGRAFT 2CM X 3CM,30182773,CDM,,,278,RC,inpatient,,6142.5,6142.5,,5214.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4631.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5221.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5405.4,88,,percent of total billed charges,,,,,,,,,4692.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5589.68,91,,percent of total billed charges,,,5835.38,95,,percent of total billed charges,,,5098.28,83,,percent of total billed charges,,,5098.28,83,,percent of total billed charges,,,,,,,,,,,,,,,5098.28,83,,percent of total billed charges,,,5835.38,95,,percent of total billed charges,,,5528.25,90,,percent of total billed charges,,,5528.25,90,,percent of total billed charges,,,5036.85,82,,percent of total billed charges,,,5528.25,90,,percent of total billed charges,,,5221.13,85,,percent of total billed charges,,4631.45,5835.38, DEPUY LINER ALTRX NEUT 36 X 54,30182775,CDM,,,278,RC,inpatient,,12874.42,12874.42,,10930.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9707.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10943.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11329.49,88,,percent of total billed charges,,,,,,,,,9836.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11715.72,91,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10685.77,83,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10557.02,82,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10943.26,85,,percent of total billed charges,,9707.31,12230.7, MESH VENTRALIGHT W/ECHO 6X10,30182776,CDM,,,270,RC,inpatient,,9067.5,9067.5,,7698.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6836.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7707.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7979.4,88,,percent of total billed charges,,,,,,,,,6927.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8251.43,91,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,,,,,,,,,,,,,7526.03,83,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7435.35,82,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7707.38,85,,percent of total billed charges,,6836.9,8614.13, MESH VENTRALIGHT W/ECHO 10x13,30182777,CDM,,,270,RC,inpatient,,14787.5,14787.5,,12554.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11149.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12569.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13013,88,,percent of total billed charges,,,,,,,,,11297.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13456.63,91,,percent of total billed charges,,,14048.13,95,,percent of total billed charges,,,12273.63,83,,percent of total billed charges,,,12273.63,83,,percent of total billed charges,,,,,,,,,,,,,,,12273.63,83,,percent of total billed charges,,,14048.13,95,,percent of total billed charges,,,13308.75,90,,percent of total billed charges,,,13308.75,90,,percent of total billed charges,,,12125.75,82,,percent of total billed charges,,,13308.75,90,,percent of total billed charges,,,12569.38,85,,percent of total billed charges,,11149.78,14048.13, MESH VENTRALIGHT STD 8X10,30182778,CDM,,,278,RC,inpatient,,8385,8385,,7118.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6322.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7127.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7378.8,88,,percent of total billed charges,,,,,,,,,6406.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7630.35,91,,percent of total billed charges,,,7965.75,95,,percent of total billed charges,,,6959.55,83,,percent of total billed charges,,,6959.55,83,,percent of total billed charges,,,,,,,,,,,,,,,6959.55,83,,percent of total billed charges,,,7965.75,95,,percent of total billed charges,,,7546.5,90,,percent of total billed charges,,,7546.5,90,,percent of total billed charges,,,6875.7,82,,percent of total billed charges,,,7546.5,90,,percent of total billed charges,,,7127.25,85,,percent of total billed charges,,6322.29,7965.75, DEPUY STEM CORAIL SZ16,30182779,CDM,,,278,RC,inpatient,,33799.35,33799.35,,28695.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25484.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28729.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29743.43,88,,percent of total billed charges,,,,,,,,,25822.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30757.41,91,,percent of total billed charges,,,32109.38,95,,percent of total billed charges,,,28053.46,83,,percent of total billed charges,,,28053.46,83,,percent of total billed charges,,,,,,,,,,,,,,,28053.46,83,,percent of total billed charges,,,32109.38,95,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,27715.47,82,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,28729.45,85,,percent of total billed charges,,25484.71,32109.38, S&N ENDO ANCHOR 2.9,30182784,CDM,,,270,RC,inpatient,,2255.5,2255.5,,1914.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1700.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1917.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1984.84,88,,percent of total billed charges,,,,,,,,,1723.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2052.51,91,,percent of total billed charges,,,2142.73,95,,percent of total billed charges,,,1872.07,83,,percent of total billed charges,,,1872.07,83,,percent of total billed charges,,,,,,,,,,,,,,,1872.07,83,,percent of total billed charges,,,2142.73,95,,percent of total billed charges,,,2029.95,90,,percent of total billed charges,,,2029.95,90,,percent of total billed charges,,,1849.51,82,,percent of total billed charges,,,2029.95,90,,percent of total billed charges,,,1917.18,85,,percent of total billed charges,,1700.65,2142.73, DEPUY FEMORAL HEAD 36MM +12,30182785,CDM,,,278,RC,inpatient,,8569.34,8569.34,,7275.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6461.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7283.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7541.02,88,,percent of total billed charges,,,,,,,,,6546.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7798.1,91,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7112.55,83,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7026.86,82,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7283.94,85,,percent of total billed charges,,6461.28,8140.87, DOUBLE ARMED SUTURE NEEDLE - 8538,30182786,CDM,,,270,RC,inpatient,,193.28,193.28,,164.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,145.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,164.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,170.09,88,,percent of total billed charges,,,,,,,,,147.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,175.88,91,,percent of total billed charges,,,183.62,95,,percent of total billed charges,,,160.42,83,,percent of total billed charges,,,160.42,83,,percent of total billed charges,,,,,,,,,,,,,,,160.42,83,,percent of total billed charges,,,183.62,95,,percent of total billed charges,,,173.95,90,,percent of total billed charges,,,173.95,90,,percent of total billed charges,,,158.49,82,,percent of total billed charges,,,173.95,90,,percent of total billed charges,,,164.29,85,,percent of total billed charges,,145.73,183.62, RTI PATELLAR TENDON GRAFT 11MMX100,30182787,CDM,,,278,RC,inpatient,,23400,23400,,19866.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17643.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19890,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20592,88,,percent of total billed charges,,,,,,,,,17877.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21294,91,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,,,,,,,,,,,,,19422,83,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19188,82,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19890,85,,percent of total billed charges,,17643.6,22230, BALLOON DILATATION UROMAXULTRA,30182793,CDM,,,270,RC,inpatient,,1576.9,1576.9,,1338.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1188.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1340.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1387.67,88,,percent of total billed charges,,,,,,,,,1204.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1434.98,91,,percent of total billed charges,,,1498.06,95,,percent of total billed charges,,,1308.83,83,,percent of total billed charges,,,1308.83,83,,percent of total billed charges,,,,,,,,,,,,,,,1308.83,83,,percent of total billed charges,,,1498.06,95,,percent of total billed charges,,,1419.21,90,,percent of total billed charges,,,1419.21,90,,percent of total billed charges,,,1293.06,82,,percent of total billed charges,,,1419.21,90,,percent of total billed charges,,,1340.37,85,,percent of total billed charges,,1188.98,1498.06, STONE RETRIEVAL BASKET1.9FRX120CM,30182794,CDM,,,270,RC,inpatient,,1344.2,1344.2,,1141.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1013.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1142.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1182.9,88,,percent of total billed charges,,,,,,,,,1026.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1223.22,91,,percent of total billed charges,,,1276.99,95,,percent of total billed charges,,,1115.69,83,,percent of total billed charges,,,1115.69,83,,percent of total billed charges,,,,,,,,,,,,,,,1115.69,83,,percent of total billed charges,,,1276.99,95,,percent of total billed charges,,,1209.78,90,,percent of total billed charges,,,1209.78,90,,percent of total billed charges,,,1102.24,82,,percent of total billed charges,,,1209.78,90,,percent of total billed charges,,,1142.57,85,,percent of total billed charges,,1013.53,1276.99, ZIMMER CEMENT PALACOS-R,30182799,CDM,,,278,RC,inpatient,,1235,1235,,1048.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,931.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1049.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1086.8,88,,percent of total billed charges,,,,,,,,,943.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1123.85,91,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,,,,,,,,,,,,,1025.05,83,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1012.7,82,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1049.75,85,,percent of total billed charges,,931.19,1173.25, GENESYS HTA KIT,30182800,CDM,,,270,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, ESU PENCIL WAND STERILE SMALL TIP,30182801,CDM,,,270,RC,inpatient,,243.75,243.75,,206.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,183.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,207.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,214.5,88,,percent of total billed charges,,,,,,,,,186.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,221.81,91,,percent of total billed charges,,,231.56,95,,percent of total billed charges,,,202.31,83,,percent of total billed charges,,,202.31,83,,percent of total billed charges,,,,,,,,,,,,,,,202.31,83,,percent of total billed charges,,,231.56,95,,percent of total billed charges,,,219.38,90,,percent of total billed charges,,,219.38,90,,percent of total billed charges,,,199.88,82,,percent of total billed charges,,,219.38,90,,percent of total billed charges,,,207.19,85,,percent of total billed charges,,183.79,231.56, S&N ENDO SCREW SOFT SILK 8 X 25,30182802,CDM,,,278,RC,inpatient,,1417,1417,,1203.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1068.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1204.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1246.96,88,,percent of total billed charges,,,,,,,,,1082.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1289.47,91,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,,,,,,,,,,,,,1176.11,83,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1161.94,82,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1204.45,85,,percent of total billed charges,,1068.42,1346.15, S&N ENDO DRILL BIT 10.0,30182803,CDM,,,270,RC,inpatient,,3120,3120,,2648.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2352.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2652,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2745.6,88,,percent of total billed charges,,,,,,,,,2383.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2839.2,91,,percent of total billed charges,,,2964,95,,percent of total billed charges,,,2589.6,83,,percent of total billed charges,,,2589.6,83,,percent of total billed charges,,,,,,,,,,,,,,,2589.6,83,,percent of total billed charges,,,2964,95,,percent of total billed charges,,,2808,90,,percent of total billed charges,,,2808,90,,percent of total billed charges,,,2558.4,82,,percent of total billed charges,,,2808,90,,percent of total billed charges,,,2652,85,,percent of total billed charges,,2352.48,2964, BONE PUTTY OS-401,30182814,CDM,,,278,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, BONE PUTTY APPLIER,30182815,CDM,,,278,RC,inpatient,,2593.5,2593.5,,2201.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1955.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2204.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2282.28,88,,percent of total billed charges,,,,,,,,,1981.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2360.09,91,,percent of total billed charges,,,2463.83,95,,percent of total billed charges,,,2152.61,83,,percent of total billed charges,,,2152.61,83,,percent of total billed charges,,,,,,,,,,,,,,,2152.61,83,,percent of total billed charges,,,2463.83,95,,percent of total billed charges,,,2334.15,90,,percent of total billed charges,,,2334.15,90,,percent of total billed charges,,,2126.67,82,,percent of total billed charges,,,2334.15,90,,percent of total billed charges,,,2204.48,85,,percent of total billed charges,,1955.5,2463.83, S&N ENDO PROCEDURE KIT,30182816,CDM,,,270,RC,inpatient,,2288,2288,,1942.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1725.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1944.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2013.44,88,,percent of total billed charges,,,,,,,,,1748.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2082.08,91,,percent of total billed charges,,,2173.6,95,,percent of total billed charges,,,1899.04,83,,percent of total billed charges,,,1899.04,83,,percent of total billed charges,,,,,,,,,,,,,,,1899.04,83,,percent of total billed charges,,,2173.6,95,,percent of total billed charges,,,2059.2,90,,percent of total billed charges,,,2059.2,90,,percent of total billed charges,,,1876.16,82,,percent of total billed charges,,,2059.2,90,,percent of total billed charges,,,1944.8,85,,percent of total billed charges,,1725.15,2173.6, S&N ENDO BLADE SHAVER 2.9,30182817,CDM,,,270,RC,inpatient,,4283.5,4283.5,,3636.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3640.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3769.48,88,,percent of total billed charges,,,,,,,,,3272.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3897.99,91,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,3555.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3555.31,83,,percent of total billed charges,,,4069.33,95,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3512.47,82,,percent of total billed charges,,,3855.15,90,,percent of total billed charges,,,3640.98,85,,percent of total billed charges,,3229.76,4069.33, DEPUY PINNACLE CUP MULTIHOLE 60MM,30182820,CDM,,,278,RC,inpatient,,26741.78,26741.78,,22703.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20163.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22730.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23532.77,88,,percent of total billed charges,,,,,,,,,20430.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24335.02,91,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,,,,,,,,,,,,,22195.68,83,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,21928.26,82,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,22730.51,85,,percent of total billed charges,,20163.3,25404.69, DEPUY ALTRX HIP CAP W/GRIPTRON 36MM,30182824,CDM,,,278,RC,inpatient,,39836.68,39836.68,,33821.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30036.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33861.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35056.28,88,,percent of total billed charges,,,,,,,,,30435.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36251.38,91,,percent of total billed charges,,,37844.85,95,,percent of total billed charges,,,33064.44,83,,percent of total billed charges,,,33064.44,83,,percent of total billed charges,,,,,,,,,,,,,,,33064.44,83,,percent of total billed charges,,,37844.85,95,,percent of total billed charges,,,35853.01,90,,percent of total billed charges,,,35853.01,90,,percent of total billed charges,,,32666.08,82,,percent of total billed charges,,,35853.01,90,,percent of total billed charges,,,33861.18,85,,percent of total billed charges,,30036.86,37844.85, DEPUY POROUS FEMORAL SLEEVE SZ15,30182826,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY POSTERIOR AUGMENT 8MM SZ4.0,30182827,CDM,,,278,RC,inpatient,,6245.14,6245.14,,5302.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4708.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5308.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5495.72,88,,percent of total billed charges,,,,,,,,,4771.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5683.08,91,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,5183.47,83,,percent of total billed charges,,,,,,,,,,,,,,,5183.47,83,,percent of total billed charges,,,5932.88,95,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5121.01,82,,percent of total billed charges,,,5620.63,90,,percent of total billed charges,,,5308.37,85,,percent of total billed charges,,4708.84,5932.88, DEPUY INSERT TC3 RP 17.5MM SZ4,30182828,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, INTEGRA MOZAIK STRIP 10CC,30182829,CDM,,,278,RC,inpatient,,9351.16,9351.16,,7939.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7050.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7948.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8229.02,88,,percent of total billed charges,,,,,,,,,7144.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8509.56,91,,percent of total billed charges,,,8883.6,95,,percent of total billed charges,,,7761.46,83,,percent of total billed charges,,,7761.46,83,,percent of total billed charges,,,,,,,,,,,,,,,7761.46,83,,percent of total billed charges,,,8883.6,95,,percent of total billed charges,,,8416.04,90,,percent of total billed charges,,,8416.04,90,,percent of total billed charges,,,7667.95,82,,percent of total billed charges,,,8416.04,90,,percent of total billed charges,,,7948.49,85,,percent of total billed charges,,7050.77,8883.6, CONTRAST OMNIPAQUE-180 10ML,30182841,CDM,,,270,RC,inpatient,,137.61,137.61,,116.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,103.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,116.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,121.1,88,,percent of total billed charges,,,,,,,,,105.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,125.23,91,,percent of total billed charges,,,130.73,95,,percent of total billed charges,,,114.22,83,,percent of total billed charges,,,114.22,83,,percent of total billed charges,,,,,,,,,,,,,,,114.22,83,,percent of total billed charges,,,130.73,95,,percent of total billed charges,,,123.85,90,,percent of total billed charges,,,123.85,90,,percent of total billed charges,,,112.84,82,,percent of total billed charges,,,123.85,90,,percent of total billed charges,,,116.97,85,,percent of total billed charges,,103.76,130.73, NEEDLE WEISS 20GA X 3-1/2,30182843,CDM,,,270,RC,inpatient,,88.98,88.98,,75.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,67.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,75.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,78.3,88,,percent of total billed charges,,,,,,,,,67.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.97,91,,percent of total billed charges,,,84.53,95,,percent of total billed charges,,,73.85,83,,percent of total billed charges,,,73.85,83,,percent of total billed charges,,,,,,,,,,,,,,,73.85,83,,percent of total billed charges,,,84.53,95,,percent of total billed charges,,,80.08,90,,percent of total billed charges,,,80.08,90,,percent of total billed charges,,,72.96,82,,percent of total billed charges,,,80.08,90,,percent of total billed charges,,,75.63,85,,percent of total billed charges,,67.09,84.53, STRYKER VAS SYSTEM KIT 15MM,30182845,CDM,,,270,RC,inpatient,,8233.36,8233.36,,6990.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6207.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6998.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7245.36,88,,percent of total billed charges,,,,,,,,,6290.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7492.36,91,,percent of total billed charges,,,7821.69,95,,percent of total billed charges,,,6833.69,83,,percent of total billed charges,,,6833.69,83,,percent of total billed charges,,,,,,,,,,,,,,,6833.69,83,,percent of total billed charges,,,7821.69,95,,percent of total billed charges,,,7410.02,90,,percent of total billed charges,,,7410.02,90,,percent of total billed charges,,,6751.36,82,,percent of total billed charges,,,7410.02,90,,percent of total billed charges,,,6998.36,85,,percent of total billed charges,,6207.95,7821.69, DEPUY PINNACLE CUP MULTIHOLE 62MM,30182849,CDM,,,278,RC,inpatient,,26741.78,26741.78,,22703.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20163.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22730.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23532.77,88,,percent of total billed charges,,,,,,,,,20430.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24335.02,91,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,22195.68,83,,percent of total billed charges,,,,,,,,,,,,,,,22195.68,83,,percent of total billed charges,,,25404.69,95,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,21928.26,82,,percent of total billed charges,,,24067.6,90,,percent of total billed charges,,,22730.51,85,,percent of total billed charges,,20163.3,25404.69, DEPUY LINER CONSTRAINED +4 40 X 62,30182850,CDM,,,278,RC,inpatient,,39314.21,39314.21,,33377.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29642.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33417.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34596.5,88,,percent of total billed charges,,,,,,,,,30036.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35775.93,91,,percent of total billed charges,,,37348.5,95,,percent of total billed charges,,,32630.79,83,,percent of total billed charges,,,32630.79,83,,percent of total billed charges,,,,,,,,,,,,,,,32630.79,83,,percent of total billed charges,,,37348.5,95,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,32237.65,82,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,33417.08,85,,percent of total billed charges,,29642.91,37348.5, CELL SAVER FILTER 40 MICRON,30182863,CDM,,,270,RC,inpatient,,122.96,122.96,,104.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,92.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,104.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,108.2,88,,percent of total billed charges,,,,,,,,,93.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,111.89,91,,percent of total billed charges,,,116.81,95,,percent of total billed charges,,,102.06,83,,percent of total billed charges,,,102.06,83,,percent of total billed charges,,,,,,,,,,,,,,,102.06,83,,percent of total billed charges,,,116.81,95,,percent of total billed charges,,,110.66,90,,percent of total billed charges,,,110.66,90,,percent of total billed charges,,,100.83,82,,percent of total billed charges,,,110.66,90,,percent of total billed charges,,,104.52,85,,percent of total billed charges,,92.71,116.81, STAPLER CUTTER CONTOUR CURVED,30182865,CDM,,,270,RC,inpatient,,3011.78,3011.78,,2557,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2270.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2560.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2650.37,88,,percent of total billed charges,,,,,,,,,2301,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2740.72,91,,percent of total billed charges,,,2861.19,95,,percent of total billed charges,,,2499.78,83,,percent of total billed charges,,,2499.78,83,,percent of total billed charges,,,,,,,,,,,,,,,2499.78,83,,percent of total billed charges,,,2861.19,95,,percent of total billed charges,,,2710.6,90,,percent of total billed charges,,,2710.6,90,,percent of total billed charges,,,2469.66,82,,percent of total billed charges,,,2710.6,90,,percent of total billed charges,,,2560.01,85,,percent of total billed charges,,2270.88,2861.19, NEEDLE RIGID ENDOSCOPIC 20G,30182866,CDM,,,270,RC,inpatient,,225,225,,191.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,169.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,191.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198,88,,percent of total billed charges,,,,,,,,,171.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,204.75,91,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,,,,,,,,,,,,,186.75,83,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,184.5,82,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,191.25,85,,percent of total billed charges,,169.65,213.75, STRYKER FEMORAL HD 36MM 5+,30182867,CDM,,,278,RC,inpatient,,13968.5,13968.5,,11859.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10532.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11873.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12292.28,88,,percent of total billed charges,,,,,,,,,10671.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12711.34,91,,percent of total billed charges,,,13270.08,95,,percent of total billed charges,,,11593.86,83,,percent of total billed charges,,,11593.86,83,,percent of total billed charges,,,,,,,,,,,,,,,11593.86,83,,percent of total billed charges,,,13270.08,95,,percent of total billed charges,,,12571.65,90,,percent of total billed charges,,,12571.65,90,,percent of total billed charges,,,11454.17,82,,percent of total billed charges,,,12571.65,90,,percent of total billed charges,,,11873.23,85,,percent of total billed charges,,10532.25,13270.08, DEPUY PINNACLE CUP W/GRIPTION 64MM,30182868,CDM,,,278,RC,inpatient,,31783.05,31783.05,,26983.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23964.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27015.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27969.08,88,,percent of total billed charges,,,,,,,,,24282.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28922.58,91,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,26379.93,83,,percent of total billed charges,,,,,,,,,,,,,,,26379.93,83,,percent of total billed charges,,,30193.9,95,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,26062.1,82,,percent of total billed charges,,,28604.75,90,,percent of total billed charges,,,27015.59,85,,percent of total billed charges,,23964.42,30193.9, DEPUY PATELLA 3-PEG 38MM,30182878,CDM,,,278,RC,inpatient,,5578.95,5578.95,,4736.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4206.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4742.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4909.48,88,,percent of total billed charges,,,,,,,,,4262.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5076.84,91,,percent of total billed charges,,,5300,95,,percent of total billed charges,,,4630.53,83,,percent of total billed charges,,,4630.53,83,,percent of total billed charges,,,,,,,,,,,,,,,4630.53,83,,percent of total billed charges,,,5300,95,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,4574.74,82,,percent of total billed charges,,,5021.06,90,,percent of total billed charges,,,4742.11,85,,percent of total billed charges,,4206.53,5300, DEPUY HEAD LARGE TAPER 36 +5,30182879,CDM,,,278,RC,inpatient,,12858.43,12858.43,,10916.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9695.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10929.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11315.42,88,,percent of total billed charges,,,,,,,,,9823.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11701.17,91,,percent of total billed charges,,,12215.51,95,,percent of total billed charges,,,10672.5,83,,percent of total billed charges,,,10672.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10672.5,83,,percent of total billed charges,,,12215.51,95,,percent of total billed charges,,,11572.59,90,,percent of total billed charges,,,11572.59,90,,percent of total billed charges,,,10543.91,82,,percent of total billed charges,,,11572.59,90,,percent of total billed charges,,,10929.67,85,,percent of total billed charges,,9695.26,12215.51, ZIMMER BLADE EXPLANT 60MM X 20,30182880,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, DEPUY STEM GLOBAL HUMERAL 44 X 23,30182887,CDM,,,278,RC,inpatient,,24474.65,24474.65,,20778.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18453.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20803.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21537.69,88,,percent of total billed charges,,,,,,,,,18698.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22271.93,91,,percent of total billed charges,,,23250.92,95,,percent of total billed charges,,,20313.96,83,,percent of total billed charges,,,20313.96,83,,percent of total billed charges,,,,,,,,,,,,,,,20313.96,83,,percent of total billed charges,,,23250.92,95,,percent of total billed charges,,,22027.19,90,,percent of total billed charges,,,22027.19,90,,percent of total billed charges,,,20069.21,82,,percent of total billed charges,,,22027.19,90,,percent of total billed charges,,,20803.45,85,,percent of total billed charges,,18453.89,23250.92, DEPUY INSERT XLK 8MM SZ2.5,30182888,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY SAWBLADE 13 X 90 (130),30182890,CDM,,,278,RC,inpatient,,550.55,550.55,,467.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,415.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,467.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,484.48,88,,percent of total billed charges,,,,,,,,,420.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,501,91,,percent of total billed charges,,,523.02,95,,percent of total billed charges,,,456.96,83,,percent of total billed charges,,,456.96,83,,percent of total billed charges,,,,,,,,,,,,,,,456.96,83,,percent of total billed charges,,,523.02,95,,percent of total billed charges,,,495.5,90,,percent of total billed charges,,,495.5,90,,percent of total billed charges,,,451.45,82,,percent of total billed charges,,,495.5,90,,percent of total billed charges,,,467.97,85,,percent of total billed charges,,415.11,523.02, DEPUY INSERT XLK 10MM SZ2.5,30182891,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, ALLERGAN SILICONE BREAST IMPLANT 457CC,30182895,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, ALLERGAN TISSUE EXPANDER 500CC,30182900,CDM,,,278,RC,inpatient,,9067.5,9067.5,,7698.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6836.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7707.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7979.4,88,,percent of total billed charges,,,,,,,,,6927.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8251.43,91,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,7526.03,83,,percent of total billed charges,,,,,,,,,,,,,,,7526.03,83,,percent of total billed charges,,,8614.13,95,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7435.35,82,,percent of total billed charges,,,8160.75,90,,percent of total billed charges,,,7707.38,85,,percent of total billed charges,,6836.9,8614.13, DOUBLE ARMED SUTURE NEEDLE - 8535,30182901,CDM,,,270,RC,inpatient,,193.28,193.28,,164.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,145.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,164.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,170.09,88,,percent of total billed charges,,,,,,,,,147.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,175.88,91,,percent of total billed charges,,,183.62,95,,percent of total billed charges,,,160.42,83,,percent of total billed charges,,,160.42,83,,percent of total billed charges,,,,,,,,,,,,,,,160.42,83,,percent of total billed charges,,,183.62,95,,percent of total billed charges,,,173.95,90,,percent of total billed charges,,,173.95,90,,percent of total billed charges,,,158.49,82,,percent of total billed charges,,,173.95,90,,percent of total billed charges,,,164.29,85,,percent of total billed charges,,145.73,183.62, SYNTHES SCREW CANNUL 16MM 6.5X85MM,30182909,CDM,,,278,RC,inpatient,,2696.27,2696.27,,2289.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2032.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2291.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2372.72,88,,percent of total billed charges,,,,,,,,,2059.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2453.61,91,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2237.9,83,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2210.94,82,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2291.83,85,,percent of total billed charges,,2032.99,2561.46, DEPUY STEM CORAIL KLA SZ11,30182912,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DRAPE INCISE EYE POUCH INVISISHIELD,30182913,CDM,,,270,RC,inpatient,,49.64,49.64,,42.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,37.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,42.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,43.68,88,,percent of total billed charges,,,,,,,,,37.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,45.17,91,,percent of total billed charges,,,47.16,95,,percent of total billed charges,,,41.2,83,,percent of total billed charges,,,41.2,83,,percent of total billed charges,,,,,,,,,,,,,,,41.2,83,,percent of total billed charges,,,47.16,95,,percent of total billed charges,,,44.68,90,,percent of total billed charges,,,44.68,90,,percent of total billed charges,,,40.7,82,,percent of total billed charges,,,44.68,90,,percent of total billed charges,,,42.19,85,,percent of total billed charges,,37.43,47.16, ALCON DUOVISC VISOELASTIC SYSTEM SM .40,30182914,CDM,,,278,RC,inpatient,,577.78,577.78,,490.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,435.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,491.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,508.45,88,,percent of total billed charges,,,,,,,,,441.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,525.78,91,,percent of total billed charges,,,548.89,95,,percent of total billed charges,,,479.56,83,,percent of total billed charges,,,479.56,83,,percent of total billed charges,,,,,,,,,,,,,,,479.56,83,,percent of total billed charges,,,548.89,95,,percent of total billed charges,,,520,90,,percent of total billed charges,,,520,90,,percent of total billed charges,,,473.78,82,,percent of total billed charges,,,520,90,,percent of total billed charges,,,491.11,85,,percent of total billed charges,,435.65,548.89, DEPUY BODY RECLAIM PROXIMAL 21 X 95,30182915,CDM,,,278,RC,inpatient,,38548.77,38548.77,,32727.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29065.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32766.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33922.92,88,,percent of total billed charges,,,,,,,,,29451.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35079.38,91,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,,,,,,,,,,,,,31995.48,83,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,31609.99,82,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,32766.45,85,,percent of total billed charges,,29065.77,36621.33, DEPUY STEM DISTAL 21 X 140,30182916,CDM,,,278,RC,inpatient,,31338.78,31338.78,,26606.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23629.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26637.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27578.13,88,,percent of total billed charges,,,,,,,,,23942.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28518.29,91,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,,,,,,,,,,,,,26011.19,83,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,25697.8,82,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,26637.96,85,,percent of total billed charges,,23629.44,29771.84, AMNIOTIC ALLOGRAFT 4CM X 6CM,30182928,CDM,,,278,RC,inpatient,,13942.5,13942.5,,11837.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10512.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11851.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12269.4,88,,percent of total billed charges,,,,,,,,,10652.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12687.68,91,,percent of total billed charges,,,13245.38,95,,percent of total billed charges,,,11572.28,83,,percent of total billed charges,,,11572.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11572.28,83,,percent of total billed charges,,,13245.38,95,,percent of total billed charges,,,12548.25,90,,percent of total billed charges,,,12548.25,90,,percent of total billed charges,,,11432.85,82,,percent of total billed charges,,,12548.25,90,,percent of total billed charges,,,11851.13,85,,percent of total billed charges,,10512.65,13245.38, DEPUY GLOBAL ADVANTAGE ECC HD 56 X 18,30182930,CDM,,,278,RC,inpatient,,23402.93,23402.93,,19869.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17645.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19892.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20594.58,88,,percent of total billed charges,,,,,,,,,17879.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21296.67,91,,percent of total billed charges,,,22232.78,95,,percent of total billed charges,,,19424.43,83,,percent of total billed charges,,,19424.43,83,,percent of total billed charges,,,,,,,,,,,,,,,19424.43,83,,percent of total billed charges,,,22232.78,95,,percent of total billed charges,,,21062.64,90,,percent of total billed charges,,,21062.64,90,,percent of total billed charges,,,19190.4,82,,percent of total billed charges,,,21062.64,90,,percent of total billed charges,,,19892.49,85,,percent of total billed charges,,17645.81,22232.78, S&N ENDO BUTTON,30182938,CDM,,,278,RC,inpatient,,2143.05,2143.05,,1819.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1615.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1821.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1885.88,88,,percent of total billed charges,,,,,,,,,1637.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1950.18,91,,percent of total billed charges,,,2035.9,95,,percent of total billed charges,,,1778.73,83,,percent of total billed charges,,,1778.73,83,,percent of total billed charges,,,,,,,,,,,,,,,1778.73,83,,percent of total billed charges,,,2035.9,95,,percent of total billed charges,,,1928.75,90,,percent of total billed charges,,,1928.75,90,,percent of total billed charges,,,1757.3,82,,percent of total billed charges,,,1928.75,90,,percent of total billed charges,,,1821.59,85,,percent of total billed charges,,1615.86,2035.9, MTF TRINITY EVOLUTION 10CC,30182940,CDM,,,278,RC,inpatient,,28919.8,28919.8,,24552.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21805.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25449.42,88,,percent of total billed charges,,,,,,,,,22094.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26317.02,91,,percent of total billed charges,,,27473.81,95,,percent of total billed charges,,,24003.43,83,,percent of total billed charges,,,24003.43,83,,percent of total billed charges,,,,,,,,,,,,,,,24003.43,83,,percent of total billed charges,,,27473.81,95,,percent of total billed charges,,,26027.82,90,,percent of total billed charges,,,26027.82,90,,percent of total billed charges,,,23714.24,82,,percent of total billed charges,,,26027.82,90,,percent of total billed charges,,,24581.83,85,,percent of total billed charges,,21805.53,27473.81, MTF TRINITY EVOLUTION 15CC,30182941,CDM,,,278,RC,inpatient,,36149.75,36149.75,,30691.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27256.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30727.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31811.78,88,,percent of total billed charges,,,,,,,,,27618.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32896.27,91,,percent of total billed charges,,,34342.26,95,,percent of total billed charges,,,30004.29,83,,percent of total billed charges,,,30004.29,83,,percent of total billed charges,,,,,,,,,,,,,,,30004.29,83,,percent of total billed charges,,,34342.26,95,,percent of total billed charges,,,32534.78,90,,percent of total billed charges,,,32534.78,90,,percent of total billed charges,,,29642.8,82,,percent of total billed charges,,,32534.78,90,,percent of total billed charges,,,30727.29,85,,percent of total billed charges,,27256.91,34342.26, MTF TRINITY EVOLUTION 5CC,30182950,CDM,,,278,RC,inpatient,,15893.15,15893.15,,13493.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11983.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13509.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13985.97,88,,percent of total billed charges,,,,,,,,,12142.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14462.77,91,,percent of total billed charges,,,15098.49,95,,percent of total billed charges,,,13191.31,83,,percent of total billed charges,,,13191.31,83,,percent of total billed charges,,,,,,,,,,,,,,,13191.31,83,,percent of total billed charges,,,15098.49,95,,percent of total billed charges,,,14303.84,90,,percent of total billed charges,,,14303.84,90,,percent of total billed charges,,,13032.38,82,,percent of total billed charges,,,14303.84,90,,percent of total billed charges,,,13509.18,85,,percent of total billed charges,,11983.44,15098.49, DEPUY FEMUR SIGMA PS LT SZ2.0,30182951,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT RP 10MM SZ2,30182952,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, I-STOP FEMALE INCONTINENCE DEVICE,30182959,CDM,,,270,RC,inpatient,,6175,6175,,5242.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4655.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5248.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5434,88,,percent of total billed charges,,,,,,,,,4717.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5619.25,91,,percent of total billed charges,,,5866.25,95,,percent of total billed charges,,,5125.25,83,,percent of total billed charges,,,5125.25,83,,percent of total billed charges,,,,,,,,,,,,,,,5125.25,83,,percent of total billed charges,,,5866.25,95,,percent of total billed charges,,,5557.5,90,,percent of total billed charges,,,5557.5,90,,percent of total billed charges,,,5063.5,82,,percent of total billed charges,,,5557.5,90,,percent of total billed charges,,,5248.75,85,,percent of total billed charges,,4655.95,5866.25, TRAY PLEXUFIX NERVE BLOCK,30182960,CDM,,,270,RC,inpatient,,178,178,,151.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,134.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,151.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,156.64,88,,percent of total billed charges,,,,,,,,,135.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,161.98,91,,percent of total billed charges,,,169.1,95,,percent of total billed charges,,,147.74,83,,percent of total billed charges,,,147.74,83,,percent of total billed charges,,,,,,,,,,,,,,,147.74,83,,percent of total billed charges,,,169.1,95,,percent of total billed charges,,,160.2,90,,percent of total billed charges,,,160.2,90,,percent of total billed charges,,,145.96,82,,percent of total billed charges,,,160.2,90,,percent of total billed charges,,,151.3,85,,percent of total billed charges,,134.21,169.1, MESH VENTRALIGHT W/ECHO 12X14,30182961,CDM,,,270,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, DEPUY INSERT RP 15MM SZ2.5,30182962,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, DEPUY LINER ALTRX NEUT 36 X 52,30182965,CDM,,,278,RC,inpatient,,12874.42,12874.42,,10930.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9707.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10943.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11329.49,88,,percent of total billed charges,,,,,,,,,9836.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11715.72,91,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,10685.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10685.77,83,,percent of total billed charges,,,12230.7,95,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10557.02,82,,percent of total billed charges,,,11586.98,90,,percent of total billed charges,,,10943.26,85,,percent of total billed charges,,9707.31,12230.7, DEPUY LINER CONSTRAINED +4 36 X 58,30182966,CDM,,,278,RC,inpatient,,24183.97,24183.97,,20532.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18234.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20556.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21281.89,88,,percent of total billed charges,,,,,,,,,18476.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22007.41,91,,percent of total billed charges,,,22974.77,95,,percent of total billed charges,,,20072.7,83,,percent of total billed charges,,,20072.7,83,,percent of total billed charges,,,,,,,,,,,,,,,20072.7,83,,percent of total billed charges,,,22974.77,95,,percent of total billed charges,,,21765.57,90,,percent of total billed charges,,,21765.57,90,,percent of total billed charges,,,19830.86,82,,percent of total billed charges,,,21765.57,90,,percent of total billed charges,,,20556.37,85,,percent of total billed charges,,18234.71,22974.77, STENT URETERAL FIRM 5 X 22,30182968,CDM,,,270,RC,inpatient,,682.36,682.36,,579.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,514.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,580.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,600.48,88,,percent of total billed charges,,,,,,,,,521.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,620.95,91,,percent of total billed charges,,,648.24,95,,percent of total billed charges,,,566.36,83,,percent of total billed charges,,,566.36,83,,percent of total billed charges,,,,,,,,,,,,,,,566.36,83,,percent of total billed charges,,,648.24,95,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,559.54,82,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,580.01,85,,percent of total billed charges,,514.5,648.24, STENT URETERAL FIRM 5 X 24,30182969,CDM,,,270,RC,inpatient,,682.36,682.36,,579.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,514.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,580.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,600.48,88,,percent of total billed charges,,,,,,,,,521.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,620.95,91,,percent of total billed charges,,,648.24,95,,percent of total billed charges,,,566.36,83,,percent of total billed charges,,,566.36,83,,percent of total billed charges,,,,,,,,,,,,,,,566.36,83,,percent of total billed charges,,,648.24,95,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,559.54,82,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,580.01,85,,percent of total billed charges,,514.5,648.24, DEPUY INSERT XLK 8MM SZ5,30182973,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, MAXCORE BIOPSY CORE INST 18X20,30182975,CDM,,,270,RC,inpatient,,356.1,356.1,,302.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,268.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,302.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,313.37,88,,percent of total billed charges,,,,,,,,,272.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,324.05,91,,percent of total billed charges,,,338.3,95,,percent of total billed charges,,,295.56,83,,percent of total billed charges,,,295.56,83,,percent of total billed charges,,,,,,,,,,,,,,,295.56,83,,percent of total billed charges,,,338.3,95,,percent of total billed charges,,,320.49,90,,percent of total billed charges,,,320.49,90,,percent of total billed charges,,,292,82,,percent of total billed charges,,,320.49,90,,percent of total billed charges,,,302.69,85,,percent of total billed charges,,268.5,338.3, STONE BASKET DAKOTA 1.9X120 8MM,30182976,CDM,,,270,RC,inpatient,,1324.05,1324.05,,1124.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,998.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1125.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1165.16,88,,percent of total billed charges,,,,,,,,,1011.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1204.89,91,,percent of total billed charges,,,1257.85,95,,percent of total billed charges,,,1098.96,83,,percent of total billed charges,,,1098.96,83,,percent of total billed charges,,,,,,,,,,,,,,,1098.96,83,,percent of total billed charges,,,1257.85,95,,percent of total billed charges,,,1191.65,90,,percent of total billed charges,,,1191.65,90,,percent of total billed charges,,,1085.72,82,,percent of total billed charges,,,1191.65,90,,percent of total billed charges,,,1125.44,85,,percent of total billed charges,,998.33,1257.85, STRYKER K-WIRE 3.2 X 450MM,30182978,CDM,,,278,RC,inpatient,,1301.3,1301.3,,1104.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,981.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1106.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1145.14,88,,percent of total billed charges,,,,,,,,,994.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1184.18,91,,percent of total billed charges,,,1236.24,95,,percent of total billed charges,,,1080.08,83,,percent of total billed charges,,,1080.08,83,,percent of total billed charges,,,,,,,,,,,,,,,1080.08,83,,percent of total billed charges,,,1236.24,95,,percent of total billed charges,,,1171.17,90,,percent of total billed charges,,,1171.17,90,,percent of total billed charges,,,1067.07,82,,percent of total billed charges,,,1171.17,90,,percent of total billed charges,,,1106.11,85,,percent of total billed charges,,981.18,1236.24, STRYKER REAMER 8.0 X 448MM,30182979,CDM,,,278,RC,inpatient,,3013.01,3013.01,,2558.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2271.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2561.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2651.45,88,,percent of total billed charges,,,,,,,,,2301.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2741.84,91,,percent of total billed charges,,,2862.36,95,,percent of total billed charges,,,2500.8,83,,percent of total billed charges,,,2500.8,83,,percent of total billed charges,,,,,,,,,,,,,,,2500.8,83,,percent of total billed charges,,,2862.36,95,,percent of total billed charges,,,2711.71,90,,percent of total billed charges,,,2711.71,90,,percent of total billed charges,,,2470.67,82,,percent of total billed charges,,,2711.71,90,,percent of total billed charges,,,2561.06,85,,percent of total billed charges,,2271.81,2862.36, SYNTHES SCREW CANCEL P-THD 4.0MM,30182982,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, DEPUY SELF CENT HIP 47X28 BRN,30182985,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, DEPUY CENTRALIZER 10.5MM,30182986,CDM,,,278,RC,inpatient,,919.36,919.36,,780.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,693.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,781.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,809.04,88,,percent of total billed charges,,,,,,,,,702.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,836.62,91,,percent of total billed charges,,,873.39,95,,percent of total billed charges,,,763.07,83,,percent of total billed charges,,,763.07,83,,percent of total billed charges,,,,,,,,,,,,,,,763.07,83,,percent of total billed charges,,,873.39,95,,percent of total billed charges,,,827.42,90,,percent of total billed charges,,,827.42,90,,percent of total billed charges,,,753.88,82,,percent of total billed charges,,,827.42,90,,percent of total billed charges,,,781.46,85,,percent of total billed charges,,693.2,873.39, DEPUY INSERT TC3 RP 10MM SZ4,30182987,CDM,,,278,RC,inpatient,,15465.58,15465.58,,13130.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11661.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13145.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13609.71,88,,percent of total billed charges,,,,,,,,,11815.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14073.68,91,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,,,,,,,,,,,,,12836.43,83,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,12681.78,82,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13145.74,85,,percent of total billed charges,,11661.05,14692.3, DEPUY STEM GLOBAL HUMERAL 48 X 15,30182988,CDM,,,278,RC,inpatient,,15560.09,15560.09,,13210.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11732.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13226.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13692.88,88,,percent of total billed charges,,,,,,,,,11887.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14159.68,91,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,,,,,,,,,,,,,12914.87,83,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,12759.27,82,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,13226.08,85,,percent of total billed charges,,11732.31,14782.09, STRYKER PAIN ELECTRODE PAD,30182995,CDM,,,270,RC,inpatient,,337.5,337.5,,286.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,254.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,286.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,297,88,,percent of total billed charges,,,,,,,,,257.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,307.13,91,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,,,,,,,,,,,,,280.13,83,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,276.75,82,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,286.88,85,,percent of total billed charges,,254.48,320.63, S&N ENDO ACCUPASS SUTURE,30182996,CDM,,,278,RC,inpatient,,825.5,825.5,,700.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,622.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,701.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,726.44,88,,percent of total billed charges,,,,,,,,,630.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,751.21,91,,percent of total billed charges,,,784.23,95,,percent of total billed charges,,,685.17,83,,percent of total billed charges,,,685.17,83,,percent of total billed charges,,,,,,,,,,,,,,,685.17,83,,percent of total billed charges,,,784.23,95,,percent of total billed charges,,,742.95,90,,percent of total billed charges,,,742.95,90,,percent of total billed charges,,,676.91,82,,percent of total billed charges,,,742.95,90,,percent of total billed charges,,,701.68,85,,percent of total billed charges,,622.43,784.23, DEPUY OSTEOTOME FLEX 12MM X 2.5,30182997,CDM,,,270,RC,inpatient,,4875,4875,,4138.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3675.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4143.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4290,88,,percent of total billed charges,,,,,,,,,3724.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4436.25,91,,percent of total billed charges,,,4631.25,95,,percent of total billed charges,,,4046.25,83,,percent of total billed charges,,,4046.25,83,,percent of total billed charges,,,,,,,,,,,,,,,4046.25,83,,percent of total billed charges,,,4631.25,95,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,3997.5,82,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,4143.75,85,,percent of total billed charges,,3675.75,4631.25, DEPUY DISTAL AUGMENT 4MM SZ3.0,30182998,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY DISTAL AUGMENT 4MM SZ5,30182999,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY POSTERIOR AUGMENT 4MM SZ5.0,30183000,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, CELL SAVER AUTOFUSION BAG,30183001,CDM,,,270,RC,inpatient,,45,45,,38.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39.6,88,,percent of total billed charges,,,,,,,,,34.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40.95,91,,percent of total billed charges,,,42.75,95,,percent of total billed charges,,,37.35,83,,percent of total billed charges,,,37.35,83,,percent of total billed charges,,,,,,,,,,,,,,,37.35,83,,percent of total billed charges,,,42.75,95,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,36.9,82,,percent of total billed charges,,,40.5,90,,percent of total billed charges,,,38.25,85,,percent of total billed charges,,33.93,42.75, AMNIOFX NERVE WRAP 4CM X 6CM,30183002,CDM,,,278,RC,inpatient,,13942.5,13942.5,,11837.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10512.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11851.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12269.4,88,,percent of total billed charges,,,,,,,,,10652.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12687.68,91,,percent of total billed charges,,,13245.38,95,,percent of total billed charges,,,11572.28,83,,percent of total billed charges,,,11572.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11572.28,83,,percent of total billed charges,,,13245.38,95,,percent of total billed charges,,,12548.25,90,,percent of total billed charges,,,12548.25,90,,percent of total billed charges,,,11432.85,82,,percent of total billed charges,,,12548.25,90,,percent of total billed charges,,,11851.13,85,,percent of total billed charges,,10512.65,13245.38, S&N ENDO BICEPTOR BIOSURE 7 X 25,30183008,CDM,,,278,RC,inpatient,,1638,1638,,1390.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1235.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1392.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1441.44,88,,percent of total billed charges,,,,,,,,,1251.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1490.58,91,,percent of total billed charges,,,1556.1,95,,percent of total billed charges,,,1359.54,83,,percent of total billed charges,,,1359.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1359.54,83,,percent of total billed charges,,,1556.1,95,,percent of total billed charges,,,1474.2,90,,percent of total billed charges,,,1474.2,90,,percent of total billed charges,,,1343.16,82,,percent of total billed charges,,,1474.2,90,,percent of total billed charges,,,1392.3,85,,percent of total billed charges,,1235.05,1556.1, DEPUY INSERT STABILIZED 12.5MM SZ4,30183016,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, STRYKER GUIDEWIRE 3 X 800MM,30183018,CDM,,,278,RC,inpatient,,1911.91,1911.91,,1623.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1441.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1625.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1682.48,88,,percent of total billed charges,,,,,,,,,1460.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1739.84,91,,percent of total billed charges,,,1816.31,95,,percent of total billed charges,,,1586.89,83,,percent of total billed charges,,,1586.89,83,,percent of total billed charges,,,,,,,,,,,,,,,1586.89,83,,percent of total billed charges,,,1816.31,95,,percent of total billed charges,,,1720.72,90,,percent of total billed charges,,,1720.72,90,,percent of total billed charges,,,1567.77,82,,percent of total billed charges,,,1720.72,90,,percent of total billed charges,,,1625.12,85,,percent of total billed charges,,1441.58,1816.31, DEPUY CERAMIC HEAD 32MM +5MM TS,30183022,CDM,,,278,RC,inpatient,,14631.05,14631.05,,12421.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11031.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12436.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12875.32,88,,percent of total billed charges,,,,,,,,,11178.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13314.26,91,,percent of total billed charges,,,13899.5,95,,percent of total billed charges,,,12143.77,83,,percent of total billed charges,,,12143.77,83,,percent of total billed charges,,,,,,,,,,,,,,,12143.77,83,,percent of total billed charges,,,13899.5,95,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,11997.46,82,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,12436.39,85,,percent of total billed charges,,11031.81,13899.5, DEPUY CROSSLINK FIN GLENOID SZ56,30183023,CDM,,,278,RC,inpatient,,17098.9,17098.9,,14516.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12892.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14534.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15047.03,88,,percent of total billed charges,,,,,,,,,13063.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15560,91,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,,,,,,,,,,,,,14192.09,83,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14021.1,82,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14534.07,85,,percent of total billed charges,,12892.57,16243.96, DEPUY STEM HUMERAL ECCENTRIC 56 X 21,30183024,CDM,,,278,RC,inpatient,,17636.13,17636.13,,14973.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13297.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14990.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15519.79,88,,percent of total billed charges,,,,,,,,,13474,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16048.88,91,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,,,,,,,,,,,,,14637.99,83,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14461.63,82,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14990.71,85,,percent of total billed charges,,13297.64,16754.32, DEPUY STEM GLOBAL ADVANTAGE 16MM,30183025,CDM,,,278,RC,inpatient,,36482.49,36482.49,,30973.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27507.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31010.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32104.59,88,,percent of total billed charges,,,,,,,,,27872.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33199.07,91,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,,,,,,,,,,,,,30280.47,83,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,29915.64,82,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,31010.12,85,,percent of total billed charges,,27507.8,34658.37, GYRUS VACURETTE 7MM CURVED,30183026,CDM,,,270,RC,inpatient,,46.22,46.22,,39.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.67,88,,percent of total billed charges,,,,,,,,,35.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.06,91,,percent of total billed charges,,,43.91,95,,percent of total billed charges,,,38.36,83,,percent of total billed charges,,,38.36,83,,percent of total billed charges,,,,,,,,,,,,,,,38.36,83,,percent of total billed charges,,,43.91,95,,percent of total billed charges,,,41.6,90,,percent of total billed charges,,,41.6,90,,percent of total billed charges,,,37.9,82,,percent of total billed charges,,,41.6,90,,percent of total billed charges,,,39.29,85,,percent of total billed charges,,34.85,43.91, GYRUS VACURETTE 7MM STRAIGHT,30183027,CDM,,,270,RC,inpatient,,44.45,44.45,,37.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,37.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39.12,88,,percent of total billed charges,,,,,,,,,33.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40.45,91,,percent of total billed charges,,,42.23,95,,percent of total billed charges,,,36.89,83,,percent of total billed charges,,,36.89,83,,percent of total billed charges,,,,,,,,,,,,,,,36.89,83,,percent of total billed charges,,,42.23,95,,percent of total billed charges,,,40.01,90,,percent of total billed charges,,,40.01,90,,percent of total billed charges,,,36.45,82,,percent of total billed charges,,,40.01,90,,percent of total billed charges,,,37.78,85,,percent of total billed charges,,33.52,42.23, GYRUS VACURETTE 5MM FTIP,30183028,CDM,,,270,RC,inpatient,,40.5,40.5,,34.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35.64,88,,percent of total billed charges,,,,,,,,,30.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36.86,91,,percent of total billed charges,,,38.48,95,,percent of total billed charges,,,33.62,83,,percent of total billed charges,,,33.62,83,,percent of total billed charges,,,,,,,,,,,,,,,33.62,83,,percent of total billed charges,,,38.48,95,,percent of total billed charges,,,36.45,90,,percent of total billed charges,,,36.45,90,,percent of total billed charges,,,33.21,82,,percent of total billed charges,,,36.45,90,,percent of total billed charges,,,34.43,85,,percent of total billed charges,,30.54,38.48, GYRUS VACURETTE 6MM FTIP,30183029,CDM,,,270,RC,inpatient,,46.22,46.22,,39.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40.67,88,,percent of total billed charges,,,,,,,,,35.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.06,91,,percent of total billed charges,,,43.91,95,,percent of total billed charges,,,38.36,83,,percent of total billed charges,,,38.36,83,,percent of total billed charges,,,,,,,,,,,,,,,38.36,83,,percent of total billed charges,,,43.91,95,,percent of total billed charges,,,41.6,90,,percent of total billed charges,,,41.6,90,,percent of total billed charges,,,37.9,82,,percent of total billed charges,,,41.6,90,,percent of total billed charges,,,39.29,85,,percent of total billed charges,,34.85,43.91, S&N DRILL BIT LONG 4.0MM,30183036,CDM,,,278,RC,inpatient,,1924.13,1924.13,,1633.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1450.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1635.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1693.23,88,,percent of total billed charges,,,,,,,,,1470.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1750.96,91,,percent of total billed charges,,,1827.92,95,,percent of total billed charges,,,1597.03,83,,percent of total billed charges,,,1597.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1597.03,83,,percent of total billed charges,,,1827.92,95,,percent of total billed charges,,,1731.72,90,,percent of total billed charges,,,1731.72,90,,percent of total billed charges,,,1577.79,82,,percent of total billed charges,,,1731.72,90,,percent of total billed charges,,,1635.51,85,,percent of total billed charges,,1450.79,1827.92, ALLERGAN SILICONE BREAST IMPLANT 350CC,30183039,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, SYNTHES SCREW CANNUL 16MM 6.5X65MM,30183040,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, RESERVOIR 3 LITER 150 MICRO,30183042,CDM,,,270,RC,inpatient,,551.04,551.04,,467.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,415.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,468.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,484.92,88,,percent of total billed charges,,,,,,,,,420.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,501.45,91,,percent of total billed charges,,,523.49,95,,percent of total billed charges,,,457.36,83,,percent of total billed charges,,,457.36,83,,percent of total billed charges,,,,,,,,,,,,,,,457.36,83,,percent of total billed charges,,,523.49,95,,percent of total billed charges,,,495.94,90,,percent of total billed charges,,,495.94,90,,percent of total billed charges,,,451.85,82,,percent of total billed charges,,,495.94,90,,percent of total billed charges,,,468.38,85,,percent of total billed charges,,415.48,523.49, BOWL CS5 125ML HI SPEED FOR CS,30183044,CDM,,,270,RC,inpatient,,839.48,839.48,,712.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,632.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,713.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,738.74,88,,percent of total billed charges,,,,,,,,,641.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,763.93,91,,percent of total billed charges,,,797.51,95,,percent of total billed charges,,,696.77,83,,percent of total billed charges,,,696.77,83,,percent of total billed charges,,,,,,,,,,,,,,,696.77,83,,percent of total billed charges,,,797.51,95,,percent of total billed charges,,,755.53,90,,percent of total billed charges,,,755.53,90,,percent of total billed charges,,,688.37,82,,percent of total billed charges,,,755.53,90,,percent of total billed charges,,,713.56,85,,percent of total billed charges,,632.97,797.51, NUCELL LARGE,30183045,CDM,,,278,RC,inpatient,,32500,32500,,27592.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24505,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27625,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28600,88,,percent of total billed charges,,,,,,,,,24830,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29575,91,,percent of total billed charges,,,30875,95,,percent of total billed charges,,,26975,83,,percent of total billed charges,,,26975,83,,percent of total billed charges,,,,,,,,,,,,,,,26975,83,,percent of total billed charges,,,30875,95,,percent of total billed charges,,,29250,90,,percent of total billed charges,,,29250,90,,percent of total billed charges,,,26650,82,,percent of total billed charges,,,29250,90,,percent of total billed charges,,,27625,85,,percent of total billed charges,,24505,30875, CATH PLEURX PLEURAL,30183047,CDM,,,270,RC,inpatient,,3737.5,3737.5,,3173.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2818.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3176.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3289,88,,percent of total billed charges,,,,,,,,,2855.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3401.13,91,,percent of total billed charges,,,3550.63,95,,percent of total billed charges,,,3102.13,83,,percent of total billed charges,,,3102.13,83,,percent of total billed charges,,,,,,,,,,,,,,,3102.13,83,,percent of total billed charges,,,3550.63,95,,percent of total billed charges,,,3363.75,90,,percent of total billed charges,,,3363.75,90,,percent of total billed charges,,,3064.75,82,,percent of total billed charges,,,3363.75,90,,percent of total billed charges,,,3176.88,85,,percent of total billed charges,,2818.08,3550.63, PLEURX DRAINAGE BOTTLE KIT 1000ML,30183048,CDM,,,270,RC,inpatient,,806.96,806.96,,685.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,608.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,685.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,710.12,88,,percent of total billed charges,,,,,,,,,616.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,734.33,91,,percent of total billed charges,,,766.61,95,,percent of total billed charges,,,669.78,83,,percent of total billed charges,,,669.78,83,,percent of total billed charges,,,,,,,,,,,,,,,669.78,83,,percent of total billed charges,,,766.61,95,,percent of total billed charges,,,726.26,90,,percent of total billed charges,,,726.26,90,,percent of total billed charges,,,661.71,82,,percent of total billed charges,,,726.26,90,,percent of total billed charges,,,685.92,85,,percent of total billed charges,,608.45,766.61, DRAINAGE BOTTLE HOME STARTER KIT,30183049,CDM,,,270,RC,inpatient,,1933.75,1933.75,,1641.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1458.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1643.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1701.7,88,,percent of total billed charges,,,,,,,,,1477.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1759.71,91,,percent of total billed charges,,,1837.06,95,,percent of total billed charges,,,1605.01,83,,percent of total billed charges,,,1605.01,83,,percent of total billed charges,,,,,,,,,,,,,,,1605.01,83,,percent of total billed charges,,,1837.06,95,,percent of total billed charges,,,1740.38,90,,percent of total billed charges,,,1740.38,90,,percent of total billed charges,,,1585.68,82,,percent of total billed charges,,,1740.38,90,,percent of total billed charges,,,1643.69,85,,percent of total billed charges,,1458.05,1837.06, PUTTY 10CC H GENIN,30183050,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, DEPUY SLEEVE FEMORAL 34MM,30183051,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY SLEEVE FEMORAL 40MM,30183052,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY TRAY THICK SX 3 15MM,30183053,CDM,,,278,RC,inpatient,,62809.5,62809.5,,53325.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,47358.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,53388.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,55272.36,88,,percent of total billed charges,,,,,,,,,47986.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,57156.65,91,,percent of total billed charges,,,59669.03,95,,percent of total billed charges,,,52131.89,83,,percent of total billed charges,,,52131.89,83,,percent of total billed charges,,,,,,,,,,,,,,,52131.89,83,,percent of total billed charges,,,59669.03,95,,percent of total billed charges,,,56528.55,90,,percent of total billed charges,,,56528.55,90,,percent of total billed charges,,,51503.79,82,,percent of total billed charges,,,56528.55,90,,percent of total billed charges,,,53388.08,85,,percent of total billed charges,,47358.36,59669.03, DEPUY STEM TIBIAL 75 X 12MM,30183054,CDM,,,278,RC,inpatient,,12911.21,12911.21,,10961.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9735.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10974.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11361.86,88,,percent of total billed charges,,,,,,,,,9864.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11749.2,91,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,10716.3,83,,percent of total billed charges,,,,,,,,,,,,,,,10716.3,83,,percent of total billed charges,,,12265.65,95,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10587.19,82,,percent of total billed charges,,,11620.09,90,,percent of total billed charges,,,10974.53,85,,percent of total billed charges,,9735.05,12265.65, PUTTY 2.5CC H-GENIN,30183057,CDM,,,278,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, NUCELL SMALL,30183058,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, NUCELL X-LARGE,30183059,CDM,,,278,RC,inpatient,,52000,52000,,44148,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39208,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,44200,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45760,88,,percent of total billed charges,,,,,,,,,39728,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,47320,91,,percent of total billed charges,,,49400,95,,percent of total billed charges,,,43160,83,,percent of total billed charges,,,43160,83,,percent of total billed charges,,,,,,,,,,,,,,,43160,83,,percent of total billed charges,,,49400,95,,percent of total billed charges,,,46800,90,,percent of total billed charges,,,46800,90,,percent of total billed charges,,,42640,82,,percent of total billed charges,,,46800,90,,percent of total billed charges,,,44200,85,,percent of total billed charges,,39208,49400, CAPSULE MINIONE 20FR,30183069,CDM,,,270,RC,inpatient,,1105,1105,,938.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,833.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,939.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,972.4,88,,percent of total billed charges,,,,,,,,,844.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1005.55,91,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,,,,,,,,,,,,,917.15,83,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,906.1,82,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,939.25,85,,percent of total billed charges,,833.17,1049.75, MINIONE FEEDING SET 12,30183070,CDM,,,270,RC,inpatient,,68,68,,57.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,51.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,57.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,59.84,88,,percent of total billed charges,,,,,,,,,51.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,61.88,91,,percent of total billed charges,,,64.6,95,,percent of total billed charges,,,56.44,83,,percent of total billed charges,,,56.44,83,,percent of total billed charges,,,,,,,,,,,,,,,56.44,83,,percent of total billed charges,,,64.6,95,,percent of total billed charges,,,61.2,90,,percent of total billed charges,,,61.2,90,,percent of total billed charges,,,55.76,82,,percent of total billed charges,,,61.2,90,,percent of total billed charges,,,57.8,85,,percent of total billed charges,,51.27,64.6, DEPUY BIOLOX DELTA TS HEAD,30183071,CDM,,,278,RC,inpatient,,15329.8,15329.8,,13015,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11558.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13030.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13490.22,88,,percent of total billed charges,,,,,,,,,11711.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13950.12,91,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,,,,,,,,,,,,,12723.73,83,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,12570.44,82,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13030.33,85,,percent of total billed charges,,11558.67,14563.31, RTI PATELLAR TENDON GRAFT 10MM,30183073,CDM,,,278,RC,inpatient,,23400,23400,,19866.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17643.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19890,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20592,88,,percent of total billed charges,,,,,,,,,17877.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21294,91,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,,,,,,,,,,,,,19422,83,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19188,82,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19890,85,,percent of total billed charges,,17643.6,22230, SYNTHES SCREW CANCEL 4.0X45MM,30183074,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, UPHOLD VAGINAL SUPPORT SYSTEM,30183077,CDM,,,270,RC,inpatient,,16275.35,16275.35,,13817.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12271.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13834.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14322.31,88,,percent of total billed charges,,,,,,,,,12434.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14810.57,91,,percent of total billed charges,,,15461.58,95,,percent of total billed charges,,,13508.54,83,,percent of total billed charges,,,13508.54,83,,percent of total billed charges,,,,,,,,,,,,,,,13508.54,83,,percent of total billed charges,,,15461.58,95,,percent of total billed charges,,,14647.82,90,,percent of total billed charges,,,14647.82,90,,percent of total billed charges,,,13345.79,82,,percent of total billed charges,,,14647.82,90,,percent of total billed charges,,,13834.05,85,,percent of total billed charges,,12271.61,15461.58, HOLMIUM LASER LOW WATTAGE SERVICE FEE,30183078,CDM,,,270,RC,inpatient,,4218.5,4218.5,,3581.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3180.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3585.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3712.28,88,,percent of total billed charges,,,,,,,,,3222.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3838.84,91,,percent of total billed charges,,,4007.58,95,,percent of total billed charges,,,3501.36,83,,percent of total billed charges,,,3501.36,83,,percent of total billed charges,,,,,,,,,,,,,,,3501.36,83,,percent of total billed charges,,,4007.58,95,,percent of total billed charges,,,3796.65,90,,percent of total billed charges,,,3796.65,90,,percent of total billed charges,,,3459.17,82,,percent of total billed charges,,,3796.65,90,,percent of total billed charges,,,3585.73,85,,percent of total billed charges,,3180.75,4007.58, HOLMIUM 200 MICRON FIBER,30183079,CDM,,,270,RC,inpatient,,1482,1482,,1258.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1117.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1259.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1304.16,88,,percent of total billed charges,,,,,,,,,1132.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1348.62,91,,percent of total billed charges,,,1407.9,95,,percent of total billed charges,,,1230.06,83,,percent of total billed charges,,,1230.06,83,,percent of total billed charges,,,,,,,,,,,,,,,1230.06,83,,percent of total billed charges,,,1407.9,95,,percent of total billed charges,,,1333.8,90,,percent of total billed charges,,,1333.8,90,,percent of total billed charges,,,1215.24,82,,percent of total billed charges,,,1333.8,90,,percent of total billed charges,,,1259.7,85,,percent of total billed charges,,1117.43,1407.9, DEPUY DELTA HEAD 36+ 1.5MM,30183080,CDM,,,278,RC,inpatient,,15329.8,15329.8,,13015,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11558.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13030.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13490.22,88,,percent of total billed charges,,,,,,,,,11711.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13950.12,91,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,,,,,,,,,,,,,12723.73,83,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,12570.44,82,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13030.33,85,,percent of total billed charges,,11558.67,14563.31, ENDO STITCH 7,30183082,CDM,,,270,RC,inpatient,,407.89,407.89,,346.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,307.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,346.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,358.94,88,,percent of total billed charges,,,,,,,,,311.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,371.18,91,,percent of total billed charges,,,387.5,95,,percent of total billed charges,,,338.55,83,,percent of total billed charges,,,338.55,83,,percent of total billed charges,,,,,,,,,,,,,,,338.55,83,,percent of total billed charges,,,387.5,95,,percent of total billed charges,,,367.1,90,,percent of total billed charges,,,367.1,90,,percent of total billed charges,,,334.47,82,,percent of total billed charges,,,367.1,90,,percent of total billed charges,,,346.71,85,,percent of total billed charges,,307.55,387.5, STRYKER BUR NEURO SOFTTOUCH 3.0,30183085,CDM,,,270,RC,inpatient,,1202.5,1202.5,,1020.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,906.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1022.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1058.2,88,,percent of total billed charges,,,,,,,,,918.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1094.28,91,,percent of total billed charges,,,1142.38,95,,percent of total billed charges,,,998.08,83,,percent of total billed charges,,,998.08,83,,percent of total billed charges,,,,,,,,,,,,,,,998.08,83,,percent of total billed charges,,,1142.38,95,,percent of total billed charges,,,1082.25,90,,percent of total billed charges,,,1082.25,90,,percent of total billed charges,,,986.05,82,,percent of total billed charges,,,1082.25,90,,percent of total billed charges,,,1022.13,85,,percent of total billed charges,,906.69,1142.38, SYNTHES PROTECTIVE CAP FOR 4.0MM FIXATIO,30183087,CDM,,,270,RC,inpatient,,81.25,81.25,,68.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,61.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,69.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.5,88,,percent of total billed charges,,,,,,,,,62.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.94,91,,percent of total billed charges,,,77.19,95,,percent of total billed charges,,,67.44,83,,percent of total billed charges,,,67.44,83,,percent of total billed charges,,,,,,,,,,,,,,,67.44,83,,percent of total billed charges,,,77.19,95,,percent of total billed charges,,,73.13,90,,percent of total billed charges,,,73.13,90,,percent of total billed charges,,,66.63,82,,percent of total billed charges,,,73.13,90,,percent of total billed charges,,,69.06,85,,percent of total billed charges,,61.26,77.19, TROCAR ENDO BLADLESS 150MM X 12MM,30183090,CDM,,,270,RC,inpatient,,230.55,230.55,,195.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,173.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,195.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,202.88,88,,percent of total billed charges,,,,,,,,,176.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,209.8,91,,percent of total billed charges,,,219.02,95,,percent of total billed charges,,,191.36,83,,percent of total billed charges,,,191.36,83,,percent of total billed charges,,,,,,,,,,,,,,,191.36,83,,percent of total billed charges,,,219.02,95,,percent of total billed charges,,,207.5,90,,percent of total billed charges,,,207.5,90,,percent of total billed charges,,,189.05,82,,percent of total billed charges,,,207.5,90,,percent of total billed charges,,,195.97,85,,percent of total billed charges,,173.83,219.02, DEPUY DELTA HEAD 36+ 8.5MM,30183091,CDM,,,278,RC,inpatient,,15329.8,15329.8,,13015,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11558.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13030.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13490.22,88,,percent of total billed charges,,,,,,,,,11711.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13950.12,91,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,,,,,,,,,,,,,12723.73,83,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,12570.44,82,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13030.33,85,,percent of total billed charges,,11558.67,14563.31, DEPUY BIOLOX FEM HD 36MM +12,30183093,CDM,,,278,RC,inpatient,,15329.8,15329.8,,13015,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11558.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13030.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13490.22,88,,percent of total billed charges,,,,,,,,,11711.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13950.12,91,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,12723.73,83,,percent of total billed charges,,,,,,,,,,,,,,,12723.73,83,,percent of total billed charges,,,14563.31,95,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,12570.44,82,,percent of total billed charges,,,13796.82,90,,percent of total billed charges,,,13030.33,85,,percent of total billed charges,,11558.67,14563.31, DEPUY BODY RECLAIM PROXIMAL 24 X 55,30183098,CDM,,,278,RC,inpatient,,38548.77,38548.77,,32727.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29065.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32766.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33922.92,88,,percent of total billed charges,,,,,,,,,29451.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35079.38,91,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,,,,,,,,,,,,,31995.48,83,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,31609.99,82,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,32766.45,85,,percent of total billed charges,,29065.77,36621.33, CATH STRAIGHT FILIFORM TIP 6FR,30183100,CDM,,,270,RC,inpatient,,307.58,307.58,,261.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,231.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,261.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,270.67,88,,percent of total billed charges,,,,,,,,,234.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,279.9,91,,percent of total billed charges,,,292.2,95,,percent of total billed charges,,,255.29,83,,percent of total billed charges,,,255.29,83,,percent of total billed charges,,,,,,,,,,,,,,,255.29,83,,percent of total billed charges,,,292.2,95,,percent of total billed charges,,,276.82,90,,percent of total billed charges,,,276.82,90,,percent of total billed charges,,,252.22,82,,percent of total billed charges,,,276.82,90,,percent of total billed charges,,,261.44,85,,percent of total billed charges,,231.92,292.2, CATH WOVEN PHILLIPS FOLLOWER 22FR,30183104,CDM,,,270,RC,inpatient,,752.78,752.78,,639.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,567.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,639.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,662.45,88,,percent of total billed charges,,,,,,,,,575.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,685.03,91,,percent of total billed charges,,,715.14,95,,percent of total billed charges,,,624.81,83,,percent of total billed charges,,,624.81,83,,percent of total billed charges,,,,,,,,,,,,,,,624.81,83,,percent of total billed charges,,,715.14,95,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,617.28,82,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,639.86,85,,percent of total billed charges,,567.6,715.14, DEPUY POROUS FEMORAL SLEEVE SZ20,30183107,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY LINER ALTRX +4 NEUT 44 X 66,30183108,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY FEMORAL HEAD 44MM +15.5,30183109,CDM,,,278,RC,inpatient,,14125.35,14125.35,,11992.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10650.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12006.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12430.31,88,,percent of total billed charges,,,,,,,,,10791.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12854.07,91,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,11724.04,83,,percent of total billed charges,,,,,,,,,,,,,,,11724.04,83,,percent of total billed charges,,,13419.08,95,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,11582.79,82,,percent of total billed charges,,,12712.82,90,,percent of total billed charges,,,12006.55,85,,percent of total billed charges,,10650.51,13419.08, DEPUY BODY RECLAIM PROXIMAL 28 X 95,30183110,CDM,,,278,RC,inpatient,,38548.77,38548.77,,32727.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29065.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32766.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33922.92,88,,percent of total billed charges,,,,,,,,,29451.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35079.38,91,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,,,,,,,,,,,,,31995.48,83,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,31609.99,82,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,32766.45,85,,percent of total billed charges,,29065.77,36621.33, DEPUY STEM RECLAIM ANGLED 21 X 190,30183111,CDM,,,278,RC,inpatient,,31338.78,31338.78,,26606.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23629.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26637.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27578.13,88,,percent of total billed charges,,,,,,,,,23942.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28518.29,91,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,,,,,,,,,,,,,26011.19,83,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,25697.8,82,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,26637.96,85,,percent of total billed charges,,23629.44,29771.84, ARTHREX TIGHT ROPE SYNDE REPAIR,30183115,CDM,,,270,RC,inpatient,,5525,5525,,4690.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4165.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4696.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4862,88,,percent of total billed charges,,,,,,,,,4221.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5027.75,91,,percent of total billed charges,,,5248.75,95,,percent of total billed charges,,,4585.75,83,,percent of total billed charges,,,4585.75,83,,percent of total billed charges,,,,,,,,,,,,,,,4585.75,83,,percent of total billed charges,,,5248.75,95,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4530.5,82,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4696.25,85,,percent of total billed charges,,4165.85,5248.75, ARTHREX PLATE 6-HOLE LOCKING DISTAL FIB,30183116,CDM,,,270,RC,inpatient,,4712.5,4712.5,,4000.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3553.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4005.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4147,88,,percent of total billed charges,,,,,,,,,3600.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4288.38,91,,percent of total billed charges,,,4476.88,95,,percent of total billed charges,,,3911.38,83,,percent of total billed charges,,,3911.38,83,,percent of total billed charges,,,,,,,,,,,,,,,3911.38,83,,percent of total billed charges,,,4476.88,95,,percent of total billed charges,,,4241.25,90,,percent of total billed charges,,,4241.25,90,,percent of total billed charges,,,3864.25,82,,percent of total billed charges,,,4241.25,90,,percent of total billed charges,,,4005.63,85,,percent of total billed charges,,3553.23,4476.88, ARTHREX SCREW LOCKING 12MM X 2.7,30183117,CDM,,,278,RC,inpatient,,735,735,,624.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,554.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,624.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,646.8,88,,percent of total billed charges,,,,,,,,,561.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,668.85,91,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,,,,,,,,,,,,,610.05,83,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,602.7,82,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,624.75,85,,percent of total billed charges,,554.19,698.25, ARTHREX SCREW LOCKING 14MM X 2.7,30183118,CDM,,,278,RC,inpatient,,735,735,,624.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,554.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,624.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,646.8,88,,percent of total billed charges,,,,,,,,,561.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,668.85,91,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,,,,,,,,,,,,,610.05,83,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,602.7,82,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,624.75,85,,percent of total billed charges,,554.19,698.25, ARTHREX SCREW LOCKING 20MM X 2.7,30183119,CDM,,,278,RC,inpatient,,735,735,,624.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,554.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,624.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,646.8,88,,percent of total billed charges,,,,,,,,,561.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,668.85,91,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,,,,,,,,,,,,,610.05,83,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,602.7,82,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,624.75,85,,percent of total billed charges,,554.19,698.25, ARTHREX SCREW LOCKING 12MM X 3.5,30183120,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW CORTICAL 12MM X 3.5,30183121,CDM,,,278,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, ARTHREX SCREW CORTICAL 14MM X 3.5,30183122,CDM,,,278,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, ARTHREX SCREW CORTICAL 16MM X 3.5,30183123,CDM,,,278,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, ARTHREX SCREW CORTICAL 18MM X 3.5,30183124,CDM,,,278,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, ARTHREX DRILL BIT CANNULATED 2.0MM,30183125,CDM,,,270,RC,inpatient,,665,665,,564.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,501.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,565.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,585.2,88,,percent of total billed charges,,,,,,,,,508.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,605.15,91,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,,,,,,,,,,,,,551.95,83,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,545.3,82,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,565.25,85,,percent of total billed charges,,501.41,631.75, ARTHREX DRILL BIT CANNULATED 2.5MM,30183126,CDM,,,270,RC,inpatient,,595,595,,505.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,448.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,505.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,523.6,88,,percent of total billed charges,,,,,,,,,454.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,541.45,91,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,,,,,,,,,,,,,493.85,83,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,487.9,82,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,505.75,85,,percent of total billed charges,,448.63,565.25, ARTHREX DRILL BIT CANNULATED 2.6MM,30183127,CDM,,,270,RC,inpatient,,805,805,,683.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,606.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,684.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,708.4,88,,percent of total billed charges,,,,,,,,,615.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,732.55,91,,percent of total billed charges,,,764.75,95,,percent of total billed charges,,,668.15,83,,percent of total billed charges,,,668.15,83,,percent of total billed charges,,,,,,,,,,,,,,,668.15,83,,percent of total billed charges,,,764.75,95,,percent of total billed charges,,,724.5,90,,percent of total billed charges,,,724.5,90,,percent of total billed charges,,,660.1,82,,percent of total billed charges,,,724.5,90,,percent of total billed charges,,,684.25,85,,percent of total billed charges,,606.97,764.75, ARTHREX DRILL BIT 2.5MM,30183128,CDM,,,270,RC,inpatient,,595,595,,505.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,448.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,505.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,523.6,88,,percent of total billed charges,,,,,,,,,454.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,541.45,91,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,,,,,,,,,,,,,493.85,83,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,487.9,82,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,505.75,85,,percent of total billed charges,,448.63,565.25, ARTHREX BB-TAK,30183129,CDM,,,278,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, ARTHREX GUIDEWIRE 130MM X 1.35,30183130,CDM,,,278,RC,inpatient,,160,160,,135.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,120.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,136,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,140.8,88,,percent of total billed charges,,,,,,,,,122.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,145.6,91,,percent of total billed charges,,,152,95,,percent of total billed charges,,,132.8,83,,percent of total billed charges,,,132.8,83,,percent of total billed charges,,,,,,,,,,,,,,,132.8,83,,percent of total billed charges,,,152,95,,percent of total billed charges,,,144,90,,percent of total billed charges,,,144,90,,percent of total billed charges,,,131.2,82,,percent of total billed charges,,,144,90,,percent of total billed charges,,,136,85,,percent of total billed charges,,120.64,152, PRODY DRAINAGE BULB HOLDER,30183133,CDM,,,270,RC,inpatient,,122.16,122.16,,103.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,92.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,103.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,107.5,88,,percent of total billed charges,,,,,,,,,93.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,111.17,91,,percent of total billed charges,,,116.05,95,,percent of total billed charges,,,101.39,83,,percent of total billed charges,,,101.39,83,,percent of total billed charges,,,,,,,,,,,,,,,101.39,83,,percent of total billed charges,,,116.05,95,,percent of total billed charges,,,109.94,90,,percent of total billed charges,,,109.94,90,,percent of total billed charges,,,100.17,82,,percent of total billed charges,,,109.94,90,,percent of total billed charges,,,103.84,85,,percent of total billed charges,,92.11,116.05, NEUROMONITORING DEFINITIVE,30183137,CDM,,,270,RC,inpatient,,5200,5200,,4414.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3920.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4420,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4576,88,,percent of total billed charges,,,,,,,,,3972.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4732,91,,percent of total billed charges,,,4940,95,,percent of total billed charges,,,4316,83,,percent of total billed charges,,,4316,83,,percent of total billed charges,,,,,,,,,,,,,,,4316,83,,percent of total billed charges,,,4940,95,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4264,82,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4420,85,,percent of total billed charges,,3920.8,4940, DEPUY STEM GLOBAL ADVANTAGE PC 8MM,30183148,CDM,,,278,RC,inpatient,,36482.49,36482.49,,30973.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27507.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31010.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32104.59,88,,percent of total billed charges,,,,,,,,,27872.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33199.07,91,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,30280.47,83,,percent of total billed charges,,,,,,,,,,,,,,,30280.47,83,,percent of total billed charges,,,34658.37,95,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,29915.64,82,,percent of total billed charges,,,32834.24,90,,percent of total billed charges,,,31010.12,85,,percent of total billed charges,,27507.8,34658.37, HEAD HALTERS/CERVICAL TRACTION STANDARD,30183149,CDM,,,270,RC,inpatient,,116.56,116.56,,98.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,87.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,99.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,102.57,88,,percent of total billed charges,,,,,,,,,89.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,106.07,91,,percent of total billed charges,,,110.73,95,,percent of total billed charges,,,96.74,83,,percent of total billed charges,,,96.74,83,,percent of total billed charges,,,,,,,,,,,,,,,96.74,83,,percent of total billed charges,,,110.73,95,,percent of total billed charges,,,104.9,90,,percent of total billed charges,,,104.9,90,,percent of total billed charges,,,95.58,82,,percent of total billed charges,,,104.9,90,,percent of total billed charges,,,99.08,85,,percent of total billed charges,,87.89,110.73, BIOMET HUMERAL NAIL 8MM X 260MM,30183151,CDM,,,278,RC,inpatient,,12857,12857,,10915.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9694.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10928.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11314.16,88,,percent of total billed charges,,,,,,,,,9822.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11699.87,91,,percent of total billed charges,,,12214.15,95,,percent of total billed charges,,,10671.31,83,,percent of total billed charges,,,10671.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10671.31,83,,percent of total billed charges,,,12214.15,95,,percent of total billed charges,,,11571.3,90,,percent of total billed charges,,,11571.3,90,,percent of total billed charges,,,10542.74,82,,percent of total billed charges,,,11571.3,90,,percent of total billed charges,,,10928.45,85,,percent of total billed charges,,9694.18,12214.15, BIOMET HUMERAL NAIL 8MM X 280MM,30183154,CDM,,,278,RC,inpatient,,16380,16380,,13906.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12350.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13923,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14414.4,88,,percent of total billed charges,,,,,,,,,12514.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14905.8,91,,percent of total billed charges,,,15561,95,,percent of total billed charges,,,13595.4,83,,percent of total billed charges,,,13595.4,83,,percent of total billed charges,,,,,,,,,,,,,,,13595.4,83,,percent of total billed charges,,,15561,95,,percent of total billed charges,,,14742,90,,percent of total billed charges,,,14742,90,,percent of total billed charges,,,13431.6,82,,percent of total billed charges,,,14742,90,,percent of total billed charges,,,13923,85,,percent of total billed charges,,12350.52,15561, CELL SAVER SERVICE - CANCELLATION FEES,30183155,CDM,,,270,RC,inpatient,,3900,3900,,3311.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2940.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3315,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3432,88,,percent of total billed charges,,,,,,,,,2979.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3549,91,,percent of total billed charges,,,3705,95,,percent of total billed charges,,,3237,83,,percent of total billed charges,,,3237,83,,percent of total billed charges,,,,,,,,,,,,,,,3237,83,,percent of total billed charges,,,3705,95,,percent of total billed charges,,,3510,90,,percent of total billed charges,,,3510,90,,percent of total billed charges,,,3198,82,,percent of total billed charges,,,3510,90,,percent of total billed charges,,,3315,85,,percent of total billed charges,,2940.6,3705, ARTHREX PLATE 6-HOLE LOCKING DISTAL-R,30183158,CDM,,,270,RC,inpatient,,4225,4225,,3587.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3185.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3591.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3718,88,,percent of total billed charges,,,,,,,,,3227.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3844.75,91,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,,,,,,,,,,,,,3506.75,83,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3464.5,82,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3591.25,85,,percent of total billed charges,,3185.65,4013.75, ARTHREX SCREW LOCKING 16MM X 2.7,30183159,CDM,,,278,RC,inpatient,,735,735,,624.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,554.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,624.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,646.8,88,,percent of total billed charges,,,,,,,,,561.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,668.85,91,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,,,,,,,,,,,,,610.05,83,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,602.7,82,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,624.75,85,,percent of total billed charges,,554.19,698.25, ARTHREX SCREW LOCKING 14MM X 3.5,30183160,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW LOCKING 20MM X 3.5,30183161,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, STRYKER SCREW LAG 10.5 X 90MM,30183167,CDM,,,278,RC,inpatient,,5200.33,5200.33,,4415.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3921.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4420.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4576.29,88,,percent of total billed charges,,,,,,,,,3973.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4732.3,91,,percent of total billed charges,,,4940.31,95,,percent of total billed charges,,,4316.27,83,,percent of total billed charges,,,4316.27,83,,percent of total billed charges,,,,,,,,,,,,,,,4316.27,83,,percent of total billed charges,,,4940.31,95,,percent of total billed charges,,,4680.3,90,,percent of total billed charges,,,4680.3,90,,percent of total billed charges,,,4264.27,82,,percent of total billed charges,,,4680.3,90,,percent of total billed charges,,,4420.28,85,,percent of total billed charges,,3921.05,4940.31, AMVISC PLUS 0.8ML,30183170,CDM,,,270,RC,inpatient,,385,385,,326.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,290.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,327.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,338.8,88,,percent of total billed charges,,,,,,,,,294.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,350.35,91,,percent of total billed charges,,,365.75,95,,percent of total billed charges,,,319.55,83,,percent of total billed charges,,,319.55,83,,percent of total billed charges,,,,,,,,,,,,,,,319.55,83,,percent of total billed charges,,,365.75,95,,percent of total billed charges,,,346.5,90,,percent of total billed charges,,,346.5,90,,percent of total billed charges,,,315.7,82,,percent of total billed charges,,,346.5,90,,percent of total billed charges,,,327.25,85,,percent of total billed charges,,290.29,365.75, RTI PATELLAR TENDON 10MM BTB PRESHAPE,30183180,CDM,,,278,RC,inpatient,,23400,23400,,19866.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17643.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19890,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20592,88,,percent of total billed charges,,,,,,,,,17877.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21294,91,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,,,,,,,,,,,,,19422,83,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19188,82,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19890,85,,percent of total billed charges,,17643.6,22230, DEPUY STEM CORAIL SZ12,30183181,CDM,,,278,RC,inpatient,,33799.35,33799.35,,28695.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25484.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28729.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29743.43,88,,percent of total billed charges,,,,,,,,,25822.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30757.41,91,,percent of total billed charges,,,32109.38,95,,percent of total billed charges,,,28053.46,83,,percent of total billed charges,,,28053.46,83,,percent of total billed charges,,,,,,,,,,,,,,,28053.46,83,,percent of total billed charges,,,32109.38,95,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,27715.47,82,,percent of total billed charges,,,30419.42,90,,percent of total billed charges,,,28729.45,85,,percent of total billed charges,,25484.71,32109.38, GYRUS THUNDERBEAT 5M 20CM INLINE GRIP,30183182,CDM,,,270,RC,inpatient,,5954,5954,,5054.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4489.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5060.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5239.52,88,,percent of total billed charges,,,,,,,,,4548.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5418.14,91,,percent of total billed charges,,,5656.3,95,,percent of total billed charges,,,4941.82,83,,percent of total billed charges,,,4941.82,83,,percent of total billed charges,,,,,,,,,,,,,,,4941.82,83,,percent of total billed charges,,,5656.3,95,,percent of total billed charges,,,5358.6,90,,percent of total billed charges,,,5358.6,90,,percent of total billed charges,,,4882.28,82,,percent of total billed charges,,,5358.6,90,,percent of total billed charges,,,5060.9,85,,percent of total billed charges,,4489.32,5656.3, GYRUS THUNDERBEAT 5M 10CM INLINE GRIP,30183183,CDM,,,270,RC,inpatient,,6251.7,6251.7,,5307.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4713.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5313.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5501.5,88,,percent of total billed charges,,,,,,,,,4776.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5689.05,91,,percent of total billed charges,,,5939.12,95,,percent of total billed charges,,,5188.91,83,,percent of total billed charges,,,5188.91,83,,percent of total billed charges,,,,,,,,,,,,,,,5188.91,83,,percent of total billed charges,,,5939.12,95,,percent of total billed charges,,,5626.53,90,,percent of total billed charges,,,5626.53,90,,percent of total billed charges,,,5126.39,82,,percent of total billed charges,,,5626.53,90,,percent of total billed charges,,,5313.95,85,,percent of total billed charges,,4713.78,5939.12, DEPUY BIPOLAR HEAD 40 X28CM,30183185,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, AQUAMANTYS MINI EVS,30183187,CDM,,,270,RC,inpatient,,4143.75,4143.75,,3518.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3124.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3522.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3646.5,88,,percent of total billed charges,,,,,,,,,3165.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3770.81,91,,percent of total billed charges,,,3936.56,95,,percent of total billed charges,,,3439.31,83,,percent of total billed charges,,,3439.31,83,,percent of total billed charges,,,,,,,,,,,,,,,3439.31,83,,percent of total billed charges,,,3936.56,95,,percent of total billed charges,,,3729.38,90,,percent of total billed charges,,,3729.38,90,,percent of total billed charges,,,3397.88,82,,percent of total billed charges,,,3729.38,90,,percent of total billed charges,,,3522.19,85,,percent of total billed charges,,3124.39,3936.56, DEPUY EPAK PINNING SYSTEM,30183203,CDM,,,278,RC,inpatient,,3542.5,3542.5,,3007.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2671.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3011.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3117.4,88,,percent of total billed charges,,,,,,,,,2706.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3223.68,91,,percent of total billed charges,,,3365.38,95,,percent of total billed charges,,,2940.28,83,,percent of total billed charges,,,2940.28,83,,percent of total billed charges,,,,,,,,,,,,,,,2940.28,83,,percent of total billed charges,,,3365.38,95,,percent of total billed charges,,,3188.25,90,,percent of total billed charges,,,3188.25,90,,percent of total billed charges,,,2904.85,82,,percent of total billed charges,,,3188.25,90,,percent of total billed charges,,,3011.13,85,,percent of total billed charges,,2671.05,3365.38, DEPUY PATELLA ATTUNE DOME 41MM,30183204,CDM,,,278,RC,inpatient,,6897.67,6897.67,,5856.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5200.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5863.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6069.95,88,,percent of total billed charges,,,,,,,,,5269.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6276.88,91,,percent of total billed charges,,,6552.79,95,,percent of total billed charges,,,5725.07,83,,percent of total billed charges,,,5725.07,83,,percent of total billed charges,,,,,,,,,,,,,,,5725.07,83,,percent of total billed charges,,,6552.79,95,,percent of total billed charges,,,6207.9,90,,percent of total billed charges,,,6207.9,90,,percent of total billed charges,,,5656.09,82,,percent of total billed charges,,,6207.9,90,,percent of total billed charges,,,5863.02,85,,percent of total billed charges,,5200.84,6552.79, DEPUY FEMUR ATTUNE PS SZ 6 L,30183205,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY INSERT AOX PS FB SZ 6 7MM,30183206,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY ATTUNE FB W/DOME PATELLA,30183208,CDM,,,278,RC,inpatient,,37440,37440,,31786.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31824,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32947.2,88,,percent of total billed charges,,,,,,,,,28604.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34070.4,91,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,,,,,,,,,,,,,31075.2,83,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,30700.8,82,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,31824,85,,percent of total billed charges,,28229.76,35568, DEPUY-MITEK DRILL BIT 2.4MM,30183209,CDM,,,270,RC,inpatient,,1079,1079,,916.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,813.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,917.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,949.52,88,,percent of total billed charges,,,,,,,,,824.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,981.89,91,,percent of total billed charges,,,1025.05,95,,percent of total billed charges,,,895.57,83,,percent of total billed charges,,,895.57,83,,percent of total billed charges,,,,,,,,,,,,,,,895.57,83,,percent of total billed charges,,,1025.05,95,,percent of total billed charges,,,971.1,90,,percent of total billed charges,,,971.1,90,,percent of total billed charges,,,884.78,82,,percent of total billed charges,,,971.1,90,,percent of total billed charges,,,917.15,85,,percent of total billed charges,,813.57,1025.05, DEPUY SCREW BONE 6.5 X 25,30183225,CDM,,,278,RC,inpatient,,1244.95,1244.95,,1056.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,938.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1058.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1095.56,88,,percent of total billed charges,,,,,,,,,951.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1132.9,91,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1033.31,83,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1020.86,82,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1058.21,85,,percent of total billed charges,,938.69,1182.7, DEPUY SCREW BONE 6.5 X 20,30183226,CDM,,,278,RC,inpatient,,1244.95,1244.95,,1056.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,938.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1058.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1095.56,88,,percent of total billed charges,,,,,,,,,951.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1132.9,91,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,1033.31,83,,percent of total billed charges,,,,,,,,,,,,,,,1033.31,83,,percent of total billed charges,,,1182.7,95,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1020.86,82,,percent of total billed charges,,,1120.46,90,,percent of total billed charges,,,1058.21,85,,percent of total billed charges,,938.69,1182.7, DEPUY HIP CERAMIC ON CERAMIC,30183227,CDM,,,278,RC,inpatient,,41464.28,41464.28,,35203.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31264.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,35244.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36488.57,88,,percent of total billed charges,,,,,,,,,31678.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37732.49,91,,percent of total billed charges,,,39391.07,95,,percent of total billed charges,,,34415.35,83,,percent of total billed charges,,,34415.35,83,,percent of total billed charges,,,,,,,,,,,,,,,34415.35,83,,percent of total billed charges,,,39391.07,95,,percent of total billed charges,,,37317.85,90,,percent of total billed charges,,,37317.85,90,,percent of total billed charges,,,34000.71,82,,percent of total billed charges,,,37317.85,90,,percent of total billed charges,,,35244.64,85,,percent of total billed charges,,31264.07,39391.07, SYNTHES NORIAN INJECTABLE DRILLABLE 5CC,30183228,CDM,,,270,RC,inpatient,,12895.35,12895.35,,10948.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9723.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10961.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11347.91,88,,percent of total billed charges,,,,,,,,,9852.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11734.77,91,,percent of total billed charges,,,12250.58,95,,percent of total billed charges,,,10703.14,83,,percent of total billed charges,,,10703.14,83,,percent of total billed charges,,,,,,,,,,,,,,,10703.14,83,,percent of total billed charges,,,12250.58,95,,percent of total billed charges,,,11605.82,90,,percent of total billed charges,,,11605.82,90,,percent of total billed charges,,,10574.19,82,,percent of total billed charges,,,11605.82,90,,percent of total billed charges,,,10961.05,85,,percent of total billed charges,,9723.09,12250.58, XPS GREENLIGHT LASER SERVICE FEE,30183233,CDM,,,270,RC,inpatient,,5200,5200,,4414.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3920.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4420,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4576,88,,percent of total billed charges,,,,,,,,,3972.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4732,91,,percent of total billed charges,,,4940,95,,percent of total billed charges,,,4316,83,,percent of total billed charges,,,4316,83,,percent of total billed charges,,,,,,,,,,,,,,,4316,83,,percent of total billed charges,,,4940,95,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4264,82,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4420,85,,percent of total billed charges,,3920.8,4940, XPS MOXY FIBER,30183234,CDM,,,270,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, MESH VENTRALIGHT STD 6X8,30183235,CDM,,,278,RC,inpatient,,5460,5460,,4635.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4116.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4641,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4804.8,88,,percent of total billed charges,,,,,,,,,4171.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4968.6,91,,percent of total billed charges,,,5187,95,,percent of total billed charges,,,4531.8,83,,percent of total billed charges,,,4531.8,83,,percent of total billed charges,,,,,,,,,,,,,,,4531.8,83,,percent of total billed charges,,,5187,95,,percent of total billed charges,,,4914,90,,percent of total billed charges,,,4914,90,,percent of total billed charges,,,4477.2,82,,percent of total billed charges,,,4914,90,,percent of total billed charges,,,4641,85,,percent of total billed charges,,4116.84,5187, BODY REST MOD PROX CONE 25X0MM STD,30183238,CDM,,,278,RC,inpatient,,21391.5,21391.5,,18161.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16129.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18182.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18824.52,88,,percent of total billed charges,,,,,,,,,16343.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19466.27,91,,percent of total billed charges,,,20321.93,95,,percent of total billed charges,,,17754.95,83,,percent of total billed charges,,,17754.95,83,,percent of total billed charges,,,,,,,,,,,,,,,17754.95,83,,percent of total billed charges,,,20321.93,95,,percent of total billed charges,,,19252.35,90,,percent of total billed charges,,,19252.35,90,,percent of total billed charges,,,17541.03,82,,percent of total billed charges,,,19252.35,90,,percent of total billed charges,,,18182.78,85,,percent of total billed charges,,16129.19,20321.93, HEAD V40 COCR LFIT 28MM +4,30183240,CDM,,,278,RC,inpatient,,4647.5,4647.5,,3945.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3504.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3950.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4089.8,88,,percent of total billed charges,,,,,,,,,3550.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4229.23,91,,percent of total billed charges,,,4415.13,95,,percent of total billed charges,,,3857.43,83,,percent of total billed charges,,,3857.43,83,,percent of total billed charges,,,,,,,,,,,,,,,3857.43,83,,percent of total billed charges,,,4415.13,95,,percent of total billed charges,,,4182.75,90,,percent of total billed charges,,,4182.75,90,,percent of total billed charges,,,3810.95,82,,percent of total billed charges,,,4182.75,90,,percent of total billed charges,,,3950.38,85,,percent of total billed charges,,3504.22,4415.13, BODY REST MOD PROX CONE 25MM +10,30183243,CDM,,,278,RC,inpatient,,35594.65,35594.65,,30219.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26838.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30255.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31323.29,88,,percent of total billed charges,,,,,,,,,27194.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32391.13,91,,percent of total billed charges,,,33814.92,95,,percent of total billed charges,,,29543.56,83,,percent of total billed charges,,,29543.56,83,,percent of total billed charges,,,,,,,,,,,,,,,29543.56,83,,percent of total billed charges,,,33814.92,95,,percent of total billed charges,,,32035.19,90,,percent of total billed charges,,,32035.19,90,,percent of total billed charges,,,29187.61,82,,percent of total billed charges,,,32035.19,90,,percent of total billed charges,,,30255.45,85,,percent of total billed charges,,26838.37,33814.92, DEPUY DISTAL AUGMENT 4MM SZ4.0 LEFT,30183244,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY BUILD UP TRAY 15MM SZ 4,30183245,CDM,,,278,RC,inpatient,,51595.57,51595.57,,43804.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,38903.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,43856.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,45404.1,88,,percent of total billed charges,,,,,,,,,39419.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,46951.97,91,,percent of total billed charges,,,49015.79,95,,percent of total billed charges,,,42824.32,83,,percent of total billed charges,,,42824.32,83,,percent of total billed charges,,,,,,,,,,,,,,,42824.32,83,,percent of total billed charges,,,49015.79,95,,percent of total billed charges,,,46436.01,90,,percent of total billed charges,,,46436.01,90,,percent of total billed charges,,,42308.37,82,,percent of total billed charges,,,46436.01,90,,percent of total billed charges,,,43856.23,85,,percent of total billed charges,,38903.06,49015.79, NEUROMONITORING EMG 1 EXT W/OR W/O PARA,30183246,CDM,,,270,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, NEUROMONITORING TCMEP UPPER & LOWER,30183247,CDM,,,270,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, STRYKER RADIOFREQUENCY GENERATOR,30183256,CDM,,,270,RC,inpatient,,9750,9750,,8277.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7351.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8287.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8580,88,,percent of total billed charges,,,,,,,,,7449,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8872.5,91,,percent of total billed charges,,,9262.5,95,,percent of total billed charges,,,8092.5,83,,percent of total billed charges,,,8092.5,83,,percent of total billed charges,,,,,,,,,,,,,,,8092.5,83,,percent of total billed charges,,,9262.5,95,,percent of total billed charges,,,8775,90,,percent of total billed charges,,,8775,90,,percent of total billed charges,,,7995,82,,percent of total billed charges,,,8775,90,,percent of total billed charges,,,8287.5,85,,percent of total billed charges,,7351.5,9262.5, STRYKER STERILIZATION BOX W/ELECTRODES,30183257,CDM,,,270,RC,inpatient,,4875,4875,,4138.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3675.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4143.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4290,88,,percent of total billed charges,,,,,,,,,3724.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4436.25,91,,percent of total billed charges,,,4631.25,95,,percent of total billed charges,,,4046.25,83,,percent of total billed charges,,,4046.25,83,,percent of total billed charges,,,,,,,,,,,,,,,4046.25,83,,percent of total billed charges,,,4631.25,95,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,3997.5,82,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,4143.75,85,,percent of total billed charges,,3675.75,4631.25, STRYKER ACTIVE TIP 100MM 18G 10MM,30183258,CDM,,,270,RC,inpatient,,9750,9750,,8277.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7351.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8287.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8580,88,,percent of total billed charges,,,,,,,,,7449,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8872.5,91,,percent of total billed charges,,,9262.5,95,,percent of total billed charges,,,8092.5,83,,percent of total billed charges,,,8092.5,83,,percent of total billed charges,,,,,,,,,,,,,,,8092.5,83,,percent of total billed charges,,,9262.5,95,,percent of total billed charges,,,8775,90,,percent of total billed charges,,,8775,90,,percent of total billed charges,,,7995,82,,percent of total billed charges,,,8775,90,,percent of total billed charges,,,8287.5,85,,percent of total billed charges,,7351.5,9262.5, NEEDLE TUOHY EPIDURAL 18G X 3.5,30183261,CDM,,,270,RC,inpatient,,25.61,25.61,,21.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22.54,88,,percent of total billed charges,,,,,,,,,19.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23.31,91,,percent of total billed charges,,,24.33,95,,percent of total billed charges,,,21.26,83,,percent of total billed charges,,,21.26,83,,percent of total billed charges,,,,,,,,,,,,,,,21.26,83,,percent of total billed charges,,,24.33,95,,percent of total billed charges,,,23.05,90,,percent of total billed charges,,,23.05,90,,percent of total billed charges,,,21,82,,percent of total billed charges,,,23.05,90,,percent of total billed charges,,,21.77,85,,percent of total billed charges,,19.31,24.33, KYPHON XPANDER INFLATION SYRINGE,30183263,CDM,,,270,RC,inpatient,,929.5,929.5,,789.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,700.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,790.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,817.96,88,,percent of total billed charges,,,,,,,,,710.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,845.85,91,,percent of total billed charges,,,883.03,95,,percent of total billed charges,,,771.49,83,,percent of total billed charges,,,771.49,83,,percent of total billed charges,,,,,,,,,,,,,,,771.49,83,,percent of total billed charges,,,883.03,95,,percent of total billed charges,,,836.55,90,,percent of total billed charges,,,836.55,90,,percent of total billed charges,,,762.19,82,,percent of total billed charges,,,836.55,90,,percent of total billed charges,,,790.08,85,,percent of total billed charges,,700.84,883.03, NEEDLE TUOHY EPIDURAL 22G X 3.5,30183264,CDM,,,270,RC,inpatient,,84.24,84.24,,71.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,63.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,71.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,74.13,88,,percent of total billed charges,,,,,,,,,64.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,76.66,91,,percent of total billed charges,,,80.03,95,,percent of total billed charges,,,69.92,83,,percent of total billed charges,,,69.92,83,,percent of total billed charges,,,,,,,,,,,,,,,69.92,83,,percent of total billed charges,,,80.03,95,,percent of total billed charges,,,75.82,90,,percent of total billed charges,,,75.82,90,,percent of total billed charges,,,69.08,82,,percent of total billed charges,,,75.82,90,,percent of total billed charges,,,71.6,85,,percent of total billed charges,,63.52,80.03, NEEDLE SPINAL CHIBA 22G X 6IN,30183265,CDM,,,270,RC,inpatient,,46.92,46.92,,39.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41.29,88,,percent of total billed charges,,,,,,,,,35.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42.7,91,,percent of total billed charges,,,44.57,95,,percent of total billed charges,,,38.94,83,,percent of total billed charges,,,38.94,83,,percent of total billed charges,,,,,,,,,,,,,,,38.94,83,,percent of total billed charges,,,44.57,95,,percent of total billed charges,,,42.23,90,,percent of total billed charges,,,42.23,90,,percent of total billed charges,,,38.47,82,,percent of total billed charges,,,42.23,90,,percent of total billed charges,,,39.88,85,,percent of total billed charges,,35.38,44.57, DEPUY SLEEVE DISTAL POROUS 31MM,30183266,CDM,,,278,RC,inpatient,,12552.61,12552.61,,10657.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9464.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10669.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11046.3,88,,percent of total billed charges,,,,,,,,,9590.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11422.88,91,,percent of total billed charges,,,11924.98,95,,percent of total billed charges,,,10418.67,83,,percent of total billed charges,,,10418.67,83,,percent of total billed charges,,,,,,,,,,,,,,,10418.67,83,,percent of total billed charges,,,11924.98,95,,percent of total billed charges,,,11297.35,90,,percent of total billed charges,,,11297.35,90,,percent of total billed charges,,,10293.14,82,,percent of total billed charges,,,11297.35,90,,percent of total billed charges,,,10669.72,85,,percent of total billed charges,,9464.67,11924.98, DEPUY ATTUNE FEMUR PS SZ 6 RT,30183267,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY PATELLA MEDIALIZED DOME 38MM,30183268,CDM,,,278,RC,inpatient,,6238.64,6238.64,,5296.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4703.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5302.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5490,88,,percent of total billed charges,,,,,,,,,4766.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5677.16,91,,percent of total billed charges,,,5926.71,95,,percent of total billed charges,,,5178.07,83,,percent of total billed charges,,,5178.07,83,,percent of total billed charges,,,,,,,,,,,,,,,5178.07,83,,percent of total billed charges,,,5926.71,95,,percent of total billed charges,,,5614.78,90,,percent of total billed charges,,,5614.78,90,,percent of total billed charges,,,5115.68,82,,percent of total billed charges,,,5614.78,90,,percent of total billed charges,,,5302.84,85,,percent of total billed charges,,4703.93,5926.71, DEPUY TRAY TIBIAL SZ 5,30183269,CDM,,,278,RC,inpatient,,19131.39,19131.39,,16242.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14425.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16261.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16835.62,88,,percent of total billed charges,,,,,,,,,14616.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17409.56,91,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,15879.05,83,,percent of total billed charges,,,,,,,,,,,,,,,15879.05,83,,percent of total billed charges,,,18174.82,95,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,15687.74,82,,percent of total billed charges,,,17218.25,90,,percent of total billed charges,,,16261.68,85,,percent of total billed charges,,14425.07,18174.82, PAD COVER ALLEN BOW FRAME,30183276,CDM,,,270,RC,inpatient,,560,560,,475.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,422.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,476,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,492.8,88,,percent of total billed charges,,,,,,,,,427.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,509.6,91,,percent of total billed charges,,,532,95,,percent of total billed charges,,,464.8,83,,percent of total billed charges,,,464.8,83,,percent of total billed charges,,,,,,,,,,,,,,,464.8,83,,percent of total billed charges,,,532,95,,percent of total billed charges,,,504,90,,percent of total billed charges,,,504,90,,percent of total billed charges,,,459.2,82,,percent of total billed charges,,,504,90,,percent of total billed charges,,,476,85,,percent of total billed charges,,422.24,532, CELL SAVER ANTICOAGULATION/ASPIRATION AS,30183280,CDM,,,270,RC,inpatient,,136,136,,115.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,102.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,115.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,119.68,88,,percent of total billed charges,,,,,,,,,103.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,123.76,91,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,,,,,,,,,,,,,112.88,83,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,111.52,82,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,115.6,85,,percent of total billed charges,,102.54,129.2, SYNTHES SCREW LOCKING VA 2.7MM X 20MM,30183284,CDM,,,278,RC,inpatient,,1371.5,1371.5,,1164.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1034.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1165.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1206.92,88,,percent of total billed charges,,,,,,,,,1047.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1248.07,91,,percent of total billed charges,,,1302.93,95,,percent of total billed charges,,,1138.35,83,,percent of total billed charges,,,1138.35,83,,percent of total billed charges,,,,,,,,,,,,,,,1138.35,83,,percent of total billed charges,,,1302.93,95,,percent of total billed charges,,,1234.35,90,,percent of total billed charges,,,1234.35,90,,percent of total billed charges,,,1124.63,82,,percent of total billed charges,,,1234.35,90,,percent of total billed charges,,,1165.78,85,,percent of total billed charges,,1034.11,1302.93, CELL SAVER CARDIOTOMY RESERVOIR,30183286,CDM,,,270,RC,inpatient,,455,455,,386.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,343.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,386.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,400.4,88,,percent of total billed charges,,,,,,,,,347.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,414.05,91,,percent of total billed charges,,,432.25,95,,percent of total billed charges,,,377.65,83,,percent of total billed charges,,,377.65,83,,percent of total billed charges,,,,,,,,,,,,,,,377.65,83,,percent of total billed charges,,,432.25,95,,percent of total billed charges,,,409.5,90,,percent of total billed charges,,,409.5,90,,percent of total billed charges,,,373.1,82,,percent of total billed charges,,,409.5,90,,percent of total billed charges,,,386.75,85,,percent of total billed charges,,343.07,432.25, ARTHREX SCREW LOCKING 18MM X 2.7,30183290,CDM,,,278,RC,inpatient,,735,735,,624.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,554.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,624.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,646.8,88,,percent of total billed charges,,,,,,,,,561.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,668.85,91,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,,,,,,,,,,,,,610.05,83,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,602.7,82,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,624.75,85,,percent of total billed charges,,554.19,698.25, ARTHREX SCREW CORTICAL 30MM X 3.5,30183291,CDM,,,278,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, ARTHREX PLATE 5-HOLE LOCKING DISTAL FIB,30183292,CDM,,,270,RC,inpatient,,4225,4225,,3587.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3185.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3591.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3718,88,,percent of total billed charges,,,,,,,,,3227.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3844.75,91,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,,,,,,,,,,,,,3506.75,83,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3464.5,82,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3591.25,85,,percent of total billed charges,,3185.65,4013.75, DEPUY FEMUR ATTUNE PS SZ 5 LFT,30183297,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY INSERT AOX PS 7MM SZ 5,30183298,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY HUMERAL CUP 42MM +3,30183299,CDM,,,278,RC,inpatient,,10688.08,10688.08,,9074.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8058.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9084.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9405.51,88,,percent of total billed charges,,,,,,,,,8165.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9726.15,91,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,,,,,,,,,,,,,8871.11,83,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,8764.23,82,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9084.87,85,,percent of total billed charges,,8058.81,10153.68, DEPUY HUMERAL STEM 14 DIA MODULAR,30183300,CDM,,,278,RC,inpatient,,17244.96,17244.96,,14640.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13002.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14658.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15175.56,88,,percent of total billed charges,,,,,,,,,13175.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15692.91,91,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,,,,,,,,,,,,,14313.32,83,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14140.87,82,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14658.22,85,,percent of total billed charges,,13002.7,16382.71, DEPUY EPIPHYSIS MODULAR SZ 1,30183301,CDM,,,278,RC,inpatient,,33055.36,33055.36,,28064,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24923.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28097.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29088.72,88,,percent of total billed charges,,,,,,,,,25254.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30080.38,91,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,,,,,,,,,,,,,27435.95,83,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,27105.4,82,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,28097.06,85,,percent of total billed charges,,24923.74,31402.59, STOPCOCK EXTENSION SET 12,30183302,CDM,,,270,RC,inpatient,,8.64,8.64,,7.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7.6,88,,percent of total billed charges,,,,,,,,,6.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7.86,91,,percent of total billed charges,,,8.21,95,,percent of total billed charges,,,7.17,83,,percent of total billed charges,,,7.17,83,,percent of total billed charges,,,,,,,,,,,,,,,7.17,83,,percent of total billed charges,,,8.21,95,,percent of total billed charges,,,7.78,90,,percent of total billed charges,,,7.78,90,,percent of total billed charges,,,7.08,82,,percent of total billed charges,,,7.78,90,,percent of total billed charges,,,7.34,85,,percent of total billed charges,,6.51,8.21, S&N SUTURE PASSER 70 DEG UPWARD,30183303,CDM,,,270,RC,inpatient,,892.78,892.78,,757.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,673.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,758.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,785.65,88,,percent of total billed charges,,,,,,,,,682.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,812.43,91,,percent of total billed charges,,,848.14,95,,percent of total billed charges,,,741.01,83,,percent of total billed charges,,,741.01,83,,percent of total billed charges,,,,,,,,,,,,,,,741.01,83,,percent of total billed charges,,,848.14,95,,percent of total billed charges,,,803.5,90,,percent of total billed charges,,,803.5,90,,percent of total billed charges,,,732.08,82,,percent of total billed charges,,,803.5,90,,percent of total billed charges,,,758.86,85,,percent of total billed charges,,673.16,848.14, DEPUY ATTUNE FEMUR PS SZ 4 LEFT,30183316,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY ATTUNE FEMUR RIGHT SZ 4,30183317,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY ATTUNE PATELLA DOME SZ 32,30183320,CDM,,,278,RC,inpatient,,6897.67,6897.67,,5856.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5200.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5863.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6069.95,88,,percent of total billed charges,,,,,,,,,5269.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6276.88,91,,percent of total billed charges,,,6552.79,95,,percent of total billed charges,,,5725.07,83,,percent of total billed charges,,,5725.07,83,,percent of total billed charges,,,,,,,,,,,,,,,5725.07,83,,percent of total billed charges,,,6552.79,95,,percent of total billed charges,,,6207.9,90,,percent of total billed charges,,,6207.9,90,,percent of total billed charges,,,5656.09,82,,percent of total billed charges,,,6207.9,90,,percent of total billed charges,,,5863.02,85,,percent of total billed charges,,5200.84,6552.79, DEPUY ATTUNE INSERT TIBIAL SZ 5 6MM,30183321,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY ATTUNE PATELLA 35MM,30183322,CDM,,,278,RC,inpatient,,6238.64,6238.64,,5296.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4703.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5302.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5490,88,,percent of total billed charges,,,,,,,,,4766.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5677.16,91,,percent of total billed charges,,,5926.71,95,,percent of total billed charges,,,5178.07,83,,percent of total billed charges,,,5178.07,83,,percent of total billed charges,,,,,,,,,,,,,,,5178.07,83,,percent of total billed charges,,,5926.71,95,,percent of total billed charges,,,5614.78,90,,percent of total billed charges,,,5614.78,90,,percent of total billed charges,,,5115.68,82,,percent of total billed charges,,,5614.78,90,,percent of total billed charges,,,5302.84,85,,percent of total billed charges,,4703.93,5926.71, DEPUY HIP BALL MOD 43MM,30183323,CDM,,,278,RC,inpatient,,4693.78,4693.78,,3985.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3539.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3989.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4130.53,88,,percent of total billed charges,,,,,,,,,3586.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4271.34,91,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,3895.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3895.84,83,,percent of total billed charges,,,4459.09,95,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3848.9,82,,percent of total billed charges,,,4224.4,90,,percent of total billed charges,,,3989.71,85,,percent of total billed charges,,3539.11,4459.09, SURGICAL PATTIES 1/2 X 1,30183325,CDM,,,270,RC,inpatient,,23.74,23.74,,20.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20.89,88,,percent of total billed charges,,,,,,,,,18.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21.6,91,,percent of total billed charges,,,22.55,95,,percent of total billed charges,,,19.7,83,,percent of total billed charges,,,19.7,83,,percent of total billed charges,,,,,,,,,,,,,,,19.7,83,,percent of total billed charges,,,22.55,95,,percent of total billed charges,,,21.37,90,,percent of total billed charges,,,21.37,90,,percent of total billed charges,,,19.47,82,,percent of total billed charges,,,21.37,90,,percent of total billed charges,,,20.18,85,,percent of total billed charges,,17.9,22.55, DEPUY FEMUR SZ 7 L PS,30183326,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY INSERT AOX SZ 7 6MM,30183327,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, DEPUY INSERT AOX PS SZ 5 5MM,30183329,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, SYNTHES SCREW LOCKING 3.5X22MM,30183332,CDM,,,278,RC,inpatient,,1182.35,1182.35,,1003.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,891.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1005,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1040.47,88,,percent of total billed charges,,,,,,,,,903.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1075.94,91,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,,,,,,,,,,,,,981.35,83,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,969.53,82,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1005,85,,percent of total billed charges,,891.49,1123.23, SYNTHES DRILL BIT 2.8MM,30183336,CDM,,,270,RC,inpatient,,1764.3,1764.3,,1497.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1330.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1499.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1552.58,88,,percent of total billed charges,,,,,,,,,1347.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1605.51,91,,percent of total billed charges,,,1676.09,95,,percent of total billed charges,,,1464.37,83,,percent of total billed charges,,,1464.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1464.37,83,,percent of total billed charges,,,1676.09,95,,percent of total billed charges,,,1587.87,90,,percent of total billed charges,,,1587.87,90,,percent of total billed charges,,,1446.73,82,,percent of total billed charges,,,1587.87,90,,percent of total billed charges,,,1499.66,85,,percent of total billed charges,,1330.28,1676.09, SYNTHES SCREW LOCKING 3.5 X 75MM,30183339,CDM,,,278,RC,inpatient,,1182.35,1182.35,,1003.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,891.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1005,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1040.47,88,,percent of total billed charges,,,,,,,,,903.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1075.94,91,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,,,,,,,,,,,,,981.35,83,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,969.53,82,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1005,85,,percent of total billed charges,,891.49,1123.23, SYNTHES SCREW LOCKING 3.5 X 80MM,30183340,CDM,,,278,RC,inpatient,,1182.35,1182.35,,1003.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,891.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1005,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1040.47,88,,percent of total billed charges,,,,,,,,,903.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1075.94,91,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,,,,,,,,,,,,,981.35,83,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,969.53,82,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1005,85,,percent of total billed charges,,891.49,1123.23, ESWL SERVICES UNILATERAL,30183345,CDM,,,270,RC,inpatient,,11375,11375,,9657.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8576.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9668.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10010,88,,percent of total billed charges,,,,,,,,,8690.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10351.25,91,,percent of total billed charges,,,10806.25,95,,percent of total billed charges,,,9441.25,83,,percent of total billed charges,,,9441.25,83,,percent of total billed charges,,,,,,,,,,,,,,,9441.25,83,,percent of total billed charges,,,10806.25,95,,percent of total billed charges,,,10237.5,90,,percent of total billed charges,,,10237.5,90,,percent of total billed charges,,,9327.5,82,,percent of total billed charges,,,10237.5,90,,percent of total billed charges,,,9668.75,85,,percent of total billed charges,,8576.75,10806.25, SYNTHES PLATE LCP 3.5MM RIGHT ANGLE,30183346,CDM,,,278,RC,inpatient,,2945.15,2945.15,,2500.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2220.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2503.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2591.73,88,,percent of total billed charges,,,,,,,,,2250.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2680.09,91,,percent of total billed charges,,,2797.89,95,,percent of total billed charges,,,2444.47,83,,percent of total billed charges,,,2444.47,83,,percent of total billed charges,,,,,,,,,,,,,,,2444.47,83,,percent of total billed charges,,,2797.89,95,,percent of total billed charges,,,2650.64,90,,percent of total billed charges,,,2650.64,90,,percent of total billed charges,,,2415.02,82,,percent of total billed charges,,,2650.64,90,,percent of total billed charges,,,2503.38,85,,percent of total billed charges,,2220.64,2797.89, SYNTHES SCREW CANCEL 28MM,30183351,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, MYOSURE CLASSIC,30183353,CDM,,,270,RC,inpatient,,9737,9737,,8266.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7341.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8276.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8568.56,88,,percent of total billed charges,,,,,,,,,7439.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8860.67,91,,percent of total billed charges,,,9250.15,95,,percent of total billed charges,,,8081.71,83,,percent of total billed charges,,,8081.71,83,,percent of total billed charges,,,,,,,,,,,,,,,8081.71,83,,percent of total billed charges,,,9250.15,95,,percent of total billed charges,,,8763.3,90,,percent of total billed charges,,,8763.3,90,,percent of total billed charges,,,7984.34,82,,percent of total billed charges,,,8763.3,90,,percent of total billed charges,,,8276.45,85,,percent of total billed charges,,7341.7,9250.15, MYOSURE SCOPE SEALS,30183354,CDM,,,270,RC,inpatient,,80.75,80.75,,68.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,60.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,68.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.06,88,,percent of total billed charges,,,,,,,,,61.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.48,91,,percent of total billed charges,,,76.71,95,,percent of total billed charges,,,67.02,83,,percent of total billed charges,,,67.02,83,,percent of total billed charges,,,,,,,,,,,,,,,67.02,83,,percent of total billed charges,,,76.71,95,,percent of total billed charges,,,72.68,90,,percent of total billed charges,,,72.68,90,,percent of total billed charges,,,66.22,82,,percent of total billed charges,,,72.68,90,,percent of total billed charges,,,68.64,85,,percent of total billed charges,,60.89,76.71, DEPUY WEDGE STEP 10MM SZ3,30183366,CDM,,,278,RC,inpatient,,15761.79,15761.79,,13381.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11884.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13397.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13870.38,88,,percent of total billed charges,,,,,,,,,12042.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14343.23,91,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,,,,,,,,,,,,,13082.29,83,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,12924.67,82,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,13397.52,85,,percent of total billed charges,,11884.39,14973.7, DEPUY INSERT PS SZ 4 6MM,30183367,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY ATTUNE INSERT AOX SZ 6 8MM,30183368,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY ATTUNE FEMUR PS SZ 5 RT,30183369,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY ATTUNE INSERT AOX PS SZ 5 8MM,30183370,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, COVERS ALLEN COMFORT,30183372,CDM,,,270,RC,inpatient,,420,420,,356.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,316.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,357,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,369.6,88,,percent of total billed charges,,,,,,,,,320.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,382.2,91,,percent of total billed charges,,,399,95,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,348.6,83,,percent of total billed charges,,,,,,,,,,,,,,,348.6,83,,percent of total billed charges,,,399,95,,percent of total billed charges,,,378,90,,percent of total billed charges,,,378,90,,percent of total billed charges,,,344.4,82,,percent of total billed charges,,,378,90,,percent of total billed charges,,,357,85,,percent of total billed charges,,316.68,399, STRYKER BLADE RECIP DBL SIDED OFFSET,30183381,CDM,,,270,RC,inpatient,,343.88,343.88,,291.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,259.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,292.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,302.61,88,,percent of total billed charges,,,,,,,,,262.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,312.93,91,,percent of total billed charges,,,326.69,95,,percent of total billed charges,,,285.42,83,,percent of total billed charges,,,285.42,83,,percent of total billed charges,,,,,,,,,,,,,,,285.42,83,,percent of total billed charges,,,326.69,95,,percent of total billed charges,,,309.49,90,,percent of total billed charges,,,309.49,90,,percent of total billed charges,,,281.98,82,,percent of total billed charges,,,309.49,90,,percent of total billed charges,,,292.3,85,,percent of total billed charges,,259.29,326.69, S&N ENDO TAPERED AWL 3.8MM,30183382,CDM,,,278,RC,inpatient,,360,360,,305.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,271.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,306,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,316.8,88,,percent of total billed charges,,,,,,,,,275.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,327.6,91,,percent of total billed charges,,,342,95,,percent of total billed charges,,,298.8,83,,percent of total billed charges,,,298.8,83,,percent of total billed charges,,,,,,,,,,,,,,,298.8,83,,percent of total billed charges,,,342,95,,percent of total billed charges,,,324,90,,percent of total billed charges,,,324,90,,percent of total billed charges,,,295.2,82,,percent of total billed charges,,,324,90,,percent of total billed charges,,,306,85,,percent of total billed charges,,271.44,342, ALEXIS WOUND PROTECOTR/RETRACTOR,30183389,CDM,,,270,RC,inpatient,,306.6,306.6,,260.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,231.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,260.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,269.81,88,,percent of total billed charges,,,,,,,,,234.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,279.01,91,,percent of total billed charges,,,291.27,95,,percent of total billed charges,,,254.48,83,,percent of total billed charges,,,254.48,83,,percent of total billed charges,,,,,,,,,,,,,,,254.48,83,,percent of total billed charges,,,291.27,95,,percent of total billed charges,,,275.94,90,,percent of total billed charges,,,275.94,90,,percent of total billed charges,,,251.41,82,,percent of total billed charges,,,275.94,90,,percent of total billed charges,,,260.61,85,,percent of total billed charges,,231.18,291.27, CORTICAL STRUTS 2 X 11CM - 24CM,30183392,CDM,,,278,RC,inpatient,,2580.5,2580.5,,2190.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1945.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2193.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2270.84,88,,percent of total billed charges,,,,,,,,,1971.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2348.26,91,,percent of total billed charges,,,2451.48,95,,percent of total billed charges,,,2141.82,83,,percent of total billed charges,,,2141.82,83,,percent of total billed charges,,,,,,,,,,,,,,,2141.82,83,,percent of total billed charges,,,2451.48,95,,percent of total billed charges,,,2322.45,90,,percent of total billed charges,,,2322.45,90,,percent of total billed charges,,,2116.01,82,,percent of total billed charges,,,2322.45,90,,percent of total billed charges,,,2193.43,85,,percent of total billed charges,,1945.7,2451.48, GLIDEWIRE UROLOGIC STRAIGHT 150CM,30183401,CDM,,,270,RC,inpatient,,389.27,389.27,,330.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,293.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,330.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,342.56,88,,percent of total billed charges,,,,,,,,,297.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,354.24,91,,percent of total billed charges,,,369.81,95,,percent of total billed charges,,,323.09,83,,percent of total billed charges,,,323.09,83,,percent of total billed charges,,,,,,,,,,,,,,,323.09,83,,percent of total billed charges,,,369.81,95,,percent of total billed charges,,,350.34,90,,percent of total billed charges,,,350.34,90,,percent of total billed charges,,,319.2,82,,percent of total billed charges,,,350.34,90,,percent of total billed charges,,,330.88,85,,percent of total billed charges,,293.51,369.81, CYSTO TABLE DRAIN BAG,30183403,CDM,,,270,RC,inpatient,,143.56,143.56,,121.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,108.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,122.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,126.33,88,,percent of total billed charges,,,,,,,,,109.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,130.64,91,,percent of total billed charges,,,136.38,95,,percent of total billed charges,,,119.15,83,,percent of total billed charges,,,119.15,83,,percent of total billed charges,,,,,,,,,,,,,,,119.15,83,,percent of total billed charges,,,136.38,95,,percent of total billed charges,,,129.2,90,,percent of total billed charges,,,129.2,90,,percent of total billed charges,,,117.72,82,,percent of total billed charges,,,129.2,90,,percent of total billed charges,,,122.03,85,,percent of total billed charges,,108.24,136.38, NAIL FEMORAL KNEE FUSION 11.5 X 70MM,30183405,CDM,,,278,RC,inpatient,,30225,30225,,25661.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22789.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25691.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26598,88,,percent of total billed charges,,,,,,,,,23091.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27504.75,91,,percent of total billed charges,,,28713.75,95,,percent of total billed charges,,,25086.75,83,,percent of total billed charges,,,25086.75,83,,percent of total billed charges,,,,,,,,,,,,,,,25086.75,83,,percent of total billed charges,,,28713.75,95,,percent of total billed charges,,,27202.5,90,,percent of total billed charges,,,27202.5,90,,percent of total billed charges,,,24784.5,82,,percent of total billed charges,,,27202.5,90,,percent of total billed charges,,,25691.25,85,,percent of total billed charges,,22789.65,28713.75, DEPUY GRIPTION CUP REVISION 66MM,30183407,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, DEPUY LINER PINN CONSTRAINED 60MM,30183408,CDM,,,278,RC,inpatient,,36635.17,36635.17,,31103.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27622.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31139.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32238.95,88,,percent of total billed charges,,,,,,,,,27989.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33338,91,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,,,,,,,,,,,,,30407.19,83,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,30040.84,82,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,31139.89,85,,percent of total billed charges,,27622.92,34803.41, MENTOR MEMORYGEL BREAST IMPLANT SMOOTH,30183409,CDM,,,278,RC,inpatient,,6370,6370,,5408.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4802.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5414.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5605.6,88,,percent of total billed charges,,,,,,,,,4866.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5796.7,91,,percent of total billed charges,,,6051.5,95,,percent of total billed charges,,,5287.1,83,,percent of total billed charges,,,5287.1,83,,percent of total billed charges,,,,,,,,,,,,,,,5287.1,83,,percent of total billed charges,,,6051.5,95,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5223.4,82,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5414.5,85,,percent of total billed charges,,4802.98,6051.5, MENTOR BREAST SIZER ROUND HIGH PROFILE,30183410,CDM,,,278,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, DEPUY FEMUR ATTUNE PS R SZ 7,30183411,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY INSERT AOX SZ 7 5MM,30183412,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, CYSTOGRAPHIN 300ML BTL,30183413,CDM,,,270,RC,inpatient,,108,108,,91.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,81.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,91.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,95.04,88,,percent of total billed charges,,,,,,,,,82.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,98.28,91,,percent of total billed charges,,,102.6,95,,percent of total billed charges,,,89.64,83,,percent of total billed charges,,,89.64,83,,percent of total billed charges,,,,,,,,,,,,,,,89.64,83,,percent of total billed charges,,,102.6,95,,percent of total billed charges,,,97.2,90,,percent of total billed charges,,,97.2,90,,percent of total billed charges,,,88.56,82,,percent of total billed charges,,,97.2,90,,percent of total billed charges,,,91.8,85,,percent of total billed charges,,81.43,102.6, DEPUY CERAMIC HEAD 32MM +9 TS,30183415,CDM,,,278,RC,inpatient,,14631.05,14631.05,,12421.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11031.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12436.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12875.32,88,,percent of total billed charges,,,,,,,,,11178.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13314.26,91,,percent of total billed charges,,,13899.5,95,,percent of total billed charges,,,12143.77,83,,percent of total billed charges,,,12143.77,83,,percent of total billed charges,,,,,,,,,,,,,,,12143.77,83,,percent of total billed charges,,,13899.5,95,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,11997.46,82,,percent of total billed charges,,,13167.95,90,,percent of total billed charges,,,12436.39,85,,percent of total billed charges,,11031.81,13899.5, ROTATABLE SNARE SMALL COLD,30183422,CDM,,,270,RC,inpatient,,115.2,115.2,,97.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,86.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,97.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,101.38,88,,percent of total billed charges,,,,,,,,,88.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,104.83,91,,percent of total billed charges,,,109.44,95,,percent of total billed charges,,,95.62,83,,percent of total billed charges,,,95.62,83,,percent of total billed charges,,,,,,,,,,,,,,,95.62,83,,percent of total billed charges,,,109.44,95,,percent of total billed charges,,,103.68,90,,percent of total billed charges,,,103.68,90,,percent of total billed charges,,,94.46,82,,percent of total billed charges,,,103.68,90,,percent of total billed charges,,,97.92,85,,percent of total billed charges,,86.86,109.44, DRAIN PENROSE SILICONE LF 5/8X18,30183428,CDM,,,270,RC,inpatient,,31.86,31.86,,27.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28.04,88,,percent of total billed charges,,,,,,,,,24.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28.99,91,,percent of total billed charges,,,30.27,95,,percent of total billed charges,,,26.44,83,,percent of total billed charges,,,26.44,83,,percent of total billed charges,,,,,,,,,,,,,,,26.44,83,,percent of total billed charges,,,30.27,95,,percent of total billed charges,,,28.67,90,,percent of total billed charges,,,28.67,90,,percent of total billed charges,,,26.13,82,,percent of total billed charges,,,28.67,90,,percent of total billed charges,,,27.08,85,,percent of total billed charges,,24.02,30.27, XPS LASER SERVICE FEE,30183429,CDM,,,270,RC,inpatient,,3250,3250,,2759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2450.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2762.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2860,88,,percent of total billed charges,,,,,,,,,2483,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2957.5,91,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,,,,,,,,,,,,,2697.5,83,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2665,82,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2762.5,85,,percent of total billed charges,,2450.5,3087.5, ARTHREX SCREW TENODESIS 5.5 X 10MM,30183430,CDM,,,278,RC,inpatient,,2652,2652,,2251.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1999.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2254.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2333.76,88,,percent of total billed charges,,,,,,,,,2026.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2413.32,91,,percent of total billed charges,,,2519.4,95,,percent of total billed charges,,,2201.16,83,,percent of total billed charges,,,2201.16,83,,percent of total billed charges,,,,,,,,,,,,,,,2201.16,83,,percent of total billed charges,,,2519.4,95,,percent of total billed charges,,,2386.8,90,,percent of total billed charges,,,2386.8,90,,percent of total billed charges,,,2174.64,82,,percent of total billed charges,,,2386.8,90,,percent of total billed charges,,,2254.2,85,,percent of total billed charges,,1999.61,2519.4, DEPUY INSERT AOX PS FB SZ 6 5MM,30183432,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY INSERT AOX PS FB SZ 6 10MM,30183433,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, DEPUY PIN HEADED,30183436,CDM,,,278,RC,inpatient,,5141.5,5141.5,,4365.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3876.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4370.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4524.52,88,,percent of total billed charges,,,,,,,,,3928.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4678.77,91,,percent of total billed charges,,,4884.43,95,,percent of total billed charges,,,4267.45,83,,percent of total billed charges,,,4267.45,83,,percent of total billed charges,,,,,,,,,,,,,,,4267.45,83,,percent of total billed charges,,,4884.43,95,,percent of total billed charges,,,4627.35,90,,percent of total billed charges,,,4627.35,90,,percent of total billed charges,,,4216.03,82,,percent of total billed charges,,,4627.35,90,,percent of total billed charges,,,4370.28,85,,percent of total billed charges,,3876.69,4884.43, DEPUY PIN THREADED,30183437,CDM,,,278,RC,inpatient,,5141.5,5141.5,,4365.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3876.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4370.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4524.52,88,,percent of total billed charges,,,,,,,,,3928.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4678.77,91,,percent of total billed charges,,,4884.43,95,,percent of total billed charges,,,4267.45,83,,percent of total billed charges,,,4267.45,83,,percent of total billed charges,,,,,,,,,,,,,,,4267.45,83,,percent of total billed charges,,,4884.43,95,,percent of total billed charges,,,4627.35,90,,percent of total billed charges,,,4627.35,90,,percent of total billed charges,,,4216.03,82,,percent of total billed charges,,,4627.35,90,,percent of total billed charges,,,4370.28,85,,percent of total billed charges,,3876.69,4884.43, ZIMMER BLADE EXPLANT 60MM X 10,30183439,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, DEPUY INSERT AOT SZ 6 6MM,30183441,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, SUTURE ETHICON 0-VICRYL,30183442,CDM,,,270,RC,inpatient,,235.15,235.15,,199.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,177.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,199.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,206.93,88,,percent of total billed charges,,,,,,,,,179.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,213.99,91,,percent of total billed charges,,,223.39,95,,percent of total billed charges,,,195.17,83,,percent of total billed charges,,,195.17,83,,percent of total billed charges,,,,,,,,,,,,,,,195.17,83,,percent of total billed charges,,,223.39,95,,percent of total billed charges,,,211.64,90,,percent of total billed charges,,,211.64,90,,percent of total billed charges,,,192.82,82,,percent of total billed charges,,,211.64,90,,percent of total billed charges,,,199.88,85,,percent of total billed charges,,177.3,223.39, NEUROMONITORING EMG 2 EXT,30183443,CDM,,,270,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, MEDTRONIC ACCESSORY KIT,30183454,CDM,,,270,RC,inpatient,,337.5,337.5,,286.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,254.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,286.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,297,88,,percent of total billed charges,,,,,,,,,257.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,307.13,91,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,,,,,,,,,,,,,280.13,83,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,276.75,82,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,286.88,85,,percent of total billed charges,,254.48,320.63, MEDTRONIC COMPACT 1X8 TRIAL LEAD KIT,30183455,CDM,,,270,RC,inpatient,,7280,7280,,6180.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5489.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6188,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6406.4,88,,percent of total billed charges,,,,,,,,,5561.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6624.8,91,,percent of total billed charges,,,6916,95,,percent of total billed charges,,,6042.4,83,,percent of total billed charges,,,6042.4,83,,percent of total billed charges,,,,,,,,,,,,,,,6042.4,83,,percent of total billed charges,,,6916,95,,percent of total billed charges,,,6552,90,,percent of total billed charges,,,6552,90,,percent of total billed charges,,,5969.6,82,,percent of total billed charges,,,6552,90,,percent of total billed charges,,,6188,85,,percent of total billed charges,,5489.12,6916, MEDTRONIC LEAD KIT2,30183456,CDM,,,270,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, APPLIED ORTHOPAEDIC PROTECTOR SMALL/MEDI,30183457,CDM,,,270,RC,inpatient,,942.5,942.5,,800.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,710.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,801.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,829.4,88,,percent of total billed charges,,,,,,,,,720.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,857.68,91,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,,,,,,,,,,,,,782.28,83,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,772.85,82,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,801.13,85,,percent of total billed charges,,710.65,895.38, DEPUY FEMUR RT SZ 8,30183459,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY INSERT 5MM SZ 8,30183461,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY STEM MICRO CORAIL SZ6,30183462,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, STRYKER IN-LINE SPECIMENT TRAP,30183465,CDM,,,270,RC,inpatient,,112.77,112.77,,95.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,85.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,95.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,99.24,88,,percent of total billed charges,,,,,,,,,86.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,102.62,91,,percent of total billed charges,,,107.13,95,,percent of total billed charges,,,93.6,83,,percent of total billed charges,,,93.6,83,,percent of total billed charges,,,,,,,,,,,,,,,93.6,83,,percent of total billed charges,,,107.13,95,,percent of total billed charges,,,101.49,90,,percent of total billed charges,,,101.49,90,,percent of total billed charges,,,92.47,82,,percent of total billed charges,,,101.49,90,,percent of total billed charges,,,95.85,85,,percent of total billed charges,,85.03,107.13, DEPUY INSERT STAB 6MM SZ 8,30183466,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, MICROPORT BASE TIBIAL NONPOROUS SZ 4,30183467,CDM,,,278,RC,inpatient,,23933,23933,,20319.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18045.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20343.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21061.04,88,,percent of total billed charges,,,,,,,,,18284.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21779.03,91,,percent of total billed charges,,,22736.35,95,,percent of total billed charges,,,19864.39,83,,percent of total billed charges,,,19864.39,83,,percent of total billed charges,,,,,,,,,,,,,,,19864.39,83,,percent of total billed charges,,,22736.35,95,,percent of total billed charges,,,21539.7,90,,percent of total billed charges,,,21539.7,90,,percent of total billed charges,,,19625.06,82,,percent of total billed charges,,,21539.7,90,,percent of total billed charges,,,20343.05,85,,percent of total billed charges,,18045.48,22736.35, MENTOR TISSUE EXPANDER CPX2,30183476,CDM,,,278,RC,inpatient,,9555,9555,,8112.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7204.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8121.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8408.4,88,,percent of total billed charges,,,,,,,,,7300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8695.05,91,,percent of total billed charges,,,9077.25,95,,percent of total billed charges,,,7930.65,83,,percent of total billed charges,,,7930.65,83,,percent of total billed charges,,,,,,,,,,,,,,,7930.65,83,,percent of total billed charges,,,9077.25,95,,percent of total billed charges,,,8599.5,90,,percent of total billed charges,,,8599.5,90,,percent of total billed charges,,,7835.1,82,,percent of total billed charges,,,8599.5,90,,percent of total billed charges,,,8121.75,85,,percent of total billed charges,,7204.47,9077.25, KITTNER DISSECTOR SPONGES,30183477,CDM,,,270,RC,inpatient,,222.08,222.08,,188.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,167.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,188.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,195.43,88,,percent of total billed charges,,,,,,,,,169.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,202.09,91,,percent of total billed charges,,,210.98,95,,percent of total billed charges,,,184.33,83,,percent of total billed charges,,,184.33,83,,percent of total billed charges,,,,,,,,,,,,,,,184.33,83,,percent of total billed charges,,,210.98,95,,percent of total billed charges,,,199.87,90,,percent of total billed charges,,,199.87,90,,percent of total billed charges,,,182.11,82,,percent of total billed charges,,,199.87,90,,percent of total billed charges,,,188.77,85,,percent of total billed charges,,167.45,210.98, DEPUY LINER ALTRX NEUT 32 X 54,30183481,CDM,,,278,RC,inpatient,,10422.17,10422.17,,8848.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7858.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8858.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9171.51,88,,percent of total billed charges,,,,,,,,,7962.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9484.17,91,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,,,,,,,,,,,,,8650.4,83,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8546.18,82,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8858.84,85,,percent of total billed charges,,7858.32,9901.06, DEPUY SCREW NON LOCKING 36MM,30183482,CDM,,,278,RC,inpatient,,1330.16,1330.16,,1129.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1002.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1130.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1170.54,88,,percent of total billed charges,,,,,,,,,1016.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1210.45,91,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1104.03,83,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1090.73,82,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1130.64,85,,percent of total billed charges,,1002.94,1263.65, DEPUY GLENOSPHERE 42MM,30183483,CDM,,,278,RC,inpatient,,17458.81,17458.81,,14822.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13163.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14839.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15363.75,88,,percent of total billed charges,,,,,,,,,13338.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15887.52,91,,percent of total billed charges,,,16585.87,95,,percent of total billed charges,,,14490.81,83,,percent of total billed charges,,,14490.81,83,,percent of total billed charges,,,,,,,,,,,,,,,14490.81,83,,percent of total billed charges,,,16585.87,95,,percent of total billed charges,,,15712.93,90,,percent of total billed charges,,,15712.93,90,,percent of total billed charges,,,14316.22,82,,percent of total billed charges,,,15712.93,90,,percent of total billed charges,,,14839.99,85,,percent of total billed charges,,13163.94,16585.87, STOPCOCK 4-WAY LRG BORE EXTENSION SETS,30183484,CDM,,,270,RC,inpatient,,13.23,13.23,,11.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.64,88,,percent of total billed charges,,,,,,,,,10.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12.04,91,,percent of total billed charges,,,12.57,95,,percent of total billed charges,,,10.98,83,,percent of total billed charges,,,10.98,83,,percent of total billed charges,,,,,,,,,,,,,,,10.98,83,,percent of total billed charges,,,12.57,95,,percent of total billed charges,,,11.91,90,,percent of total billed charges,,,11.91,90,,percent of total billed charges,,,10.85,82,,percent of total billed charges,,,11.91,90,,percent of total billed charges,,,11.25,85,,percent of total billed charges,,9.98,12.57, STRYKER DRILL BIT 4.2 X 180,30183486,CDM,,,270,RC,inpatient,,1941.94,1941.94,,1648.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1464.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1650.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1708.91,88,,percent of total billed charges,,,,,,,,,1483.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1767.17,91,,percent of total billed charges,,,1844.84,95,,percent of total billed charges,,,1611.81,83,,percent of total billed charges,,,1611.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1611.81,83,,percent of total billed charges,,,1844.84,95,,percent of total billed charges,,,1747.75,90,,percent of total billed charges,,,1747.75,90,,percent of total billed charges,,,1592.39,82,,percent of total billed charges,,,1747.75,90,,percent of total billed charges,,,1650.65,85,,percent of total billed charges,,1464.22,1844.84, DEPUY ATTUNE INSERT AOX SZ 7 7MM,30183490,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, DEPUY ATTUNE FEMUR PS SZ 8 LT,30183491,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY OSTEOTOME FLEX 12MM X 5,30183496,CDM,,,278,RC,inpatient,,5687.5,5687.5,,4828.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4288.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4834.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5005,88,,percent of total billed charges,,,,,,,,,4345.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5175.63,91,,percent of total billed charges,,,5403.13,95,,percent of total billed charges,,,4720.63,83,,percent of total billed charges,,,4720.63,83,,percent of total billed charges,,,,,,,,,,,,,,,4720.63,83,,percent of total billed charges,,,5403.13,95,,percent of total billed charges,,,5118.75,90,,percent of total billed charges,,,5118.75,90,,percent of total billed charges,,,4663.75,82,,percent of total billed charges,,,5118.75,90,,percent of total billed charges,,,4834.38,85,,percent of total billed charges,,4288.38,5403.13, RAPID CURE 20CC,30183500,CDM,,,270,RC,inpatient,,15210,15210,,12913.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11468.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12928.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13384.8,88,,percent of total billed charges,,,,,,,,,11620.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13841.1,91,,percent of total billed charges,,,14449.5,95,,percent of total billed charges,,,12624.3,83,,percent of total billed charges,,,12624.3,83,,percent of total billed charges,,,,,,,,,,,,,,,12624.3,83,,percent of total billed charges,,,14449.5,95,,percent of total billed charges,,,13689,90,,percent of total billed charges,,,13689,90,,percent of total billed charges,,,12472.2,82,,percent of total billed charges,,,13689,90,,percent of total billed charges,,,12928.5,85,,percent of total billed charges,,11468.34,14449.5, DEPUY FEMORAL HEAD 36MM +15.5,30183501,CDM,,,278,RC,inpatient,,8569.34,8569.34,,7275.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6461.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7283.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7541.02,88,,percent of total billed charges,,,,,,,,,6546.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7798.1,91,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,7112.55,83,,percent of total billed charges,,,,,,,,,,,,,,,7112.55,83,,percent of total billed charges,,,8140.87,95,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7026.86,82,,percent of total billed charges,,,7712.41,90,,percent of total billed charges,,,7283.94,85,,percent of total billed charges,,6461.28,8140.87, DEPUY STEM DISTAL RECLAIM 15 X 140,30183502,CDM,,,278,RC,inpatient,,31338.78,31338.78,,26606.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23629.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26637.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27578.13,88,,percent of total billed charges,,,,,,,,,23942.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28518.29,91,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,,,,,,,,,,,,,26011.19,83,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,25697.8,82,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,26637.96,85,,percent of total billed charges,,23629.44,29771.84, SYNTHES SCREW LOCKING 3.5X24MM,30183504,CDM,,,278,RC,inpatient,,1217.84,1217.84,,1033.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,918.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1035.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1071.7,88,,percent of total billed charges,,,,,,,,,930.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1108.23,91,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,1010.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1010.81,83,,percent of total billed charges,,,1156.95,95,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,998.63,82,,percent of total billed charges,,,1096.06,90,,percent of total billed charges,,,1035.16,85,,percent of total billed charges,,918.25,1156.95, CATH 30CC 22FR 3-WAY SILICONE,30183505,CDM,,,270,RC,inpatient,,83.36,83.36,,70.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,62.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,70.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,73.36,88,,percent of total billed charges,,,,,,,,,63.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,75.86,91,,percent of total billed charges,,,79.19,95,,percent of total billed charges,,,69.19,83,,percent of total billed charges,,,69.19,83,,percent of total billed charges,,,,,,,,,,,,,,,69.19,83,,percent of total billed charges,,,79.19,95,,percent of total billed charges,,,75.02,90,,percent of total billed charges,,,75.02,90,,percent of total billed charges,,,68.36,82,,percent of total billed charges,,,75.02,90,,percent of total billed charges,,,70.86,85,,percent of total billed charges,,62.85,79.19, ERBE FIAPC CIRCUMFERENTIAL PROBE O.D. 2.,30183507,CDM,,,270,RC,inpatient,,1524.25,1524.25,,1294.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1149.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1295.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1341.34,88,,percent of total billed charges,,,,,,,,,1164.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1387.07,91,,percent of total billed charges,,,1448.04,95,,percent of total billed charges,,,1265.13,83,,percent of total billed charges,,,1265.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1265.13,83,,percent of total billed charges,,,1448.04,95,,percent of total billed charges,,,1371.83,90,,percent of total billed charges,,,1371.83,90,,percent of total billed charges,,,1249.89,82,,percent of total billed charges,,,1371.83,90,,percent of total billed charges,,,1295.61,85,,percent of total billed charges,,1149.28,1448.04, APPLIED GELPOINT LAPAROSCOPIC SYSTEM,30183509,CDM,,,270,RC,inpatient,,4225,4225,,3587.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3185.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3591.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3718,88,,percent of total billed charges,,,,,,,,,3227.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3844.75,91,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,3506.75,83,,percent of total billed charges,,,,,,,,,,,,,,,3506.75,83,,percent of total billed charges,,,4013.75,95,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3464.5,82,,percent of total billed charges,,,3802.5,90,,percent of total billed charges,,,3591.25,85,,percent of total billed charges,,3185.65,4013.75, DEPUY FEMUR ATTUNE 5N RIGHT,30183519,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY CAGE CEMENTED 56 RIGHT PROTRUSIO,30183521,CDM,,,278,RC,inpatient,,21625.7,21625.7,,18360.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16305.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18381.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19030.62,88,,percent of total billed charges,,,,,,,,,16522.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19679.39,91,,percent of total billed charges,,,20544.42,95,,percent of total billed charges,,,17949.33,83,,percent of total billed charges,,,17949.33,83,,percent of total billed charges,,,,,,,,,,,,,,,17949.33,83,,percent of total billed charges,,,20544.42,95,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,17733.07,82,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,18381.85,85,,percent of total billed charges,,16305.78,20544.42, DEPUY SCREW SELF TAP 20MM,30183522,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, STOPCOCK LUER LOCK MALE CONNECTOR,30183524,CDM,,,270,RC,inpatient,,483,483,,410.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,364.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,410.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,425.04,88,,percent of total billed charges,,,,,,,,,369.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,439.53,91,,percent of total billed charges,,,458.85,95,,percent of total billed charges,,,400.89,83,,percent of total billed charges,,,400.89,83,,percent of total billed charges,,,,,,,,,,,,,,,400.89,83,,percent of total billed charges,,,458.85,95,,percent of total billed charges,,,434.7,90,,percent of total billed charges,,,434.7,90,,percent of total billed charges,,,396.06,82,,percent of total billed charges,,,434.7,90,,percent of total billed charges,,,410.55,85,,percent of total billed charges,,364.18,458.85, DEPUY FEMUR S-ROM X-SMALL LEFT,30183525,CDM,,,278,RC,inpatient,,30424.94,30424.94,,25830.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22940.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25861.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26773.95,88,,percent of total billed charges,,,,,,,,,23244.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27686.7,91,,percent of total billed charges,,,28903.69,95,,percent of total billed charges,,,25252.7,83,,percent of total billed charges,,,25252.7,83,,percent of total billed charges,,,,,,,,,,,,,,,25252.7,83,,percent of total billed charges,,,28903.69,95,,percent of total billed charges,,,27382.45,90,,percent of total billed charges,,,27382.45,90,,percent of total billed charges,,,24948.45,82,,percent of total billed charges,,,27382.45,90,,percent of total billed charges,,,25861.2,85,,percent of total billed charges,,22940.4,28903.69, DEPUY AUGMENT DISTAL 5MM,30183526,CDM,,,278,RC,inpatient,,6506.18,6506.18,,5523.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4905.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5530.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5725.44,88,,percent of total billed charges,,,,,,,,,4970.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5920.62,91,,percent of total billed charges,,,6180.87,95,,percent of total billed charges,,,5400.13,83,,percent of total billed charges,,,5400.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5400.13,83,,percent of total billed charges,,,6180.87,95,,percent of total billed charges,,,5855.56,90,,percent of total billed charges,,,5855.56,90,,percent of total billed charges,,,5335.07,82,,percent of total billed charges,,,5855.56,90,,percent of total billed charges,,,5530.25,85,,percent of total billed charges,,4905.66,6180.87, SYNTHES SCREW CORTEX 3.5X40MM,30183528,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5X45MM,30183529,CDM,,,278,RC,inpatient,,325.13,325.13,,276.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,245.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,276.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,286.11,88,,percent of total billed charges,,,,,,,,,248.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,295.87,91,,percent of total billed charges,,,308.87,95,,percent of total billed charges,,,269.86,83,,percent of total billed charges,,,269.86,83,,percent of total billed charges,,,,,,,,,,,,,,,269.86,83,,percent of total billed charges,,,308.87,95,,percent of total billed charges,,,292.62,90,,percent of total billed charges,,,292.62,90,,percent of total billed charges,,,266.61,82,,percent of total billed charges,,,292.62,90,,percent of total billed charges,,,276.36,85,,percent of total billed charges,,245.15,308.87, SYNTHES PLATE LOW PROFILE 3.5MM CRVD REC,30183530,CDM,,,278,RC,inpatient,,5094.05,5094.05,,4324.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3840.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4329.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4482.76,88,,percent of total billed charges,,,,,,,,,3891.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4635.59,91,,percent of total billed charges,,,4839.35,95,,percent of total billed charges,,,4228.06,83,,percent of total billed charges,,,4228.06,83,,percent of total billed charges,,,,,,,,,,,,,,,4228.06,83,,percent of total billed charges,,,4839.35,95,,percent of total billed charges,,,4584.65,90,,percent of total billed charges,,,4584.65,90,,percent of total billed charges,,,4177.12,82,,percent of total billed charges,,,4584.65,90,,percent of total billed charges,,,4329.94,85,,percent of total billed charges,,3840.91,4839.35, SYNTHES SCREW SHANZ 6.0MM,30183531,CDM,,,278,RC,inpatient,,928.2,928.2,,788.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,699.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,788.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,816.82,88,,percent of total billed charges,,,,,,,,,709.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,844.66,91,,percent of total billed charges,,,881.79,95,,percent of total billed charges,,,770.41,83,,percent of total billed charges,,,770.41,83,,percent of total billed charges,,,,,,,,,,,,,,,770.41,83,,percent of total billed charges,,,881.79,95,,percent of total billed charges,,,835.38,90,,percent of total billed charges,,,835.38,90,,percent of total billed charges,,,761.12,82,,percent of total billed charges,,,835.38,90,,percent of total billed charges,,,788.97,85,,percent of total billed charges,,699.86,881.79, SYNTHES TEMPLATE BENDING 88MM 3.5,30183532,CDM,,,278,RC,inpatient,,1110.53,1110.53,,942.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,837.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,943.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,977.27,88,,percent of total billed charges,,,,,,,,,848.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1010.58,91,,percent of total billed charges,,,1055,95,,percent of total billed charges,,,921.74,83,,percent of total billed charges,,,921.74,83,,percent of total billed charges,,,,,,,,,,,,,,,921.74,83,,percent of total billed charges,,,1055,95,,percent of total billed charges,,,999.48,90,,percent of total billed charges,,,999.48,90,,percent of total billed charges,,,910.63,82,,percent of total billed charges,,,999.48,90,,percent of total billed charges,,,943.95,85,,percent of total billed charges,,837.34,1055, SYNTHES DRILL BIT 3.5MM,30183533,CDM,,,278,RC,inpatient,,844.9,844.9,,717.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,637.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,718.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,743.51,88,,percent of total billed charges,,,,,,,,,645.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,768.86,91,,percent of total billed charges,,,802.66,95,,percent of total billed charges,,,701.27,83,,percent of total billed charges,,,701.27,83,,percent of total billed charges,,,,,,,,,,,,,,,701.27,83,,percent of total billed charges,,,802.66,95,,percent of total billed charges,,,760.41,90,,percent of total billed charges,,,760.41,90,,percent of total billed charges,,,692.82,82,,percent of total billed charges,,,760.41,90,,percent of total billed charges,,,718.17,85,,percent of total billed charges,,637.05,802.66, ZIMMER NEXGEN COMPLETE KNEE SOLUTION LAR,30183535,CDM,,,278,RC,inpatient,,21097.77,21097.77,,17912.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15907.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17933.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18566.04,88,,percent of total billed charges,,,,,,,,,16118.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19198.97,91,,percent of total billed charges,,,20042.88,95,,percent of total billed charges,,,17511.15,83,,percent of total billed charges,,,17511.15,83,,percent of total billed charges,,,,,,,,,,,,,,,17511.15,83,,percent of total billed charges,,,20042.88,95,,percent of total billed charges,,,18987.99,90,,percent of total billed charges,,,18987.99,90,,percent of total billed charges,,,17300.17,82,,percent of total billed charges,,,18987.99,90,,percent of total billed charges,,,17933.1,85,,percent of total billed charges,,15907.72,20042.88, NEEDLE SURGICAL ANCHOR 8DC,30183536,CDM,,,270,RC,inpatient,,21.6,21.6,,18.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.01,88,,percent of total billed charges,,,,,,,,,16.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.66,91,,percent of total billed charges,,,20.52,95,,percent of total billed charges,,,17.93,83,,percent of total billed charges,,,17.93,83,,percent of total billed charges,,,,,,,,,,,,,,,17.93,83,,percent of total billed charges,,,20.52,95,,percent of total billed charges,,,19.44,90,,percent of total billed charges,,,19.44,90,,percent of total billed charges,,,17.71,82,,percent of total billed charges,,,19.44,90,,percent of total billed charges,,,18.36,85,,percent of total billed charges,,16.29,20.52, NEEDLE SURGICAL ANCHOR 7DC,30183537,CDM,,,270,RC,inpatient,,21.6,21.6,,18.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.01,88,,percent of total billed charges,,,,,,,,,16.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.66,91,,percent of total billed charges,,,20.52,95,,percent of total billed charges,,,17.93,83,,percent of total billed charges,,,17.93,83,,percent of total billed charges,,,,,,,,,,,,,,,17.93,83,,percent of total billed charges,,,20.52,95,,percent of total billed charges,,,19.44,90,,percent of total billed charges,,,19.44,90,,percent of total billed charges,,,17.71,82,,percent of total billed charges,,,19.44,90,,percent of total billed charges,,,18.36,85,,percent of total billed charges,,16.29,20.52, DEPUY STEM FLUTED UNIV 75 X 16,30183538,CDM,,,278,RC,inpatient,,9024.34,9024.34,,7661.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6804.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7670.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7941.42,88,,percent of total billed charges,,,,,,,,,6894.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8212.15,91,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,,,,,,,,,,,,,7490.2,83,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7399.96,82,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7670.69,85,,percent of total billed charges,,6804.35,8573.12, DEPUY FEMUR S-ROM X-SMALL KEFT,30183539,CDM,,,278,RC,inpatient,,52982.02,52982.02,,44981.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,39948.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45034.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,46624.18,88,,percent of total billed charges,,,,,,,,,40478.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,48213.64,91,,percent of total billed charges,,,50332.92,95,,percent of total billed charges,,,43975.08,83,,percent of total billed charges,,,43975.08,83,,percent of total billed charges,,,,,,,,,,,,,,,43975.08,83,,percent of total billed charges,,,50332.92,95,,percent of total billed charges,,,47683.82,90,,percent of total billed charges,,,47683.82,90,,percent of total billed charges,,,43445.26,82,,percent of total billed charges,,,47683.82,90,,percent of total billed charges,,,45034.72,85,,percent of total billed charges,,39948.44,50332.92, DEPUY TIBIA PROXIMAL LPS X-SMALL,30183540,CDM,,,278,RC,inpatient,,87360.07,87360.07,,74168.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,65869.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74256.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,76876.86,88,,percent of total billed charges,,,,,,,,,66743.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,79497.66,91,,percent of total billed charges,,,82992.07,95,,percent of total billed charges,,,72508.86,83,,percent of total billed charges,,,72508.86,83,,percent of total billed charges,,,,,,,,,,,,,,,72508.86,83,,percent of total billed charges,,,82992.07,95,,percent of total billed charges,,,78624.06,90,,percent of total billed charges,,,78624.06,90,,percent of total billed charges,,,71635.26,82,,percent of total billed charges,,,78624.06,90,,percent of total billed charges,,,74256.06,85,,percent of total billed charges,,65869.49,82992.07, DEPUY STEM POROUS 13.5 X 125MM,30183541,CDM,,,278,RC,inpatient,,45577.22,45577.22,,38695.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,34365.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38740.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,40107.95,88,,percent of total billed charges,,,,,,,,,34821,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,41475.27,91,,percent of total billed charges,,,43298.36,95,,percent of total billed charges,,,37829.09,83,,percent of total billed charges,,,37829.09,83,,percent of total billed charges,,,,,,,,,,,,,,,37829.09,83,,percent of total billed charges,,,43298.36,95,,percent of total billed charges,,,41019.5,90,,percent of total billed charges,,,41019.5,90,,percent of total billed charges,,,37373.32,82,,percent of total billed charges,,,41019.5,90,,percent of total billed charges,,,38740.64,85,,percent of total billed charges,,34365.22,43298.36, PCMX 3.3% CLEANSING SOLUTION,30183548,CDM,,,270,RC,inpatient,,15.3,15.3,,12.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13.46,88,,percent of total billed charges,,,,,,,,,11.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13.92,91,,percent of total billed charges,,,14.54,95,,percent of total billed charges,,,12.7,83,,percent of total billed charges,,,12.7,83,,percent of total billed charges,,,,,,,,,,,,,,,12.7,83,,percent of total billed charges,,,14.54,95,,percent of total billed charges,,,13.77,90,,percent of total billed charges,,,13.77,90,,percent of total billed charges,,,12.55,82,,percent of total billed charges,,,13.77,90,,percent of total billed charges,,,13.01,85,,percent of total billed charges,,11.54,14.54, DJO TIBIA POROUS DOWN RIGHT 3D FK 10,30183555,CDM,,,278,RC,inpatient,,19987.5,19987.5,,16969.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15070.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16989.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17589,88,,percent of total billed charges,,,,,,,,,15270.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18188.63,91,,percent of total billed charges,,,18988.13,95,,percent of total billed charges,,,16589.63,83,,percent of total billed charges,,,16589.63,83,,percent of total billed charges,,,,,,,,,,,,,,,16589.63,83,,percent of total billed charges,,,18988.13,95,,percent of total billed charges,,,17988.75,90,,percent of total billed charges,,,17988.75,90,,percent of total billed charges,,,16389.75,82,,percent of total billed charges,,,17988.75,90,,percent of total billed charges,,,16989.38,85,,percent of total billed charges,,15070.58,18988.13, DJO INSERT 9MM 12 RIGHT 3D E-PLUS,30183556,CDM,,,278,RC,inpatient,,5980,5980,,5077.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4508.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5083,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5262.4,88,,percent of total billed charges,,,,,,,,,4568.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5441.8,91,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,,,,,,,,,,,,,4963.4,83,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,4903.6,82,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5083,85,,percent of total billed charges,,4508.92,5681, DJO SCREW CANCELLOUS 50MM,30183557,CDM,,,278,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, DJO FEMUR POROUS 3D 2 RIGHT,30183558,CDM,,,278,RC,inpatient,,18232.5,18232.5,,15479.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13747.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15497.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16044.6,88,,percent of total billed charges,,,,,,,,,13929.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16591.58,91,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,,,,,,,,,,,,,15132.98,83,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,14950.65,82,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,15497.63,85,,percent of total billed charges,,13747.31,17320.88, DJO SAWBLADE 1MM,30183559,CDM,,,270,RC,inpatient,,1300,1300,,1103.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,980.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1105,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1144,88,,percent of total billed charges,,,,,,,,,993.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1183,91,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,1079,83,,percent of total billed charges,,,,,,,,,,,,,,,1079,83,,percent of total billed charges,,,1235,95,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1066,82,,percent of total billed charges,,,1170,90,,percent of total billed charges,,,1105,85,,percent of total billed charges,,980.2,1235, SYNTHES PLATE 4HOLE RT MEDIAL LCP 3.5MM,30183560,CDM,,,278,RC,inpatient,,10319.4,10319.4,,8761.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7780.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8771.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9081.07,88,,percent of total billed charges,,,,,,,,,7884.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9390.65,91,,percent of total billed charges,,,9803.43,95,,percent of total billed charges,,,8565.1,83,,percent of total billed charges,,,8565.1,83,,percent of total billed charges,,,,,,,,,,,,,,,8565.1,83,,percent of total billed charges,,,9803.43,95,,percent of total billed charges,,,9287.46,90,,percent of total billed charges,,,9287.46,90,,percent of total billed charges,,,8461.91,82,,percent of total billed charges,,,9287.46,90,,percent of total billed charges,,,8771.49,85,,percent of total billed charges,,7780.83,9803.43, SYNTHES SCREW LOCKING 3.7X40MM,30183561,CDM,,,278,RC,inpatient,,1345.5,1345.5,,1142.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1014.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1143.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1184.04,88,,percent of total billed charges,,,,,,,,,1027.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1224.41,91,,percent of total billed charges,,,1278.23,95,,percent of total billed charges,,,1116.77,83,,percent of total billed charges,,,1116.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1116.77,83,,percent of total billed charges,,,1278.23,95,,percent of total billed charges,,,1210.95,90,,percent of total billed charges,,,1210.95,90,,percent of total billed charges,,,1103.31,82,,percent of total billed charges,,,1210.95,90,,percent of total billed charges,,,1143.68,85,,percent of total billed charges,,1014.51,1278.23, SYNTHES SCREW LOCKING 3.7X52MM,30183562,CDM,,,278,RC,inpatient,,1784.58,1784.58,,1515.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1345.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1516.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1570.43,88,,percent of total billed charges,,,,,,,,,1363.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1623.97,91,,percent of total billed charges,,,1695.35,95,,percent of total billed charges,,,1481.2,83,,percent of total billed charges,,,1481.2,83,,percent of total billed charges,,,,,,,,,,,,,,,1481.2,83,,percent of total billed charges,,,1695.35,95,,percent of total billed charges,,,1606.12,90,,percent of total billed charges,,,1606.12,90,,percent of total billed charges,,,1463.36,82,,percent of total billed charges,,,1606.12,90,,percent of total billed charges,,,1516.89,85,,percent of total billed charges,,1345.57,1695.35, SYNTHES SCREW LOCKING 3.7X60MM,30183563,CDM,,,278,RC,inpatient,,1784.58,1784.58,,1515.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1345.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1516.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1570.43,88,,percent of total billed charges,,,,,,,,,1363.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1623.97,91,,percent of total billed charges,,,1695.35,95,,percent of total billed charges,,,1481.2,83,,percent of total billed charges,,,1481.2,83,,percent of total billed charges,,,,,,,,,,,,,,,1481.2,83,,percent of total billed charges,,,1695.35,95,,percent of total billed charges,,,1606.12,90,,percent of total billed charges,,,1606.12,90,,percent of total billed charges,,,1463.36,82,,percent of total billed charges,,,1606.12,90,,percent of total billed charges,,,1516.89,85,,percent of total billed charges,,1345.57,1695.35, DEPUY HEAD ECCENTRIC 44 X 21,30183565,CDM,,,278,RC,inpatient,,17636.13,17636.13,,14973.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13297.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14990.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15519.79,88,,percent of total billed charges,,,,,,,,,13474,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16048.88,91,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,,,,,,,,,,,,,14637.99,83,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14461.63,82,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14990.71,85,,percent of total billed charges,,13297.64,16754.32, MENTOR TISSUE EXPANDER 350CC,30183566,CDM,,,278,RC,inpatient,,9555,9555,,8112.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7204.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8121.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8408.4,88,,percent of total billed charges,,,,,,,,,7300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8695.05,91,,percent of total billed charges,,,9077.25,95,,percent of total billed charges,,,7930.65,83,,percent of total billed charges,,,7930.65,83,,percent of total billed charges,,,,,,,,,,,,,,,7930.65,83,,percent of total billed charges,,,9077.25,95,,percent of total billed charges,,,8599.5,90,,percent of total billed charges,,,8599.5,90,,percent of total billed charges,,,7835.1,82,,percent of total billed charges,,,8599.5,90,,percent of total billed charges,,,8121.75,85,,percent of total billed charges,,7204.47,9077.25, ZIMMER LINER 40MM I.D. SIZE NN,30183573,CDM,,,278,RC,inpatient,,11399.05,11399.05,,9677.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8594.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9689.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10031.16,88,,percent of total billed charges,,,,,,,,,8708.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10373.14,91,,percent of total billed charges,,,10829.1,95,,percent of total billed charges,,,9461.21,83,,percent of total billed charges,,,9461.21,83,,percent of total billed charges,,,,,,,,,,,,,,,9461.21,83,,percent of total billed charges,,,10829.1,95,,percent of total billed charges,,,10259.15,90,,percent of total billed charges,,,10259.15,90,,percent of total billed charges,,,9347.22,82,,percent of total billed charges,,,10259.15,90,,percent of total billed charges,,,9689.19,85,,percent of total billed charges,,8594.88,10829.1, ZIMMER LINER BIPOLAR CUP 22MM I.D.,30183574,CDM,,,278,RC,inpatient,,4550,4550,,3862.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3430.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3867.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4004,88,,percent of total billed charges,,,,,,,,,3476.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4140.5,91,,percent of total billed charges,,,4322.5,95,,percent of total billed charges,,,3776.5,83,,percent of total billed charges,,,3776.5,83,,percent of total billed charges,,,,,,,,,,,,,,,3776.5,83,,percent of total billed charges,,,4322.5,95,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,3731,82,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,3867.5,85,,percent of total billed charges,,3430.7,4322.5, ZIMMER SHELL BIPOLAR CUP 40MM O.D.,30183575,CDM,,,278,RC,inpatient,,7605,7605,,6456.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5734.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6464.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6692.4,88,,percent of total billed charges,,,,,,,,,5810.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6920.55,91,,percent of total billed charges,,,7224.75,95,,percent of total billed charges,,,6312.15,83,,percent of total billed charges,,,6312.15,83,,percent of total billed charges,,,,,,,,,,,,,,,6312.15,83,,percent of total billed charges,,,7224.75,95,,percent of total billed charges,,,6844.5,90,,percent of total billed charges,,,6844.5,90,,percent of total billed charges,,,6236.1,82,,percent of total billed charges,,,6844.5,90,,percent of total billed charges,,,6464.25,85,,percent of total billed charges,,5734.17,7224.75, ZIMMER HEAD FEMORAL 22MM 12/14 +3.0MM NE,30183576,CDM,,,278,RC,inpatient,,8450,8450,,7174.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6371.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7182.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7436,88,,percent of total billed charges,,,,,,,,,6455.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7689.5,91,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7013.5,83,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,6929,82,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7182.5,85,,percent of total billed charges,,6371.3,8027.5, DEPUY ATTUNE FEMUR 6N L,30183578,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, GLIDEWIRE URO 150 X 3.5MM,30183580,CDM,,,270,RC,inpatient,,371.07,371.07,,315.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,279.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,315.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,326.54,88,,percent of total billed charges,,,,,,,,,283.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,337.67,91,,percent of total billed charges,,,352.52,95,,percent of total billed charges,,,307.99,83,,percent of total billed charges,,,307.99,83,,percent of total billed charges,,,,,,,,,,,,,,,307.99,83,,percent of total billed charges,,,352.52,95,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,304.28,82,,percent of total billed charges,,,333.96,90,,percent of total billed charges,,,315.41,85,,percent of total billed charges,,279.79,352.52, DJO FEMUR POROUS 3D 8 RIGHT,30183581,CDM,,,278,RC,inpatient,,18232.5,18232.5,,15479.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13747.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15497.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16044.6,88,,percent of total billed charges,,,,,,,,,13929.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16591.58,91,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,,,,,,,,,,,,,15132.98,83,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,14950.65,82,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,15497.63,85,,percent of total billed charges,,13747.31,17320.88, DJO INSERT 13MM 8 RIGHT 3D E-PLUS,30183582,CDM,,,278,RC,inpatient,,5980,5980,,5077.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4508.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5083,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5262.4,88,,percent of total billed charges,,,,,,,,,4568.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5441.8,91,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,,,,,,,,,,,,,4963.4,83,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,4903.6,82,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5083,85,,percent of total billed charges,,4508.92,5681, DJO TIBIA STEMMED 3D POROUS 8 RIGHT,30183583,CDM,,,278,RC,inpatient,,13487.5,13487.5,,11450.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10169.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11464.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11869,88,,percent of total billed charges,,,,,,,,,10304.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12273.63,91,,percent of total billed charges,,,12813.13,95,,percent of total billed charges,,,11194.63,83,,percent of total billed charges,,,11194.63,83,,percent of total billed charges,,,,,,,,,,,,,,,11194.63,83,,percent of total billed charges,,,12813.13,95,,percent of total billed charges,,,12138.75,90,,percent of total billed charges,,,12138.75,90,,percent of total billed charges,,,11059.75,82,,percent of total billed charges,,,12138.75,90,,percent of total billed charges,,,11464.38,85,,percent of total billed charges,,10169.58,12813.13, DJO INSERT 9MM 6 RIGHT 3D E-PLUS,30183584,CDM,,,278,RC,inpatient,,5980,5980,,5077.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4508.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5083,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5262.4,88,,percent of total billed charges,,,,,,,,,4568.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5441.8,91,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,,,,,,,,,,,,,4963.4,83,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,4903.6,82,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5083,85,,percent of total billed charges,,4508.92,5681, DJO FEMUR POROUS 3D 6 RIGHT,30183585,CDM,,,278,RC,inpatient,,18232.5,18232.5,,15479.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13747.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15497.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16044.6,88,,percent of total billed charges,,,,,,,,,13929.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16591.58,91,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,,,,,,,,,,,,,15132.98,83,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,14950.65,82,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,15497.63,85,,percent of total billed charges,,13747.31,17320.88, DJO STEM 150 X 16MM TIBIAL REVISION,30183586,CDM,,,278,RC,inpatient,,3250,3250,,2759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2450.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2762.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2860,88,,percent of total billed charges,,,,,,,,,2483,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2957.5,91,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,,,,,,,,,,,,,2697.5,83,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2665,82,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2762.5,85,,percent of total billed charges,,2450.5,3087.5, DJO TIBIA STEMMED REV NON-POROUS 4 RIGHT,30183587,CDM,,,278,RC,inpatient,,11537.5,11537.5,,9795.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8699.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9806.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10153,88,,percent of total billed charges,,,,,,,,,8814.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10499.13,91,,percent of total billed charges,,,10960.63,95,,percent of total billed charges,,,9576.13,83,,percent of total billed charges,,,9576.13,83,,percent of total billed charges,,,,,,,,,,,,,,,9576.13,83,,percent of total billed charges,,,10960.63,95,,percent of total billed charges,,,10383.75,90,,percent of total billed charges,,,10383.75,90,,percent of total billed charges,,,9460.75,82,,percent of total billed charges,,,10383.75,90,,percent of total billed charges,,,9806.88,85,,percent of total billed charges,,8699.28,10960.63, ENDOCUT SCISSOR TIP DISP.,30183588,CDM,,,270,RC,inpatient,,288.75,288.75,,245.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,217.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,245.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,254.1,88,,percent of total billed charges,,,,,,,,,220.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,262.76,91,,percent of total billed charges,,,274.31,95,,percent of total billed charges,,,239.66,83,,percent of total billed charges,,,239.66,83,,percent of total billed charges,,,,,,,,,,,,,,,239.66,83,,percent of total billed charges,,,274.31,95,,percent of total billed charges,,,259.88,90,,percent of total billed charges,,,259.88,90,,percent of total billed charges,,,236.78,82,,percent of total billed charges,,,259.88,90,,percent of total billed charges,,,245.44,85,,percent of total billed charges,,217.72,274.31, DJO STEM 150 X 14MM TIBIAL REVISION,30183590,CDM,,,278,RC,inpatient,,3250,3250,,2759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2450.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2762.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2860,88,,percent of total billed charges,,,,,,,,,2483,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2957.5,91,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,,,,,,,,,,,,,2697.5,83,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2665,82,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2762.5,85,,percent of total billed charges,,2450.5,3087.5, DJO INSERT 9MM 8 RIGHT 3D E-PLUS,30183591,CDM,,,278,RC,inpatient,,5980,5980,,5077.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4508.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5083,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5262.4,88,,percent of total billed charges,,,,,,,,,4568.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5441.8,91,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,,,,,,,,,,,,,4963.4,83,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,4903.6,82,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5083,85,,percent of total billed charges,,4508.92,5681, DJO STEMMED TIBIA BASE 6 RIGHT NON-POROU,30183592,CDM,,,278,RC,inpatient,,14306.5,14306.5,,12146.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10787.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12160.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12589.72,88,,percent of total billed charges,,,,,,,,,10930.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13018.92,91,,percent of total billed charges,,,13591.18,95,,percent of total billed charges,,,11874.4,83,,percent of total billed charges,,,11874.4,83,,percent of total billed charges,,,,,,,,,,,,,,,11874.4,83,,percent of total billed charges,,,13591.18,95,,percent of total billed charges,,,12875.85,90,,percent of total billed charges,,,12875.85,90,,percent of total billed charges,,,11731.33,82,,percent of total billed charges,,,12875.85,90,,percent of total billed charges,,,12160.53,85,,percent of total billed charges,,10787.1,13591.18, SYNTHES PLATE 6 HOLE LEFT LOW BEND PROX,30183593,CDM,,,278,RC,inpatient,,13381.55,13381.55,,11360.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10089.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11374.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11775.76,88,,percent of total billed charges,,,,,,,,,10223.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12177.21,91,,percent of total billed charges,,,12712.47,95,,percent of total billed charges,,,11106.69,83,,percent of total billed charges,,,11106.69,83,,percent of total billed charges,,,,,,,,,,,,,,,11106.69,83,,percent of total billed charges,,,12712.47,95,,percent of total billed charges,,,12043.4,90,,percent of total billed charges,,,12043.4,90,,percent of total billed charges,,,10972.87,82,,percent of total billed charges,,,12043.4,90,,percent of total billed charges,,,11374.32,85,,percent of total billed charges,,10089.69,12712.47, SYNTHES SCREW LOCKING 3.5 X 70MM,30183594,CDM,,,278,RC,inpatient,,1182.35,1182.35,,1003.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,891.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1005,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1040.47,88,,percent of total billed charges,,,,,,,,,903.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1075.94,91,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,,,,,,,,,,,,,981.35,83,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,969.53,82,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1005,85,,percent of total billed charges,,891.49,1123.23, SYNTHES SCREW LOCKING 3.5 X 60MM,30183595,CDM,,,278,RC,inpatient,,1182.35,1182.35,,1003.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,891.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1005,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1040.47,88,,percent of total billed charges,,,,,,,,,903.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1075.94,91,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,,,,,,,,,,,,,981.35,83,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,969.53,82,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1005,85,,percent of total billed charges,,891.49,1123.23, DJO INSERT 11MM 8 RIGHT 3D E-PLUS,30183596,CDM,,,278,RC,inpatient,,5980,5980,,5077.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4508.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5083,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5262.4,88,,percent of total billed charges,,,,,,,,,4568.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5441.8,91,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,,,,,,,,,,,,,4963.4,83,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,4903.6,82,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5083,85,,percent of total billed charges,,4508.92,5681, ARTHREX IMPLANT DELIVERY SYSTEM,30183597,CDM,,,270,RC,inpatient,,5525,5525,,4690.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4165.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4696.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4862,88,,percent of total billed charges,,,,,,,,,4221.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5027.75,91,,percent of total billed charges,,,5248.75,95,,percent of total billed charges,,,4585.75,83,,percent of total billed charges,,,4585.75,83,,percent of total billed charges,,,,,,,,,,,,,,,4585.75,83,,percent of total billed charges,,,5248.75,95,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4530.5,82,,percent of total billed charges,,,4972.5,90,,percent of total billed charges,,,4696.25,85,,percent of total billed charges,,4165.85,5248.75, ARTHREX REEMER 8MM LP,30183598,CDM,,,270,RC,inpatient,,1267.5,1267.5,,1076.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1077.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1115.4,88,,percent of total billed charges,,,,,,,,,968.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1153.43,91,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1052.03,83,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1039.35,82,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1077.38,85,,percent of total billed charges,,955.7,1204.13, ARTHREX SUTURE PASSING WIRE,30183599,CDM,,,270,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, DEPUY MBT TRAY SLEEVE 46MM,30183600,CDM,,,270,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, ERBE APC MEMBRANE FILTER,30183602,CDM,,,270,RC,inpatient,,87.6,87.6,,74.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.09,88,,percent of total billed charges,,,,,,,,,66.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,79.72,91,,percent of total billed charges,,,83.22,95,,percent of total billed charges,,,72.71,83,,percent of total billed charges,,,72.71,83,,percent of total billed charges,,,,,,,,,,,,,,,72.71,83,,percent of total billed charges,,,83.22,95,,percent of total billed charges,,,78.84,90,,percent of total billed charges,,,78.84,90,,percent of total billed charges,,,71.83,82,,percent of total billed charges,,,78.84,90,,percent of total billed charges,,,74.46,85,,percent of total billed charges,,66.05,83.22, NEUROMONITORING EMG ET,30183606,CDM,,,270,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, RELIEVA SINUS GUIDE CATHETER F-70C,30183607,CDM,,,270,RC,inpatient,,2886,2886,,2450.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2176.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2453.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2539.68,88,,percent of total billed charges,,,,,,,,,2204.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2626.26,91,,percent of total billed charges,,,2741.7,95,,percent of total billed charges,,,2395.38,83,,percent of total billed charges,,,2395.38,83,,percent of total billed charges,,,,,,,,,,,,,,,2395.38,83,,percent of total billed charges,,,2741.7,95,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2366.52,82,,percent of total billed charges,,,2597.4,90,,percent of total billed charges,,,2453.1,85,,percent of total billed charges,,2176.04,2741.7, ESWL SERVICES UNILATERAL- UNITED SHOCKWA,30183608,CDM,,,270,RC,inpatient,,13650,13650,,11588.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10292.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11602.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12012,88,,percent of total billed charges,,,,,,,,,10428.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12421.5,91,,percent of total billed charges,,,12967.5,95,,percent of total billed charges,,,11329.5,83,,percent of total billed charges,,,11329.5,83,,percent of total billed charges,,,,,,,,,,,,,,,11329.5,83,,percent of total billed charges,,,12967.5,95,,percent of total billed charges,,,12285,90,,percent of total billed charges,,,12285,90,,percent of total billed charges,,,11193,82,,percent of total billed charges,,,12285,90,,percent of total billed charges,,,11602.5,85,,percent of total billed charges,,10292.1,12967.5, STRYKER HEAD V40 COCR LFIT 36MM +0,30183609,CDM,,,278,RC,inpatient,,4647.5,4647.5,,3945.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3504.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3950.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4089.8,88,,percent of total billed charges,,,,,,,,,3550.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4229.23,91,,percent of total billed charges,,,4415.13,95,,percent of total billed charges,,,3857.43,83,,percent of total billed charges,,,3857.43,83,,percent of total billed charges,,,,,,,,,,,,,,,3857.43,83,,percent of total billed charges,,,4415.13,95,,percent of total billed charges,,,4182.75,90,,percent of total billed charges,,,4182.75,90,,percent of total billed charges,,,3810.95,82,,percent of total billed charges,,,4182.75,90,,percent of total billed charges,,,3950.38,85,,percent of total billed charges,,3504.22,4415.13, ESOPHYX SEROSAFUSE IMPLANT FASTNR KIT,30183612,CDM,,,270,RC,inpatient,,27397.5,27397.5,,23260.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20657.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23287.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24109.8,88,,percent of total billed charges,,,,,,,,,20931.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24931.73,91,,percent of total billed charges,,,26027.63,95,,percent of total billed charges,,,22739.93,83,,percent of total billed charges,,,22739.93,83,,percent of total billed charges,,,,,,,,,,,,,,,22739.93,83,,percent of total billed charges,,,26027.63,95,,percent of total billed charges,,,24657.75,90,,percent of total billed charges,,,24657.75,90,,percent of total billed charges,,,22465.95,82,,percent of total billed charges,,,24657.75,90,,percent of total billed charges,,,23287.88,85,,percent of total billed charges,,20657.72,26027.63, ENDO POUCH RETRIEVER 5MM,30183613,CDM,,,270,RC,inpatient,,300,300,,254.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,226.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,255,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,264,88,,percent of total billed charges,,,,,,,,,229.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,273,91,,percent of total billed charges,,,285,95,,percent of total billed charges,,,249,83,,percent of total billed charges,,,249,83,,percent of total billed charges,,,,,,,,,,,,,,,249,83,,percent of total billed charges,,,285,95,,percent of total billed charges,,,270,90,,percent of total billed charges,,,270,90,,percent of total billed charges,,,246,82,,percent of total billed charges,,,270,90,,percent of total billed charges,,,255,85,,percent of total billed charges,,226.2,285, S&N SCREW INTERNAL HEX 80MM,30183615,CDM,,,278,RC,inpatient,,1560,1560,,1324.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1176.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1326,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1372.8,88,,percent of total billed charges,,,,,,,,,1191.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1419.6,91,,percent of total billed charges,,,1482,95,,percent of total billed charges,,,1294.8,83,,percent of total billed charges,,,1294.8,83,,percent of total billed charges,,,,,,,,,,,,,,,1294.8,83,,percent of total billed charges,,,1482,95,,percent of total billed charges,,,1404,90,,percent of total billed charges,,,1404,90,,percent of total billed charges,,,1279.2,82,,percent of total billed charges,,,1404,90,,percent of total billed charges,,,1326,85,,percent of total billed charges,,1176.24,1482, DEPUY INSERT PS SZ 4 7MM,30183617,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, MEDTRONIC REVEAL LOOP RECORDER,30183619,CDM,,,278,RC,inpatient,,27950,27950,,23729.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21074.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23757.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24596,88,,percent of total billed charges,,,,,,,,,21353.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25434.5,91,,percent of total billed charges,,,26552.5,95,,percent of total billed charges,,,23198.5,83,,percent of total billed charges,,,23198.5,83,,percent of total billed charges,,,,,,,,,,,,,,,23198.5,83,,percent of total billed charges,,,26552.5,95,,percent of total billed charges,,,25155,90,,percent of total billed charges,,,25155,90,,percent of total billed charges,,,22919,82,,percent of total billed charges,,,25155,90,,percent of total billed charges,,,23757.5,85,,percent of total billed charges,,21074.3,26552.5, DJO UNIPOLAR SLEEVE NEUTRAL,30183620,CDM,,,278,RC,inpatient,,1040,1040,,882.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,784.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,884,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,915.2,88,,percent of total billed charges,,,,,,,,,794.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,946.4,91,,percent of total billed charges,,,988,95,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,,,,,,,,,,,,,863.2,83,,percent of total billed charges,,,988,95,,percent of total billed charges,,,936,90,,percent of total billed charges,,,936,90,,percent of total billed charges,,,852.8,82,,percent of total billed charges,,,936,90,,percent of total billed charges,,,884,85,,percent of total billed charges,,784.16,988, DJO STEM HA 470 12MM POROUS,30183621,CDM,,,278,RC,inpatient,,29250,29250,,24833.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22054.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24862.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25740,88,,percent of total billed charges,,,,,,,,,22347,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26617.5,91,,percent of total billed charges,,,27787.5,95,,percent of total billed charges,,,24277.5,83,,percent of total billed charges,,,24277.5,83,,percent of total billed charges,,,,,,,,,,,,,,,24277.5,83,,percent of total billed charges,,,27787.5,95,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,23985,82,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,24862.5,85,,percent of total billed charges,,22054.5,27787.5, DJO HEAD UNIPOLAR 45,30183622,CDM,,,278,RC,inpatient,,3848,3848,,3266.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2901.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3270.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3386.24,88,,percent of total billed charges,,,,,,,,,2939.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3501.68,91,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3193.84,83,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3155.36,82,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3270.8,85,,percent of total billed charges,,2901.39,3655.6, DEPUY LINER NEUTRAL 32 X 54MM +4,30183623,CDM,,,278,RC,inpatient,,11806.99,11806.99,,10024.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8902.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10035.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10390.15,88,,percent of total billed charges,,,,,,,,,9020.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10744.36,91,,percent of total billed charges,,,11216.64,95,,percent of total billed charges,,,9799.8,83,,percent of total billed charges,,,9799.8,83,,percent of total billed charges,,,,,,,,,,,,,,,9799.8,83,,percent of total billed charges,,,11216.64,95,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,9681.73,82,,percent of total billed charges,,,10626.29,90,,percent of total billed charges,,,10035.94,85,,percent of total billed charges,,8902.47,11216.64, DRAIN PENROSE TUBING 1/4,30183625,CDM,,,270,RC,inpatient,,7.43,7.43,,6.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6.54,88,,percent of total billed charges,,,,,,,,,5.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6.76,91,,percent of total billed charges,,,7.06,95,,percent of total billed charges,,,6.17,83,,percent of total billed charges,,,6.17,83,,percent of total billed charges,,,,,,,,,,,,,,,6.17,83,,percent of total billed charges,,,7.06,95,,percent of total billed charges,,,6.69,90,,percent of total billed charges,,,6.69,90,,percent of total billed charges,,,6.09,82,,percent of total billed charges,,,6.69,90,,percent of total billed charges,,,6.32,85,,percent of total billed charges,,5.6,7.06, SYNTHES PLATE FEMUR HOOK 10-HOLE 4.5PROX,30183626,CDM,,,278,RC,inpatient,,18558.48,18558.48,,15756.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13993.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15774.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16331.46,88,,percent of total billed charges,,,,,,,,,14178.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16888.22,91,,percent of total billed charges,,,17630.56,95,,percent of total billed charges,,,15403.54,83,,percent of total billed charges,,,15403.54,83,,percent of total billed charges,,,,,,,,,,,,,,,15403.54,83,,percent of total billed charges,,,17630.56,95,,percent of total billed charges,,,16702.63,90,,percent of total billed charges,,,16702.63,90,,percent of total billed charges,,,15217.95,82,,percent of total billed charges,,,16702.63,90,,percent of total billed charges,,,15774.71,85,,percent of total billed charges,,13993.09,17630.56, ALLOSOURCE PRESHAPED PATELLA LIGAMENT BT,30183627,CDM,,,278,RC,inpatient,,25867.6,25867.6,,21961.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19504.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21987.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22763.49,88,,percent of total billed charges,,,,,,,,,19762.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23539.52,91,,percent of total billed charges,,,24574.22,95,,percent of total billed charges,,,21470.11,83,,percent of total billed charges,,,21470.11,83,,percent of total billed charges,,,,,,,,,,,,,,,21470.11,83,,percent of total billed charges,,,24574.22,95,,percent of total billed charges,,,23280.84,90,,percent of total billed charges,,,23280.84,90,,percent of total billed charges,,,21211.43,82,,percent of total billed charges,,,23280.84,90,,percent of total billed charges,,,21987.46,85,,percent of total billed charges,,19504.17,24574.22, DJO HEAD UNIPOLAR 44,30183628,CDM,,,278,RC,inpatient,,3848,3848,,3266.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2901.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3270.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3386.24,88,,percent of total billed charges,,,,,,,,,2939.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3501.68,91,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3193.84,83,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3155.36,82,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3270.8,85,,percent of total billed charges,,2901.39,3655.6, DJO STEM HA 470 10.5MM POROUS,30183629,CDM,,,278,RC,inpatient,,29250,29250,,24833.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22054.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24862.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25740,88,,percent of total billed charges,,,,,,,,,22347,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26617.5,91,,percent of total billed charges,,,27787.5,95,,percent of total billed charges,,,24277.5,83,,percent of total billed charges,,,24277.5,83,,percent of total billed charges,,,,,,,,,,,,,,,24277.5,83,,percent of total billed charges,,,27787.5,95,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,23985,82,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,24862.5,85,,percent of total billed charges,,22054.5,27787.5, SYNTHES SCREW LOCKING 2.7X8MM,30183632,CDM,,,278,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, BIOMET ULTRADRIVE 180MM TIP EXTENDER,30183634,CDM,,,270,RC,inpatient,,4946.5,4946.5,,4199.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3729.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4204.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4352.92,88,,percent of total billed charges,,,,,,,,,3779.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4501.32,91,,percent of total billed charges,,,4699.18,95,,percent of total billed charges,,,4105.6,83,,percent of total billed charges,,,4105.6,83,,percent of total billed charges,,,,,,,,,,,,,,,4105.6,83,,percent of total billed charges,,,4699.18,95,,percent of total billed charges,,,4451.85,90,,percent of total billed charges,,,4451.85,90,,percent of total billed charges,,,4056.13,82,,percent of total billed charges,,,4451.85,90,,percent of total billed charges,,,4204.53,85,,percent of total billed charges,,3729.66,4699.18, STRYKER CANNULA VENOM 18G 100MM 10MM,30183638,CDM,,,270,RC,inpatient,,511.25,511.25,,434.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,385.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,434.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,449.9,88,,percent of total billed charges,,,,,,,,,390.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,465.24,91,,percent of total billed charges,,,485.69,95,,percent of total billed charges,,,424.34,83,,percent of total billed charges,,,424.34,83,,percent of total billed charges,,,,,,,,,,,,,,,424.34,83,,percent of total billed charges,,,485.69,95,,percent of total billed charges,,,460.13,90,,percent of total billed charges,,,460.13,90,,percent of total billed charges,,,419.23,82,,percent of total billed charges,,,460.13,90,,percent of total billed charges,,,434.56,85,,percent of total billed charges,,385.48,485.69, ARTHREX KNIFE BLADE,30183639,CDM,,,270,RC,inpatient,,472.5,472.5,,401.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,356.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,401.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,415.8,88,,percent of total billed charges,,,,,,,,,360.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,429.98,91,,percent of total billed charges,,,448.88,95,,percent of total billed charges,,,392.18,83,,percent of total billed charges,,,392.18,83,,percent of total billed charges,,,,,,,,,,,,,,,392.18,83,,percent of total billed charges,,,448.88,95,,percent of total billed charges,,,425.25,90,,percent of total billed charges,,,425.25,90,,percent of total billed charges,,,387.45,82,,percent of total billed charges,,,425.25,90,,percent of total billed charges,,,401.63,85,,percent of total billed charges,,356.27,448.88, ARTHREX 10.5LP,30183640,CDM,,,278,RC,inpatient,,1813.5,1813.5,,1539.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1367.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1541.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1595.88,88,,percent of total billed charges,,,,,,,,,1385.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1650.29,91,,percent of total billed charges,,,1722.83,95,,percent of total billed charges,,,1505.21,83,,percent of total billed charges,,,1505.21,83,,percent of total billed charges,,,,,,,,,,,,,,,1505.21,83,,percent of total billed charges,,,1722.83,95,,percent of total billed charges,,,1632.15,90,,percent of total billed charges,,,1632.15,90,,percent of total billed charges,,,1487.07,82,,percent of total billed charges,,,1632.15,90,,percent of total billed charges,,,1541.48,85,,percent of total billed charges,,1367.38,1722.83, ARTHREX SCREW BIOCOMPOSITE 8+23,30183641,CDM,,,278,RC,inpatient,,1527.5,1527.5,,1296.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1151.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1298.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1344.2,88,,percent of total billed charges,,,,,,,,,1167.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1390.03,91,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,,,,,,,,,,,,,1267.83,83,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1252.55,82,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1298.38,85,,percent of total billed charges,,1151.74,1451.13, ARTHREX SCREW BIOCOMPOSITE 10+28,30183642,CDM,,,278,RC,inpatient,,1527.5,1527.5,,1296.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1151.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1298.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1344.2,88,,percent of total billed charges,,,,,,,,,1167.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1390.03,91,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,,,,,,,,,,,,,1267.83,83,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1252.55,82,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1298.38,85,,percent of total billed charges,,1151.74,1451.13, BRACE CERVICAL COLLAR,30183643,CDM,,,270,RC,inpatient,,337.5,337.5,,286.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,254.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,286.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,297,88,,percent of total billed charges,,,,,,,,,257.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,307.13,91,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,,,,,,,,,,,,,280.13,83,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,276.75,82,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,286.88,85,,percent of total billed charges,,254.48,320.63, BRACE QUICK DRAW LG BLK,30183644,CDM,,,270,RC,inpatient,,559.65,559.65,,475.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,421.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,475.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,492.49,88,,percent of total billed charges,,,,,,,,,427.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,509.28,91,,percent of total billed charges,,,531.67,95,,percent of total billed charges,,,464.51,83,,percent of total billed charges,,,464.51,83,,percent of total billed charges,,,,,,,,,,,,,,,464.51,83,,percent of total billed charges,,,531.67,95,,percent of total billed charges,,,503.69,90,,percent of total billed charges,,,503.69,90,,percent of total billed charges,,,458.91,82,,percent of total billed charges,,,503.69,90,,percent of total billed charges,,,475.7,85,,percent of total billed charges,,421.98,531.67, SYNTHES PLATE TUBULAR 5-HOLE 114MM,30183647,CDM,,,278,RC,inpatient,,14935.05,14935.05,,12679.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11261.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12694.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13142.84,88,,percent of total billed charges,,,,,,,,,11410.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13590.9,91,,percent of total billed charges,,,14188.3,95,,percent of total billed charges,,,12396.09,83,,percent of total billed charges,,,12396.09,83,,percent of total billed charges,,,,,,,,,,,,,,,12396.09,83,,percent of total billed charges,,,14188.3,95,,percent of total billed charges,,,13441.55,90,,percent of total billed charges,,,13441.55,90,,percent of total billed charges,,,12246.74,82,,percent of total billed charges,,,13441.55,90,,percent of total billed charges,,,12694.79,85,,percent of total billed charges,,11261.03,14188.3, HOLMIUM 365 FORTEC FIBER,30183648,CDM,,,270,RC,inpatient,,1397.5,1397.5,,1186.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1053.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1187.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1229.8,88,,percent of total billed charges,,,,,,,,,1067.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1271.73,91,,percent of total billed charges,,,1327.63,95,,percent of total billed charges,,,1159.93,83,,percent of total billed charges,,,1159.93,83,,percent of total billed charges,,,,,,,,,,,,,,,1159.93,83,,percent of total billed charges,,,1327.63,95,,percent of total billed charges,,,1257.75,90,,percent of total billed charges,,,1257.75,90,,percent of total billed charges,,,1145.95,82,,percent of total billed charges,,,1257.75,90,,percent of total billed charges,,,1187.88,85,,percent of total billed charges,,1053.72,1327.63, SYNTHES PLATE DISTAL RADIUS 2.4MM VA 6X3,30183649,CDM,,,278,RC,inpatient,,9762.68,9762.68,,8288.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7361.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8298.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8591.16,88,,percent of total billed charges,,,,,,,,,7458.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8884.04,91,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,,,,,,,,,,,,,8103.02,83,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8005.4,82,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8298.28,85,,percent of total billed charges,,7361.06,9274.55, SYNTHES SCREW CORTEX 2.7MM X 12MM,30183650,CDM,,,278,RC,inpatient,,410.27,410.27,,348.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,309.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,348.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,361.04,88,,percent of total billed charges,,,,,,,,,313.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,373.35,91,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,,,,,,,,,,,,,340.52,83,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,336.42,82,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,348.73,85,,percent of total billed charges,,309.34,389.76, ELECTRODE COAG MONO 22-24FR,30183653,CDM,,,270,RC,inpatient,,557.58,557.58,,473.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,420.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,473.94,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,490.67,88,,percent of total billed charges,,,,,,,,,425.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,507.4,91,,percent of total billed charges,,,529.7,95,,percent of total billed charges,,,462.79,83,,percent of total billed charges,,,462.79,83,,percent of total billed charges,,,,,,,,,,,,,,,462.79,83,,percent of total billed charges,,,529.7,95,,percent of total billed charges,,,501.82,90,,percent of total billed charges,,,501.82,90,,percent of total billed charges,,,457.22,82,,percent of total billed charges,,,501.82,90,,percent of total billed charges,,,473.94,85,,percent of total billed charges,,420.42,529.7, DJO UNIPOLAR HEAD 51MM,30183654,CDM,,,278,RC,inpatient,,3848,3848,,3266.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2901.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3270.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3386.24,88,,percent of total billed charges,,,,,,,,,2939.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3501.68,91,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3193.84,83,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3155.36,82,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3270.8,85,,percent of total billed charges,,2901.39,3655.6, DJO STEM LIMA REVISION DISTAL 20 X 140MM,30183655,CDM,,,278,RC,inpatient,,39838.5,39838.5,,33822.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30038.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33862.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35057.88,88,,percent of total billed charges,,,,,,,,,30436.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36253.04,91,,percent of total billed charges,,,37846.58,95,,percent of total billed charges,,,33065.96,83,,percent of total billed charges,,,33065.96,83,,percent of total billed charges,,,,,,,,,,,,,,,33065.96,83,,percent of total billed charges,,,37846.58,95,,percent of total billed charges,,,35854.65,90,,percent of total billed charges,,,35854.65,90,,percent of total billed charges,,,32667.57,82,,percent of total billed charges,,,35854.65,90,,percent of total billed charges,,,33862.73,85,,percent of total billed charges,,30038.23,37846.58, DJO BODY LIMA REVISION LAT. 70MM,30183656,CDM,,,278,RC,inpatient,,37492,37492,,31830.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28268.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31868.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32992.96,88,,percent of total billed charges,,,,,,,,,28643.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34117.72,91,,percent of total billed charges,,,35617.4,95,,percent of total billed charges,,,31118.36,83,,percent of total billed charges,,,31118.36,83,,percent of total billed charges,,,,,,,,,,,,,,,31118.36,83,,percent of total billed charges,,,35617.4,95,,percent of total billed charges,,,33742.8,90,,percent of total billed charges,,,33742.8,90,,percent of total billed charges,,,30743.44,82,,percent of total billed charges,,,33742.8,90,,percent of total billed charges,,,31868.2,85,,percent of total billed charges,,28268.97,35617.4, ARTHROCARE REFLEX ULTRA 45,30183657,CDM,,,270,RC,inpatient,,1430,1430,,1214.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1078.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1215.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1258.4,88,,percent of total billed charges,,,,,,,,,1092.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1301.3,91,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,1186.9,83,,percent of total billed charges,,,,,,,,,,,,,,,1186.9,83,,percent of total billed charges,,,1358.5,95,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1172.6,82,,percent of total billed charges,,,1287,90,,percent of total billed charges,,,1215.5,85,,percent of total billed charges,,1078.22,1358.5, MEDTRONIC PULSE GENERATOR LEAD 140,30183668,CDM,,,270,RC,inpatient,,1820,1820,,1545.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1372.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1547,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1601.6,88,,percent of total billed charges,,,,,,,,,1390.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1656.2,91,,percent of total billed charges,,,1729,95,,percent of total billed charges,,,1510.6,83,,percent of total billed charges,,,1510.6,83,,percent of total billed charges,,,,,,,,,,,,,,,1510.6,83,,percent of total billed charges,,,1729,95,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1492.4,82,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1547,85,,percent of total billed charges,,1372.28,1729, MEDTRONIC PULSE GENERATOR LEAD 100,30183669,CDM,,,270,RC,inpatient,,1820,1820,,1545.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1372.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1547,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1601.6,88,,percent of total billed charges,,,,,,,,,1390.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1656.2,91,,percent of total billed charges,,,1729,95,,percent of total billed charges,,,1510.6,83,,percent of total billed charges,,,1510.6,83,,percent of total billed charges,,,,,,,,,,,,,,,1510.6,83,,percent of total billed charges,,,1729,95,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1492.4,82,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1547,85,,percent of total billed charges,,1372.28,1729, MEDTRONIC PACEMAKER,30183670,CDM,,,278,RC,inpatient,,40670.5,40670.5,,34529.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30665.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34569.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35790.04,88,,percent of total billed charges,,,,,,,,,31072.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37010.16,91,,percent of total billed charges,,,38636.98,95,,percent of total billed charges,,,33756.52,83,,percent of total billed charges,,,33756.52,83,,percent of total billed charges,,,,,,,,,,,,,,,33756.52,83,,percent of total billed charges,,,38636.98,95,,percent of total billed charges,,,36603.45,90,,percent of total billed charges,,,36603.45,90,,percent of total billed charges,,,33349.81,82,,percent of total billed charges,,,36603.45,90,,percent of total billed charges,,,34569.93,85,,percent of total billed charges,,30665.56,38636.98, MEDTRONIC RV LEAD,30183671,CDM,,,278,RC,inpatient,,4829.5,4829.5,,4100.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3641.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4105.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4249.96,88,,percent of total billed charges,,,,,,,,,3689.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4394.85,91,,percent of total billed charges,,,4588.03,95,,percent of total billed charges,,,4008.49,83,,percent of total billed charges,,,4008.49,83,,percent of total billed charges,,,,,,,,,,,,,,,4008.49,83,,percent of total billed charges,,,4588.03,95,,percent of total billed charges,,,4346.55,90,,percent of total billed charges,,,4346.55,90,,percent of total billed charges,,,3960.19,82,,percent of total billed charges,,,4346.55,90,,percent of total billed charges,,,4105.08,85,,percent of total billed charges,,3641.44,4588.03, GREENLIGHT XPS LASER FEE- UNITED SHOCK,30183672,CDM,,,270,RC,inpatient,,5167.5,5167.5,,4387.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3896.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4392.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4547.4,88,,percent of total billed charges,,,,,,,,,3947.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4702.43,91,,percent of total billed charges,,,4909.13,95,,percent of total billed charges,,,4289.03,83,,percent of total billed charges,,,4289.03,83,,percent of total billed charges,,,,,,,,,,,,,,,4289.03,83,,percent of total billed charges,,,4909.13,95,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4237.35,82,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4392.38,85,,percent of total billed charges,,3896.3,4909.13, GREENLIGHT XPS FIBER,30183673,CDM,,,270,RC,inpatient,,6825,6825,,5794.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5146.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5801.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6006,88,,percent of total billed charges,,,,,,,,,5214.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6210.75,91,,percent of total billed charges,,,6483.75,95,,percent of total billed charges,,,5664.75,83,,percent of total billed charges,,,5664.75,83,,percent of total billed charges,,,,,,,,,,,,,,,5664.75,83,,percent of total billed charges,,,6483.75,95,,percent of total billed charges,,,6142.5,90,,percent of total billed charges,,,6142.5,90,,percent of total billed charges,,,5596.5,82,,percent of total billed charges,,,6142.5,90,,percent of total billed charges,,,5801.25,85,,percent of total billed charges,,5146.05,6483.75, MEDARTIS SCREW CANNULATED 28MM,30183674,CDM,,,278,RC,inpatient,,2047.5,2047.5,,1738.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1543.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1740.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1801.8,88,,percent of total billed charges,,,,,,,,,1564.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1863.23,91,,percent of total billed charges,,,1945.13,95,,percent of total billed charges,,,1699.43,83,,percent of total billed charges,,,1699.43,83,,percent of total billed charges,,,,,,,,,,,,,,,1699.43,83,,percent of total billed charges,,,1945.13,95,,percent of total billed charges,,,1842.75,90,,percent of total billed charges,,,1842.75,90,,percent of total billed charges,,,1678.95,82,,percent of total billed charges,,,1842.75,90,,percent of total billed charges,,,1740.38,85,,percent of total billed charges,,1543.82,1945.13, MEDARTIS K-WIRE 0.8MM,30183675,CDM,,,270,RC,inpatient,,195.75,195.75,,166.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,166.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,172.26,88,,percent of total billed charges,,,,,,,,,149.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,178.13,91,,percent of total billed charges,,,185.96,95,,percent of total billed charges,,,162.47,83,,percent of total billed charges,,,162.47,83,,percent of total billed charges,,,,,,,,,,,,,,,162.47,83,,percent of total billed charges,,,185.96,95,,percent of total billed charges,,,176.18,90,,percent of total billed charges,,,176.18,90,,percent of total billed charges,,,160.52,82,,percent of total billed charges,,,176.18,90,,percent of total billed charges,,,166.39,85,,percent of total billed charges,,147.6,185.96, MEDARTIS K-WIRE 1.1MM,30183676,CDM,,,270,RC,inpatient,,195.75,195.75,,166.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,166.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,172.26,88,,percent of total billed charges,,,,,,,,,149.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,178.13,91,,percent of total billed charges,,,185.96,95,,percent of total billed charges,,,162.47,83,,percent of total billed charges,,,162.47,83,,percent of total billed charges,,,,,,,,,,,,,,,162.47,83,,percent of total billed charges,,,185.96,95,,percent of total billed charges,,,176.18,90,,percent of total billed charges,,,176.18,90,,percent of total billed charges,,,160.52,82,,percent of total billed charges,,,176.18,90,,percent of total billed charges,,,166.39,85,,percent of total billed charges,,147.6,185.96, SAFE SHEATH 7FR 13CM,30183677,CDM,,,270,RC,inpatient,,534.8,534.8,,454.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,403.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,454.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,470.62,88,,percent of total billed charges,,,,,,,,,408.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,486.67,91,,percent of total billed charges,,,508.06,95,,percent of total billed charges,,,443.88,83,,percent of total billed charges,,,443.88,83,,percent of total billed charges,,,,,,,,,,,,,,,443.88,83,,percent of total billed charges,,,508.06,95,,percent of total billed charges,,,481.32,90,,percent of total billed charges,,,481.32,90,,percent of total billed charges,,,438.54,82,,percent of total billed charges,,,481.32,90,,percent of total billed charges,,,454.58,85,,percent of total billed charges,,403.24,508.06, DEPUY REVISE AUGMENT 10MM 50/52MM,30183678,CDM,,,278,RC,inpatient,,21066.96,21066.96,,17885.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15884.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17906.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18538.92,88,,percent of total billed charges,,,,,,,,,16095.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19170.93,91,,percent of total billed charges,,,20013.61,95,,percent of total billed charges,,,17485.58,83,,percent of total billed charges,,,17485.58,83,,percent of total billed charges,,,,,,,,,,,,,,,17485.58,83,,percent of total billed charges,,,20013.61,95,,percent of total billed charges,,,18960.26,90,,percent of total billed charges,,,18960.26,90,,percent of total billed charges,,,17274.91,82,,percent of total billed charges,,,18960.26,90,,percent of total billed charges,,,17906.92,85,,percent of total billed charges,,15884.49,20013.61, DEPUY SCREW TF 65MM,30183679,CDM,,,278,RC,inpatient,,1266.92,1266.92,,1075.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1076.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1114.89,88,,percent of total billed charges,,,,,,,,,967.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1152.9,91,,percent of total billed charges,,,1203.57,95,,percent of total billed charges,,,1051.54,83,,percent of total billed charges,,,1051.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1051.54,83,,percent of total billed charges,,,1203.57,95,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1038.87,82,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1076.88,85,,percent of total billed charges,,955.26,1203.57, DEPUY SCREW TF 55MM,30183680,CDM,,,278,RC,inpatient,,1266.92,1266.92,,1075.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1076.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1114.89,88,,percent of total billed charges,,,,,,,,,967.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1152.9,91,,percent of total billed charges,,,1203.57,95,,percent of total billed charges,,,1051.54,83,,percent of total billed charges,,,1051.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1051.54,83,,percent of total billed charges,,,1203.57,95,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1038.87,82,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1076.88,85,,percent of total billed charges,,955.26,1203.57, DEPUY SCREW TF 50MM,30183681,CDM,,,278,RC,inpatient,,1266.92,1266.92,,1075.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1076.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1114.89,88,,percent of total billed charges,,,,,,,,,967.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1152.9,91,,percent of total billed charges,,,1203.57,95,,percent of total billed charges,,,1051.54,83,,percent of total billed charges,,,1051.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1051.54,83,,percent of total billed charges,,,1203.57,95,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1038.87,82,,percent of total billed charges,,,1140.23,90,,percent of total billed charges,,,1076.88,85,,percent of total billed charges,,955.26,1203.57, DEPUY HEAD TAPER 36 +0 11/13,30183682,CDM,,,278,RC,inpatient,,8767.27,8767.27,,7443.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6610.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7452.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7715.2,88,,percent of total billed charges,,,,,,,,,6698.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7978.22,91,,percent of total billed charges,,,8328.91,95,,percent of total billed charges,,,7276.83,83,,percent of total billed charges,,,7276.83,83,,percent of total billed charges,,,,,,,,,,,,,,,7276.83,83,,percent of total billed charges,,,8328.91,95,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7189.16,82,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7452.18,85,,percent of total billed charges,,6610.52,8328.91, DJO HEAD UNIPOLAR 54,30183683,CDM,,,278,RC,inpatient,,3848,3848,,3266.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2901.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3270.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3386.24,88,,percent of total billed charges,,,,,,,,,2939.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3501.68,91,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,3193.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3193.84,83,,percent of total billed charges,,,3655.6,95,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3155.36,82,,percent of total billed charges,,,3463.2,90,,percent of total billed charges,,,3270.8,85,,percent of total billed charges,,2901.39,3655.6, DJO STEM PRESS FIT POROUS HA 16.5MM,30183684,CDM,,,278,RC,inpatient,,29250,29250,,24833.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22054.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24862.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25740,88,,percent of total billed charges,,,,,,,,,22347,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26617.5,91,,percent of total billed charges,,,27787.5,95,,percent of total billed charges,,,24277.5,83,,percent of total billed charges,,,24277.5,83,,percent of total billed charges,,,,,,,,,,,,,,,24277.5,83,,percent of total billed charges,,,27787.5,95,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,23985,82,,percent of total billed charges,,,26325,90,,percent of total billed charges,,,24862.5,85,,percent of total billed charges,,22054.5,27787.5, STRYKER ELECTRODE VENOM MONOP 100MM,30183685,CDM,,,270,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, SYNTHES REAMER TUBE SPARE FOR HOLLOW REA,30183686,CDM,,,270,RC,inpatient,,2491.78,2491.78,,2115.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1878.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2118.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2192.77,88,,percent of total billed charges,,,,,,,,,1903.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2267.52,91,,percent of total billed charges,,,2367.19,95,,percent of total billed charges,,,2068.18,83,,percent of total billed charges,,,2068.18,83,,percent of total billed charges,,,,,,,,,,,,,,,2068.18,83,,percent of total billed charges,,,2367.19,95,,percent of total billed charges,,,2242.6,90,,percent of total billed charges,,,2242.6,90,,percent of total billed charges,,,2043.26,82,,percent of total billed charges,,,2242.6,90,,percent of total billed charges,,,2118.01,85,,percent of total billed charges,,1878.8,2367.19, SYNTHES CONICAL EXTRACTION DEVICE,30183687,CDM,,,270,RC,inpatient,,1508.33,1508.33,,1280.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1137.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1282.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1327.33,88,,percent of total billed charges,,,,,,,,,1152.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1372.58,91,,percent of total billed charges,,,1432.91,95,,percent of total billed charges,,,1251.91,83,,percent of total billed charges,,,1251.91,83,,percent of total billed charges,,,,,,,,,,,,,,,1251.91,83,,percent of total billed charges,,,1432.91,95,,percent of total billed charges,,,1357.5,90,,percent of total billed charges,,,1357.5,90,,percent of total billed charges,,,1236.83,82,,percent of total billed charges,,,1357.5,90,,percent of total billed charges,,,1282.08,85,,percent of total billed charges,,1137.28,1432.91, STOPCOCK 3-WAY LRG BORE EXTENSION SETS,30183688,CDM,,,270,RC,inpatient,,4.79,4.79,,4.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4.22,88,,percent of total billed charges,,,,,,,,,3.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4.36,91,,percent of total billed charges,,,4.55,95,,percent of total billed charges,,,3.98,83,,percent of total billed charges,,,3.98,83,,percent of total billed charges,,,,,,,,,,,,,,,3.98,83,,percent of total billed charges,,,4.55,95,,percent of total billed charges,,,4.31,90,,percent of total billed charges,,,4.31,90,,percent of total billed charges,,,3.93,82,,percent of total billed charges,,,4.31,90,,percent of total billed charges,,,4.07,85,,percent of total billed charges,,3.61,4.55, DEPUY ATTUNE FEMUR 5N L,30183689,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, AESCULAP TIBIA T2- REVISION,30183690,CDM,,,278,RC,inpatient,,31330,31330,,26599.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23622.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26630.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27570.4,88,,percent of total billed charges,,,,,,,,,23936.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28510.3,91,,percent of total billed charges,,,29763.5,95,,percent of total billed charges,,,26003.9,83,,percent of total billed charges,,,26003.9,83,,percent of total billed charges,,,,,,,,,,,,,,,26003.9,83,,percent of total billed charges,,,29763.5,95,,percent of total billed charges,,,28197,90,,percent of total billed charges,,,28197,90,,percent of total billed charges,,,25690.6,82,,percent of total billed charges,,,28197,90,,percent of total billed charges,,,26630.5,85,,percent of total billed charges,,23622.82,29763.5, AESCULAP TIBIA AUGMENT T2 8MM,30183691,CDM,,,278,RC,inpatient,,20891,20891,,17736.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15751.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17757.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18384.08,88,,percent of total billed charges,,,,,,,,,15960.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19010.81,91,,percent of total billed charges,,,19846.45,95,,percent of total billed charges,,,17339.53,83,,percent of total billed charges,,,17339.53,83,,percent of total billed charges,,,,,,,,,,,,,,,17339.53,83,,percent of total billed charges,,,19846.45,95,,percent of total billed charges,,,18801.9,90,,percent of total billed charges,,,18801.9,90,,percent of total billed charges,,,17130.62,82,,percent of total billed charges,,,18801.9,90,,percent of total billed charges,,,17757.35,85,,percent of total billed charges,,15751.81,19846.45, AESCULAP TIBIA AUGMENT T2 8MM,30183692,CDM,,,278,RC,inpatient,,20891,20891,,17736.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15751.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17757.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18384.08,88,,percent of total billed charges,,,,,,,,,15960.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19010.81,91,,percent of total billed charges,,,19846.45,95,,percent of total billed charges,,,17339.53,83,,percent of total billed charges,,,17339.53,83,,percent of total billed charges,,,,,,,,,,,,,,,17339.53,83,,percent of total billed charges,,,19846.45,95,,percent of total billed charges,,,18801.9,90,,percent of total billed charges,,,18801.9,90,,percent of total billed charges,,,17130.62,82,,percent of total billed charges,,,18801.9,90,,percent of total billed charges,,,17757.35,85,,percent of total billed charges,,15751.81,19846.45, AESCULAP STEM 92MM,30183693,CDM,,,278,RC,inpatient,,14378,14378,,12206.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10841.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12221.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12652.64,88,,percent of total billed charges,,,,,,,,,10984.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13083.98,91,,percent of total billed charges,,,13659.1,95,,percent of total billed charges,,,11933.74,83,,percent of total billed charges,,,11933.74,83,,percent of total billed charges,,,,,,,,,,,,,,,11933.74,83,,percent of total billed charges,,,13659.1,95,,percent of total billed charges,,,12940.2,90,,percent of total billed charges,,,12940.2,90,,percent of total billed charges,,,11789.96,82,,percent of total billed charges,,,12940.2,90,,percent of total billed charges,,,12221.3,85,,percent of total billed charges,,10841.01,13659.1, AESCULAP VEGA POLY- REV,30183694,CDM,,,278,RC,inpatient,,4875,4875,,4138.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3675.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4143.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4290,88,,percent of total billed charges,,,,,,,,,3724.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4436.25,91,,percent of total billed charges,,,4631.25,95,,percent of total billed charges,,,4046.25,83,,percent of total billed charges,,,4046.25,83,,percent of total billed charges,,,,,,,,,,,,,,,4046.25,83,,percent of total billed charges,,,4631.25,95,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,3997.5,82,,percent of total billed charges,,,4387.5,90,,percent of total billed charges,,,4143.75,85,,percent of total billed charges,,3675.75,4631.25, DEPUY FEMUR ATTUNE 6N RIGHT,30183696,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY BODY RECLAIM PROXIMAL 20 X 75,30183697,CDM,,,278,RC,inpatient,,38548.77,38548.77,,32727.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29065.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32766.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33922.92,88,,percent of total billed charges,,,,,,,,,29451.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35079.38,91,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,,,,,,,,,,,,,31995.48,83,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,31609.99,82,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,32766.45,85,,percent of total billed charges,,29065.77,36621.33, DEPUY STEM DISTAL RECLAIM 16 X 140,30183698,CDM,,,278,RC,inpatient,,31338.78,31338.78,,26606.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23629.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26637.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27578.13,88,,percent of total billed charges,,,,,,,,,23942.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28518.29,91,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,,,,,,,,,,,,,26011.19,83,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,25697.8,82,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,26637.96,85,,percent of total billed charges,,23629.44,29771.84, APPLIED TROCAR ADV. FIXATION 5X100MM,30183699,CDM,,,270,RC,inpatient,,156,156,,132.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,117.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,132.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,137.28,88,,percent of total billed charges,,,,,,,,,119.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,141.96,91,,percent of total billed charges,,,148.2,95,,percent of total billed charges,,,129.48,83,,percent of total billed charges,,,129.48,83,,percent of total billed charges,,,,,,,,,,,,,,,129.48,83,,percent of total billed charges,,,148.2,95,,percent of total billed charges,,,140.4,90,,percent of total billed charges,,,140.4,90,,percent of total billed charges,,,127.92,82,,percent of total billed charges,,,140.4,90,,percent of total billed charges,,,132.6,85,,percent of total billed charges,,117.62,148.2, APPLIED TROCAR ADV. FIXATION 5X150MM,30183700,CDM,,,270,RC,inpatient,,240,240,,203.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,180.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,204,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,211.2,88,,percent of total billed charges,,,,,,,,,183.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,218.4,91,,percent of total billed charges,,,228,95,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,,,,,,,,,,,,,199.2,83,,percent of total billed charges,,,228,95,,percent of total billed charges,,,216,90,,percent of total billed charges,,,216,90,,percent of total billed charges,,,196.8,82,,percent of total billed charges,,,216,90,,percent of total billed charges,,,204,85,,percent of total billed charges,,180.96,228, DJO STEM 150 X 18MM TIBIAL REVISION,30183704,CDM,,,278,RC,inpatient,,3250,3250,,2759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2450.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2762.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2860,88,,percent of total billed charges,,,,,,,,,2483,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2957.5,91,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,,,,,,,,,,,,,2697.5,83,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2665,82,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2762.5,85,,percent of total billed charges,,2450.5,3087.5, STRYKER LONG NAIL KIT R1/5 TI RIGHT 11X3,30183705,CDM,,,278,RC,inpatient,,22854,22854,,19403.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17231.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19425.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20111.52,88,,percent of total billed charges,,,,,,,,,17460.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20797.14,91,,percent of total billed charges,,,21711.3,95,,percent of total billed charges,,,18968.82,83,,percent of total billed charges,,,18968.82,83,,percent of total billed charges,,,,,,,,,,,,,,,18968.82,83,,percent of total billed charges,,,21711.3,95,,percent of total billed charges,,,20568.6,90,,percent of total billed charges,,,20568.6,90,,percent of total billed charges,,,18740.28,82,,percent of total billed charges,,,20568.6,90,,percent of total billed charges,,,19425.9,85,,percent of total billed charges,,17231.92,21711.3, STRYKER SCREW LOCKING T2 F/T 5X47.5MM,30183706,CDM,,,278,RC,inpatient,,1820,1820,,1545.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1372.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1547,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1601.6,88,,percent of total billed charges,,,,,,,,,1390.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1656.2,91,,percent of total billed charges,,,1729,95,,percent of total billed charges,,,1510.6,83,,percent of total billed charges,,,1510.6,83,,percent of total billed charges,,,,,,,,,,,,,,,1510.6,83,,percent of total billed charges,,,1729,95,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1492.4,82,,percent of total billed charges,,,1638,90,,percent of total billed charges,,,1547,85,,percent of total billed charges,,1372.28,1729, DEPUY STEM CORAIL COLLARED SZ16,30183707,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, MICROPORT INSERT TIBIAL 14MM SZ4 RT,30183710,CDM,,,278,RC,inpatient,,5980,5980,,5077.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4508.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5083,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5262.4,88,,percent of total billed charges,,,,,,,,,4568.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5441.8,91,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,4963.4,83,,percent of total billed charges,,,,,,,,,,,,,,,4963.4,83,,percent of total billed charges,,,5681,95,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,4903.6,82,,percent of total billed charges,,,5382,90,,percent of total billed charges,,,5083,85,,percent of total billed charges,,4508.92,5681, MICROPORT STEM 15X30MM,30183711,CDM,,,278,RC,inpatient,,10868,10868,,9226.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8194.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9237.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9563.84,88,,percent of total billed charges,,,,,,,,,8303.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9889.88,91,,percent of total billed charges,,,10324.6,95,,percent of total billed charges,,,9020.44,83,,percent of total billed charges,,,9020.44,83,,percent of total billed charges,,,,,,,,,,,,,,,9020.44,83,,percent of total billed charges,,,10324.6,95,,percent of total billed charges,,,9781.2,90,,percent of total billed charges,,,9781.2,90,,percent of total billed charges,,,8911.76,82,,percent of total billed charges,,,9781.2,90,,percent of total billed charges,,,9237.8,85,,percent of total billed charges,,8194.47,10324.6, MICROPORT AUGMENT TIBIAL SZ 4/3+ 5MM,30183712,CDM,,,278,RC,inpatient,,10939.5,10939.5,,9287.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8248.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9298.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9626.76,88,,percent of total billed charges,,,,,,,,,8357.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9954.95,91,,percent of total billed charges,,,10392.53,95,,percent of total billed charges,,,9079.79,83,,percent of total billed charges,,,9079.79,83,,percent of total billed charges,,,,,,,,,,,,,,,9079.79,83,,percent of total billed charges,,,10392.53,95,,percent of total billed charges,,,9845.55,90,,percent of total billed charges,,,9845.55,90,,percent of total billed charges,,,8970.39,82,,percent of total billed charges,,,9845.55,90,,percent of total billed charges,,,9298.58,85,,percent of total billed charges,,8248.38,10392.53, DJO HEAD CERAMIC 36MM,30183713,CDM,,,278,RC,inpatient,,20085,20085,,17052.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15144.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17072.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17674.8,88,,percent of total billed charges,,,,,,,,,15344.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18277.35,91,,percent of total billed charges,,,19080.75,95,,percent of total billed charges,,,16670.55,83,,percent of total billed charges,,,16670.55,83,,percent of total billed charges,,,,,,,,,,,,,,,16670.55,83,,percent of total billed charges,,,19080.75,95,,percent of total billed charges,,,18076.5,90,,percent of total billed charges,,,18076.5,90,,percent of total billed charges,,,16469.7,82,,percent of total billed charges,,,18076.5,90,,percent of total billed charges,,,17072.25,85,,percent of total billed charges,,15144.09,19080.75, DJO LINER 20DEG HOODED NEUTRAL MP7 HXE-P,30183714,CDM,,,278,RC,inpatient,,18772,18772,,15937.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14154.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15956.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16519.36,88,,percent of total billed charges,,,,,,,,,14341.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17082.52,91,,percent of total billed charges,,,17833.4,95,,percent of total billed charges,,,15580.76,83,,percent of total billed charges,,,15580.76,83,,percent of total billed charges,,,,,,,,,,,,,,,15580.76,83,,percent of total billed charges,,,17833.4,95,,percent of total billed charges,,,16894.8,90,,percent of total billed charges,,,16894.8,90,,percent of total billed charges,,,15393.04,82,,percent of total billed charges,,,16894.8,90,,percent of total billed charges,,,15956.2,85,,percent of total billed charges,,14154.09,17833.4, DJO SHELL W/SCREW HOLES 52MM W/P2 COATIN,30183715,CDM,,,278,RC,inpatient,,18778.5,18778.5,,15942.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14158.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15961.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16525.08,88,,percent of total billed charges,,,,,,,,,14346.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17088.44,91,,percent of total billed charges,,,17839.58,95,,percent of total billed charges,,,15586.16,83,,percent of total billed charges,,,15586.16,83,,percent of total billed charges,,,,,,,,,,,,,,,15586.16,83,,percent of total billed charges,,,17839.58,95,,percent of total billed charges,,,16900.65,90,,percent of total billed charges,,,16900.65,90,,percent of total billed charges,,,15398.37,82,,percent of total billed charges,,,16900.65,90,,percent of total billed charges,,,15961.73,85,,percent of total billed charges,,14158.99,17839.58, DJO SCREW CANCELLOUS 25MM,30183716,CDM,,,278,RC,inpatient,,1040,1040,,882.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,784.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,884,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,915.2,88,,percent of total billed charges,,,,,,,,,794.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,946.4,91,,percent of total billed charges,,,988,95,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,,,,,,,,,,,,,863.2,83,,percent of total billed charges,,,988,95,,percent of total billed charges,,,936,90,,percent of total billed charges,,,936,90,,percent of total billed charges,,,852.8,82,,percent of total billed charges,,,936,90,,percent of total billed charges,,,884,85,,percent of total billed charges,,784.16,988, ZIMMER TIBIAL PLATE WEDGE SZ 5,30183717,CDM,,,278,RC,inpatient,,17084.28,17084.28,,14504.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12881.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14521.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15034.17,88,,percent of total billed charges,,,,,,,,,13052.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15546.69,91,,percent of total billed charges,,,16230.07,95,,percent of total billed charges,,,14179.95,83,,percent of total billed charges,,,14179.95,83,,percent of total billed charges,,,,,,,,,,,,,,,14179.95,83,,percent of total billed charges,,,16230.07,95,,percent of total billed charges,,,15375.85,90,,percent of total billed charges,,,15375.85,90,,percent of total billed charges,,,14009.11,82,,percent of total billed charges,,,15375.85,90,,percent of total billed charges,,,14521.64,85,,percent of total billed charges,,12881.55,16230.07, ZIMMER TIBIAL BLOCK 5MM,30183718,CDM,,,278,RC,inpatient,,7107.88,7107.88,,6034.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5359.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6041.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6254.93,88,,percent of total billed charges,,,,,,,,,5430.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6468.17,91,,percent of total billed charges,,,6752.49,95,,percent of total billed charges,,,5899.54,83,,percent of total billed charges,,,5899.54,83,,percent of total billed charges,,,,,,,,,,,,,,,5899.54,83,,percent of total billed charges,,,6752.49,95,,percent of total billed charges,,,6397.09,90,,percent of total billed charges,,,6397.09,90,,percent of total billed charges,,,5828.46,82,,percent of total billed charges,,,6397.09,90,,percent of total billed charges,,,6041.7,85,,percent of total billed charges,,5359.34,6752.49, ZIMMER STEM EXTENSION OFFSET 12X100MM,30183719,CDM,,,278,RC,inpatient,,20150,20150,,17107.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15193.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17127.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17732,88,,percent of total billed charges,,,,,,,,,15394.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18336.5,91,,percent of total billed charges,,,19142.5,95,,percent of total billed charges,,,16724.5,83,,percent of total billed charges,,,16724.5,83,,percent of total billed charges,,,,,,,,,,,,,,,16724.5,83,,percent of total billed charges,,,19142.5,95,,percent of total billed charges,,,18135,90,,percent of total billed charges,,,18135,90,,percent of total billed charges,,,16523,82,,percent of total billed charges,,,18135,90,,percent of total billed charges,,,17127.5,85,,percent of total billed charges,,15193.1,19142.5, ZIMMER SURFACE ARTICULAR 14MM EF,30183720,CDM,,,278,RC,inpatient,,16770,16770,,14237.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12644.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14254.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14757.6,88,,percent of total billed charges,,,,,,,,,12812.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15260.7,91,,percent of total billed charges,,,15931.5,95,,percent of total billed charges,,,13919.1,83,,percent of total billed charges,,,13919.1,83,,percent of total billed charges,,,,,,,,,,,,,,,13919.1,83,,percent of total billed charges,,,15931.5,95,,percent of total billed charges,,,15093,90,,percent of total billed charges,,,15093,90,,percent of total billed charges,,,13751.4,82,,percent of total billed charges,,,15093,90,,percent of total billed charges,,,14254.5,85,,percent of total billed charges,,12644.58,15931.5, SYNTHES 4.0MM/2.5MM 80MM LENGTH,30183721,CDM,,,278,RC,inpatient,,1574.63,1574.63,,1336.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1187.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1338.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1385.67,88,,percent of total billed charges,,,,,,,,,1203.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1432.91,91,,percent of total billed charges,,,1495.9,95,,percent of total billed charges,,,1306.94,83,,percent of total billed charges,,,1306.94,83,,percent of total billed charges,,,,,,,,,,,,,,,1306.94,83,,percent of total billed charges,,,1495.9,95,,percent of total billed charges,,,1417.17,90,,percent of total billed charges,,,1417.17,90,,percent of total billed charges,,,1291.2,82,,percent of total billed charges,,,1417.17,90,,percent of total billed charges,,,1338.44,85,,percent of total billed charges,,1187.27,1495.9, SYNTHES 4.0MM/3.5MM 80MM LENGTH,30183722,CDM,,,278,RC,inpatient,,1756.95,1756.95,,1491.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1324.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1493.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1546.12,88,,percent of total billed charges,,,,,,,,,1342.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1598.82,91,,percent of total billed charges,,,1669.1,95,,percent of total billed charges,,,1458.27,83,,percent of total billed charges,,,1458.27,83,,percent of total billed charges,,,,,,,,,,,,,,,1458.27,83,,percent of total billed charges,,,1669.1,95,,percent of total billed charges,,,1581.26,90,,percent of total billed charges,,,1581.26,90,,percent of total billed charges,,,1440.7,82,,percent of total billed charges,,,1581.26,90,,percent of total billed charges,,,1493.41,85,,percent of total billed charges,,1324.74,1669.1, LDR ROI-C LORDOTIC IMPLANT H 8MM 12X14MM,30183724,CDM,,,278,RC,inpatient,,21937.5,21937.5,,18624.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16540.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18646.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19305,88,,percent of total billed charges,,,,,,,,,16760.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19963.13,91,,percent of total billed charges,,,20840.63,95,,percent of total billed charges,,,18208.13,83,,percent of total billed charges,,,18208.13,83,,percent of total billed charges,,,,,,,,,,,,,,,18208.13,83,,percent of total billed charges,,,20840.63,95,,percent of total billed charges,,,19743.75,90,,percent of total billed charges,,,19743.75,90,,percent of total billed charges,,,17988.75,82,,percent of total billed charges,,,19743.75,90,,percent of total billed charges,,,18646.88,85,,percent of total billed charges,,16540.88,20840.63, LDR ROI-C LONG ANCHORING PLATE,30183725,CDM,,,278,RC,inpatient,,21937.5,21937.5,,18624.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16540.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18646.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19305,88,,percent of total billed charges,,,,,,,,,16760.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19963.13,91,,percent of total billed charges,,,20840.63,95,,percent of total billed charges,,,18208.13,83,,percent of total billed charges,,,18208.13,83,,percent of total billed charges,,,,,,,,,,,,,,,18208.13,83,,percent of total billed charges,,,20840.63,95,,percent of total billed charges,,,19743.75,90,,percent of total billed charges,,,19743.75,90,,percent of total billed charges,,,17988.75,82,,percent of total billed charges,,,19743.75,90,,percent of total billed charges,,,18646.88,85,,percent of total billed charges,,16540.88,20840.63, SYNTHES PLATE LCP 3.5MM RIGHT ANGLE T PL,30183726,CDM,,,278,RC,inpatient,,3353.58,3353.58,,2847.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2528.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2850.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2951.15,88,,percent of total billed charges,,,,,,,,,2562.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3051.76,91,,percent of total billed charges,,,3185.9,95,,percent of total billed charges,,,2783.47,83,,percent of total billed charges,,,2783.47,83,,percent of total billed charges,,,,,,,,,,,,,,,2783.47,83,,percent of total billed charges,,,3185.9,95,,percent of total billed charges,,,3018.22,90,,percent of total billed charges,,,3018.22,90,,percent of total billed charges,,,2749.94,82,,percent of total billed charges,,,3018.22,90,,percent of total billed charges,,,2850.54,85,,percent of total billed charges,,2528.6,3185.9, DEPUY STEM CEMENTED 15 X 90,30183727,CDM,,,278,RC,inpatient,,8116.23,8116.23,,6890.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6119.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6898.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7142.28,88,,percent of total billed charges,,,,,,,,,6200.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7385.77,91,,percent of total billed charges,,,7710.42,95,,percent of total billed charges,,,6736.47,83,,percent of total billed charges,,,6736.47,83,,percent of total billed charges,,,,,,,,,,,,,,,6736.47,83,,percent of total billed charges,,,7710.42,95,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,6655.31,82,,percent of total billed charges,,,7304.61,90,,percent of total billed charges,,,6898.8,85,,percent of total billed charges,,6119.64,7710.42, DEPUY SLEEVE FEMORAL 34MM,30183728,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY DISTAL AUGMENT FEM SZ 5 8MM,30183729,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, *APPLIED CLIP APPLIER M/L,30183730,CDM,,,270,RC,inpatient,,735,735,,624.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,554.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,624.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,646.8,88,,percent of total billed charges,,,,,,,,,561.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,668.85,91,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,610.05,83,,percent of total billed charges,,,,,,,,,,,,,,,610.05,83,,percent of total billed charges,,,698.25,95,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,602.7,82,,percent of total billed charges,,,661.5,90,,percent of total billed charges,,,624.75,85,,percent of total billed charges,,554.19,698.25, STRYKER BLADE SAGITAL 90DEG.,30183731,CDM,,,270,RC,inpatient,,359.17,359.17,,304.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,270.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,305.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,316.07,88,,percent of total billed charges,,,,,,,,,274.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,326.84,91,,percent of total billed charges,,,341.21,95,,percent of total billed charges,,,298.11,83,,percent of total billed charges,,,298.11,83,,percent of total billed charges,,,,,,,,,,,,,,,298.11,83,,percent of total billed charges,,,341.21,95,,percent of total billed charges,,,323.25,90,,percent of total billed charges,,,323.25,90,,percent of total billed charges,,,294.52,82,,percent of total billed charges,,,323.25,90,,percent of total billed charges,,,305.29,85,,percent of total billed charges,,270.81,341.21, S&N DRILL BIT 2.3,30183732,CDM,,,278,RC,inpatient,,1131,1131,,960.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,852.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,961.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,995.28,88,,percent of total billed charges,,,,,,,,,864.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1029.21,91,,percent of total billed charges,,,1074.45,95,,percent of total billed charges,,,938.73,83,,percent of total billed charges,,,938.73,83,,percent of total billed charges,,,,,,,,,,,,,,,938.73,83,,percent of total billed charges,,,1074.45,95,,percent of total billed charges,,,1017.9,90,,percent of total billed charges,,,1017.9,90,,percent of total billed charges,,,927.42,82,,percent of total billed charges,,,1017.9,90,,percent of total billed charges,,,961.35,85,,percent of total billed charges,,852.77,1074.45, DEPUY INSERT PS 10MM SZ 5,30183733,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, DEPUY INSERT AOX 5MM SZ 6,30183735,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, SYNTHES SCREW CANNULATED 6.5X70MM,30183736,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANNULATED 6.5X80MM,30183737,CDM,,,278,RC,inpatient,,2696.27,2696.27,,2289.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2032.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2291.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2372.72,88,,percent of total billed charges,,,,,,,,,2059.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2453.61,91,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2237.9,83,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2210.94,82,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2291.83,85,,percent of total billed charges,,2032.99,2561.46, SYNTHES SCREW CANNULATED 6.5X90MM,30183738,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, RAPID CURE 10CC,30183739,CDM,,,278,RC,inpatient,,9425,9425,,8001.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7106.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8011.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8294,88,,percent of total billed charges,,,,,,,,,7200.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8576.75,91,,percent of total billed charges,,,8953.75,95,,percent of total billed charges,,,7822.75,83,,percent of total billed charges,,,7822.75,83,,percent of total billed charges,,,,,,,,,,,,,,,7822.75,83,,percent of total billed charges,,,8953.75,95,,percent of total billed charges,,,8482.5,90,,percent of total billed charges,,,8482.5,90,,percent of total billed charges,,,7728.5,82,,percent of total billed charges,,,8482.5,90,,percent of total billed charges,,,8011.25,85,,percent of total billed charges,,7106.45,8953.75, S&N DRILL GUIDE,30183741,CDM,,,278,RC,inpatient,,2658.5,2658.5,,2257.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2004.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2259.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2339.48,88,,percent of total billed charges,,,,,,,,,2031.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2419.24,91,,percent of total billed charges,,,2525.58,95,,percent of total billed charges,,,2206.56,83,,percent of total billed charges,,,2206.56,83,,percent of total billed charges,,,,,,,,,,,,,,,2206.56,83,,percent of total billed charges,,,2525.58,95,,percent of total billed charges,,,2392.65,90,,percent of total billed charges,,,2392.65,90,,percent of total billed charges,,,2179.97,82,,percent of total billed charges,,,2392.65,90,,percent of total billed charges,,,2259.73,85,,percent of total billed charges,,2004.51,2525.58, S&N TROCHAR BLUNT TIP,30183742,CDM,,,278,RC,inpatient,,1131,1131,,960.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,852.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,961.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,995.28,88,,percent of total billed charges,,,,,,,,,864.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1029.21,91,,percent of total billed charges,,,1074.45,95,,percent of total billed charges,,,938.73,83,,percent of total billed charges,,,938.73,83,,percent of total billed charges,,,,,,,,,,,,,,,938.73,83,,percent of total billed charges,,,1074.45,95,,percent of total billed charges,,,1017.9,90,,percent of total billed charges,,,1017.9,90,,percent of total billed charges,,,927.42,82,,percent of total billed charges,,,1017.9,90,,percent of total billed charges,,,961.35,85,,percent of total billed charges,,852.77,1074.45, S&N TROCHAR SHARP TIP,30183743,CDM,,,278,RC,inpatient,,1033.5,1033.5,,877.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,779.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,878.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,909.48,88,,percent of total billed charges,,,,,,,,,789.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,940.49,91,,percent of total billed charges,,,981.83,95,,percent of total billed charges,,,857.81,83,,percent of total billed charges,,,857.81,83,,percent of total billed charges,,,,,,,,,,,,,,,857.81,83,,percent of total billed charges,,,981.83,95,,percent of total billed charges,,,930.15,90,,percent of total billed charges,,,930.15,90,,percent of total billed charges,,,847.47,82,,percent of total billed charges,,,930.15,90,,percent of total billed charges,,,878.48,85,,percent of total billed charges,,779.26,981.83, BIOMET HUMERAL NAIL 8MM X 300MM,30183744,CDM,,,278,RC,inpatient,,16380,16380,,13906.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12350.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13923,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14414.4,88,,percent of total billed charges,,,,,,,,,12514.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14905.8,91,,percent of total billed charges,,,15561,95,,percent of total billed charges,,,13595.4,83,,percent of total billed charges,,,13595.4,83,,percent of total billed charges,,,,,,,,,,,,,,,13595.4,83,,percent of total billed charges,,,15561,95,,percent of total billed charges,,,14742,90,,percent of total billed charges,,,14742,90,,percent of total billed charges,,,13431.6,82,,percent of total billed charges,,,14742,90,,percent of total billed charges,,,13923,85,,percent of total billed charges,,12350.52,15561, DEPUY INSERT AOX 6MM SZ 5,30183748,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, SYNTHES NAIL HUMERAL 9MM TI 210MM CANNUL,30183749,CDM,,,278,RC,inpatient,,16525.28,16525.28,,14029.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12460.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14046.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14542.25,88,,percent of total billed charges,,,,,,,,,12625.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15038,91,,percent of total billed charges,,,15699.02,95,,percent of total billed charges,,,13715.98,83,,percent of total billed charges,,,13715.98,83,,percent of total billed charges,,,,,,,,,,,,,,,13715.98,83,,percent of total billed charges,,,15699.02,95,,percent of total billed charges,,,14872.75,90,,percent of total billed charges,,,14872.75,90,,percent of total billed charges,,,13550.73,82,,percent of total billed charges,,,14872.75,90,,percent of total billed charges,,,14046.49,85,,percent of total billed charges,,12460.06,15699.02, SYNTHES SCREW LOCKING 4.0 X 30MM,30183750,CDM,,,278,RC,inpatient,,1640.93,1640.93,,1393.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1237.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1394.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1444.02,88,,percent of total billed charges,,,,,,,,,1253.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1493.25,91,,percent of total billed charges,,,1558.88,95,,percent of total billed charges,,,1361.97,83,,percent of total billed charges,,,1361.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1361.97,83,,percent of total billed charges,,,1558.88,95,,percent of total billed charges,,,1476.84,90,,percent of total billed charges,,,1476.84,90,,percent of total billed charges,,,1345.56,82,,percent of total billed charges,,,1476.84,90,,percent of total billed charges,,,1394.79,85,,percent of total billed charges,,1237.26,1558.88, SYNTHES BLADE SPIRAL 34MM,30183751,CDM,,,278,RC,inpatient,,5060.9,5060.9,,4296.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3815.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4301.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4453.59,88,,percent of total billed charges,,,,,,,,,3866.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4605.42,91,,percent of total billed charges,,,4807.86,95,,percent of total billed charges,,,4200.55,83,,percent of total billed charges,,,4200.55,83,,percent of total billed charges,,,,,,,,,,,,,,,4200.55,83,,percent of total billed charges,,,4807.86,95,,percent of total billed charges,,,4554.81,90,,percent of total billed charges,,,4554.81,90,,percent of total billed charges,,,4149.94,82,,percent of total billed charges,,,4554.81,90,,percent of total billed charges,,,4301.77,85,,percent of total billed charges,,3815.92,4807.86, INVUITY PHONTONSABER Y METAL TIP,30183752,CDM,,,270,RC,inpatient,,2112.5,2112.5,,1793.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1592.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1795.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1859,88,,percent of total billed charges,,,,,,,,,1613.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1922.38,91,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,,,,,,,,,,,,,1753.38,83,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1732.25,82,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1795.63,85,,percent of total billed charges,,1592.83,2006.88, GRACILIS TENDON STRAND,30183753,CDM,,,270,RC,inpatient,,5720,5720,,4856.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4312.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4862,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5033.6,88,,percent of total billed charges,,,,,,,,,4370.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5205.2,91,,percent of total billed charges,,,5434,95,,percent of total billed charges,,,4747.6,83,,percent of total billed charges,,,4747.6,83,,percent of total billed charges,,,,,,,,,,,,,,,4747.6,83,,percent of total billed charges,,,5434,95,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,4690.4,82,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,4862,85,,percent of total billed charges,,4312.88,5434, INVUITY PHOTONSABER Y TAPER TIP,30183754,CDM,,,270,RC,inpatient,,1982.5,1982.5,,1683.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1494.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1685.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1744.6,88,,percent of total billed charges,,,,,,,,,1514.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1804.08,91,,percent of total billed charges,,,1883.38,95,,percent of total billed charges,,,1645.48,83,,percent of total billed charges,,,1645.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1645.48,83,,percent of total billed charges,,,1883.38,95,,percent of total billed charges,,,1784.25,90,,percent of total billed charges,,,1784.25,90,,percent of total billed charges,,,1625.65,82,,percent of total billed charges,,,1784.25,90,,percent of total billed charges,,,1685.13,85,,percent of total billed charges,,1494.81,1883.38, DEPUY STEM FLUTED UNIV 75 X 18,30183755,CDM,,,278,RC,inpatient,,9024.34,9024.34,,7661.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6804.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7670.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7941.42,88,,percent of total billed charges,,,,,,,,,6894.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8212.15,91,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,,,,,,,,,,,,,7490.2,83,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7399.96,82,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7670.69,85,,percent of total billed charges,,6804.35,8573.12, STRYKER CANNULA VENOM 18G 150MM 10MM,30183757,CDM,,,270,RC,inpatient,,511.25,511.25,,434.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,385.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,434.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,449.9,88,,percent of total billed charges,,,,,,,,,390.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,465.24,91,,percent of total billed charges,,,485.69,95,,percent of total billed charges,,,424.34,83,,percent of total billed charges,,,424.34,83,,percent of total billed charges,,,,,,,,,,,,,,,424.34,83,,percent of total billed charges,,,485.69,95,,percent of total billed charges,,,460.13,90,,percent of total billed charges,,,460.13,90,,percent of total billed charges,,,419.23,82,,percent of total billed charges,,,460.13,90,,percent of total billed charges,,,434.56,85,,percent of total billed charges,,385.48,485.69, MEDTRONIC RV LEAD 52CM,30183758,CDM,,,278,RC,inpatient,,5310.5,5310.5,,4508.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4004.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4513.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4673.24,88,,percent of total billed charges,,,,,,,,,4057.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4832.56,91,,percent of total billed charges,,,5044.98,95,,percent of total billed charges,,,4407.72,83,,percent of total billed charges,,,4407.72,83,,percent of total billed charges,,,,,,,,,,,,,,,4407.72,83,,percent of total billed charges,,,5044.98,95,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4354.61,82,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4513.93,85,,percent of total billed charges,,4004.12,5044.98, MEDTRONIC ATRIAL LEAD 45CM,30183759,CDM,,,278,RC,inpatient,,5310.5,5310.5,,4508.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4004.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4513.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4673.24,88,,percent of total billed charges,,,,,,,,,4057.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4832.56,91,,percent of total billed charges,,,5044.98,95,,percent of total billed charges,,,4407.72,83,,percent of total billed charges,,,4407.72,83,,percent of total billed charges,,,,,,,,,,,,,,,4407.72,83,,percent of total billed charges,,,5044.98,95,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4354.61,82,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4513.93,85,,percent of total billed charges,,4004.12,5044.98, MEDTRONIC PULSE GENERATOR,30183760,CDM,,,278,RC,inpatient,,36517,36517,,31002.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27533.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31039.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32134.96,88,,percent of total billed charges,,,,,,,,,27898.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33230.47,91,,percent of total billed charges,,,34691.15,95,,percent of total billed charges,,,30309.11,83,,percent of total billed charges,,,30309.11,83,,percent of total billed charges,,,,,,,,,,,,,,,30309.11,83,,percent of total billed charges,,,34691.15,95,,percent of total billed charges,,,32865.3,90,,percent of total billed charges,,,32865.3,90,,percent of total billed charges,,,29943.94,82,,percent of total billed charges,,,32865.3,90,,percent of total billed charges,,,31039.45,85,,percent of total billed charges,,27533.82,34691.15, CONMED SMART NAIL 1.5 X 16,30183761,CDM,,,278,RC,inpatient,,955.96,955.96,,811.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,720.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,812.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,841.24,88,,percent of total billed charges,,,,,,,,,730.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,869.92,91,,percent of total billed charges,,,908.16,95,,percent of total billed charges,,,793.45,83,,percent of total billed charges,,,793.45,83,,percent of total billed charges,,,,,,,,,,,,,,,793.45,83,,percent of total billed charges,,,908.16,95,,percent of total billed charges,,,860.36,90,,percent of total billed charges,,,860.36,90,,percent of total billed charges,,,783.89,82,,percent of total billed charges,,,860.36,90,,percent of total billed charges,,,812.57,85,,percent of total billed charges,,720.79,908.16, JURGAN BALL - DRK BLUE,30183762,CDM,,,270,RC,inpatient,,48.2,48.2,,40.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,36.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,40.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,42.42,88,,percent of total billed charges,,,,,,,,,36.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,43.86,91,,percent of total billed charges,,,45.79,95,,percent of total billed charges,,,40.01,83,,percent of total billed charges,,,40.01,83,,percent of total billed charges,,,,,,,,,,,,,,,40.01,83,,percent of total billed charges,,,45.79,95,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,39.52,82,,percent of total billed charges,,,43.38,90,,percent of total billed charges,,,40.97,85,,percent of total billed charges,,36.34,45.79, SYNTHES L PLATE 3 HOLE 2.7LCP 2 HOLE HEA,30183763,CDM,,,278,RC,inpatient,,3674.13,3674.13,,3119.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2770.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3123.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3233.23,88,,percent of total billed charges,,,,,,,,,2807.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3343.46,91,,percent of total billed charges,,,3490.42,95,,percent of total billed charges,,,3049.53,83,,percent of total billed charges,,,3049.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3049.53,83,,percent of total billed charges,,,3490.42,95,,percent of total billed charges,,,3306.72,90,,percent of total billed charges,,,3306.72,90,,percent of total billed charges,,,3012.79,82,,percent of total billed charges,,,3306.72,90,,percent of total billed charges,,,3123.01,85,,percent of total billed charges,,2770.29,3490.42, SYNTHES NORIAN INJECTABLE DRILLABLE 5CC,30183765,CDM,,,270,RC,inpatient,,12895.35,12895.35,,10948.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9723.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10961.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11347.91,88,,percent of total billed charges,,,,,,,,,9852.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11734.77,91,,percent of total billed charges,,,12250.58,95,,percent of total billed charges,,,10703.14,83,,percent of total billed charges,,,10703.14,83,,percent of total billed charges,,,,,,,,,,,,,,,10703.14,83,,percent of total billed charges,,,12250.58,95,,percent of total billed charges,,,11605.82,90,,percent of total billed charges,,,11605.82,90,,percent of total billed charges,,,10574.19,82,,percent of total billed charges,,,11605.82,90,,percent of total billed charges,,,10961.05,85,,percent of total billed charges,,9723.09,12250.58, HICKMAN 9FR DUAL LUMEN CATHETER W/INTROD,30183766,CDM,,,270,RC,inpatient,,1227.2,1227.2,,1041.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,925.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1043.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1079.94,88,,percent of total billed charges,,,,,,,,,937.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1116.75,91,,percent of total billed charges,,,1165.84,95,,percent of total billed charges,,,1018.58,83,,percent of total billed charges,,,1018.58,83,,percent of total billed charges,,,,,,,,,,,,,,,1018.58,83,,percent of total billed charges,,,1165.84,95,,percent of total billed charges,,,1104.48,90,,percent of total billed charges,,,1104.48,90,,percent of total billed charges,,,1006.3,82,,percent of total billed charges,,,1104.48,90,,percent of total billed charges,,,1043.12,85,,percent of total billed charges,,925.31,1165.84, BREG BRACE T SCOPE KNEE LG,30183767,CDM,,,270,RC,inpatient,,530.18,530.18,,450.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466.56,88,,percent of total billed charges,,,,,,,,,405.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,482.46,91,,percent of total billed charges,,,503.67,95,,percent of total billed charges,,,440.05,83,,percent of total billed charges,,,440.05,83,,percent of total billed charges,,,,,,,,,,,,,,,440.05,83,,percent of total billed charges,,,503.67,95,,percent of total billed charges,,,477.16,90,,percent of total billed charges,,,477.16,90,,percent of total billed charges,,,434.75,82,,percent of total billed charges,,,477.16,90,,percent of total billed charges,,,450.65,85,,percent of total billed charges,,399.76,503.67, BREG BRACE T SCOPE KNEE XLG,30183768,CDM,,,270,RC,inpatient,,686.28,686.28,,582.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,517.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,583.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,603.93,88,,percent of total billed charges,,,,,,,,,524.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,624.51,91,,percent of total billed charges,,,651.97,95,,percent of total billed charges,,,569.61,83,,percent of total billed charges,,,569.61,83,,percent of total billed charges,,,,,,,,,,,,,,,569.61,83,,percent of total billed charges,,,651.97,95,,percent of total billed charges,,,617.65,90,,percent of total billed charges,,,617.65,90,,percent of total billed charges,,,562.75,82,,percent of total billed charges,,,617.65,90,,percent of total billed charges,,,583.34,85,,percent of total billed charges,,517.46,651.97, DEPUY FEMUR SIGMA PS RT SZ6,30183769,CDM,,,278,RC,inpatient,,23868.72,23868.72,,20264.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17997.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20288.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21004.47,88,,percent of total billed charges,,,,,,,,,18235.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21720.54,91,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,,,,,,,,,,,,,19811.04,83,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,19572.35,82,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,20288.41,85,,percent of total billed charges,,17997.01,22675.28, DEPUY STEM CORAIL COLLARED SZ8,30183770,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, ELECTRODE CUTTING MONO 26FR,30183771,CDM,,,270,RC,inpatient,,648.45,648.45,,550.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,488.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,551.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,570.64,88,,percent of total billed charges,,,,,,,,,495.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,590.09,91,,percent of total billed charges,,,616.03,95,,percent of total billed charges,,,538.21,83,,percent of total billed charges,,,538.21,83,,percent of total billed charges,,,,,,,,,,,,,,,538.21,83,,percent of total billed charges,,,616.03,95,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,531.73,82,,percent of total billed charges,,,583.61,90,,percent of total billed charges,,,551.18,85,,percent of total billed charges,,488.93,616.03, ESWL SERVICES BILATERAL- UNITED SHOCKWA,30183772,CDM,,,270,RC,inpatient,,13650,13650,,11588.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10292.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11602.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12012,88,,percent of total billed charges,,,,,,,,,10428.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12421.5,91,,percent of total billed charges,,,12967.5,95,,percent of total billed charges,,,11329.5,83,,percent of total billed charges,,,11329.5,83,,percent of total billed charges,,,,,,,,,,,,,,,11329.5,83,,percent of total billed charges,,,12967.5,95,,percent of total billed charges,,,12285,90,,percent of total billed charges,,,12285,90,,percent of total billed charges,,,11193,82,,percent of total billed charges,,,12285,90,,percent of total billed charges,,,11602.5,85,,percent of total billed charges,,10292.1,12967.5, SYNTHES SCREW LOCKING 5.0X30MM,30183773,CDM,,,278,RC,inpatient,,1370.2,1370.2,,1163.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1033.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1164.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1205.78,88,,percent of total billed charges,,,,,,,,,1046.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1246.88,91,,percent of total billed charges,,,1301.69,95,,percent of total billed charges,,,1137.27,83,,percent of total billed charges,,,1137.27,83,,percent of total billed charges,,,,,,,,,,,,,,,1137.27,83,,percent of total billed charges,,,1301.69,95,,percent of total billed charges,,,1233.18,90,,percent of total billed charges,,,1233.18,90,,percent of total billed charges,,,1123.56,82,,percent of total billed charges,,,1233.18,90,,percent of total billed charges,,,1164.67,85,,percent of total billed charges,,1033.13,1301.69, SYNTHES PLATE NARROW 7-HOLE 4.5MM,30183774,CDM,,,278,RC,inpatient,,4248.73,4248.73,,3607.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3203.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3611.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3738.88,88,,percent of total billed charges,,,,,,,,,3246.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3866.34,91,,percent of total billed charges,,,4036.29,95,,percent of total billed charges,,,3526.45,83,,percent of total billed charges,,,3526.45,83,,percent of total billed charges,,,,,,,,,,,,,,,3526.45,83,,percent of total billed charges,,,4036.29,95,,percent of total billed charges,,,3823.86,90,,percent of total billed charges,,,3823.86,90,,percent of total billed charges,,,3483.96,82,,percent of total billed charges,,,3823.86,90,,percent of total billed charges,,,3611.42,85,,percent of total billed charges,,3203.54,4036.29, ZIMMER SCREW HEX DRIVER 2MM DISP.,30183775,CDM,,,270,RC,inpatient,,845,845,,717.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,637.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,718.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,743.6,88,,percent of total billed charges,,,,,,,,,645.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,768.95,91,,percent of total billed charges,,,802.75,95,,percent of total billed charges,,,701.35,83,,percent of total billed charges,,,701.35,83,,percent of total billed charges,,,,,,,,,,,,,,,701.35,83,,percent of total billed charges,,,802.75,95,,percent of total billed charges,,,760.5,90,,percent of total billed charges,,,760.5,90,,percent of total billed charges,,,692.9,82,,percent of total billed charges,,,760.5,90,,percent of total billed charges,,,718.25,85,,percent of total billed charges,,637.13,802.75, ZIMMER FEMUR RIGHT SZ E,30183776,CDM,,,278,RC,inpatient,,40306.83,40306.83,,34220.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,30391.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34260.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,35470.01,88,,percent of total billed charges,,,,,,,,,30794.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36679.22,91,,percent of total billed charges,,,38291.49,95,,percent of total billed charges,,,33454.67,83,,percent of total billed charges,,,33454.67,83,,percent of total billed charges,,,,,,,,,,,,,,,33454.67,83,,percent of total billed charges,,,38291.49,95,,percent of total billed charges,,,36276.15,90,,percent of total billed charges,,,36276.15,90,,percent of total billed charges,,,33051.6,82,,percent of total billed charges,,,36276.15,90,,percent of total billed charges,,,34260.81,85,,percent of total billed charges,,30391.35,38291.49, ZIMMER LOCK ART SURG 14MM EF 5-6/GREEN,30183777,CDM,,,278,RC,inpatient,,13533.13,13533.13,,11489.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10203.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11503.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11909.15,88,,percent of total billed charges,,,,,,,,,10339.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12315.15,91,,percent of total billed charges,,,12856.47,95,,percent of total billed charges,,,11232.5,83,,percent of total billed charges,,,11232.5,83,,percent of total billed charges,,,,,,,,,,,,,,,11232.5,83,,percent of total billed charges,,,12856.47,95,,percent of total billed charges,,,12179.82,90,,percent of total billed charges,,,12179.82,90,,percent of total billed charges,,,11097.17,82,,percent of total billed charges,,,12179.82,90,,percent of total billed charges,,,11503.16,85,,percent of total billed charges,,10203.98,12856.47, ZIMMER AUGMENT BLOCK SZ E 5MM,30183778,CDM,,,278,RC,inpatient,,7107.88,7107.88,,6034.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5359.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6041.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6254.93,88,,percent of total billed charges,,,,,,,,,5430.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6468.17,91,,percent of total billed charges,,,6752.49,95,,percent of total billed charges,,,5899.54,83,,percent of total billed charges,,,5899.54,83,,percent of total billed charges,,,,,,,,,,,,,,,5899.54,83,,percent of total billed charges,,,6752.49,95,,percent of total billed charges,,,6397.09,90,,percent of total billed charges,,,6397.09,90,,percent of total billed charges,,,5828.46,82,,percent of total billed charges,,,6397.09,90,,percent of total billed charges,,,6041.7,85,,percent of total billed charges,,5359.34,6752.49, ZIMMER STEM EXT. STRAIGHT 15X30,30183779,CDM,,,278,RC,inpatient,,7652.97,7652.97,,6497.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5770.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6505.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6734.61,88,,percent of total billed charges,,,,,,,,,5846.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6964.2,91,,percent of total billed charges,,,7270.32,95,,percent of total billed charges,,,6351.97,83,,percent of total billed charges,,,6351.97,83,,percent of total billed charges,,,,,,,,,,,,,,,6351.97,83,,percent of total billed charges,,,7270.32,95,,percent of total billed charges,,,6887.67,90,,percent of total billed charges,,,6887.67,90,,percent of total billed charges,,,6275.44,82,,percent of total billed charges,,,6887.67,90,,percent of total billed charges,,,6505.02,85,,percent of total billed charges,,5770.34,7270.32, SUTURE GORTEX 4N16A CV-4 36 1/2 TAPER P,30183780,CDM,,,270,RC,inpatient,,184,184,,156.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,138.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,156.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,161.92,88,,percent of total billed charges,,,,,,,,,140.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,167.44,91,,percent of total billed charges,,,174.8,95,,percent of total billed charges,,,152.72,83,,percent of total billed charges,,,152.72,83,,percent of total billed charges,,,,,,,,,,,,,,,152.72,83,,percent of total billed charges,,,174.8,95,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,150.88,82,,percent of total billed charges,,,165.6,90,,percent of total billed charges,,,156.4,85,,percent of total billed charges,,138.74,174.8, BIOMET HUMERAL VERSAMIL NAIL 8MM X 200MM,30183782,CDM,,,278,RC,inpatient,,14384.5,14384.5,,12212.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10845.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12226.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12658.36,88,,percent of total billed charges,,,,,,,,,10989.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13089.9,91,,percent of total billed charges,,,13665.28,95,,percent of total billed charges,,,11939.14,83,,percent of total billed charges,,,11939.14,83,,percent of total billed charges,,,,,,,,,,,,,,,11939.14,83,,percent of total billed charges,,,13665.28,95,,percent of total billed charges,,,12946.05,90,,percent of total billed charges,,,12946.05,90,,percent of total billed charges,,,11795.29,82,,percent of total billed charges,,,12946.05,90,,percent of total billed charges,,,12226.83,85,,percent of total billed charges,,10845.91,13665.28, ARTHREX FIBERWIRE #2 36.6MM 1/2 CIRCLE,30183783,CDM,,,270,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2, MEDTRONIC PACEMAKER,30183785,CDM,,,278,RC,inpatient,,39659.82,39659.82,,33671.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29903.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33710.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34900.64,88,,percent of total billed charges,,,,,,,,,30300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,36090.44,91,,percent of total billed charges,,,37676.83,95,,percent of total billed charges,,,32917.65,83,,percent of total billed charges,,,32917.65,83,,percent of total billed charges,,,,,,,,,,,,,,,32917.65,83,,percent of total billed charges,,,37676.83,95,,percent of total billed charges,,,35693.84,90,,percent of total billed charges,,,35693.84,90,,percent of total billed charges,,,32521.05,82,,percent of total billed charges,,,35693.84,90,,percent of total billed charges,,,33710.85,85,,percent of total billed charges,,29903.5,37676.83, SYNTHES PLATE DISTAL 5-HOLE LEFT,30183786,CDM,,,278,RC,inpatient,,6400.75,6400.75,,5434.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4826.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5440.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5632.66,88,,percent of total billed charges,,,,,,,,,4890.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5824.68,91,,percent of total billed charges,,,6080.71,95,,percent of total billed charges,,,5312.62,83,,percent of total billed charges,,,5312.62,83,,percent of total billed charges,,,,,,,,,,,,,,,5312.62,83,,percent of total billed charges,,,6080.71,95,,percent of total billed charges,,,5760.68,90,,percent of total billed charges,,,5760.68,90,,percent of total billed charges,,,5248.62,82,,percent of total billed charges,,,5760.68,90,,percent of total billed charges,,,5440.64,85,,percent of total billed charges,,4826.17,6080.71, DEPUY HEAD BIOLOX TS 28MM +15,30183787,CDM,,,278,RC,inpatient,,13897.78,13897.78,,11799.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10478.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11813.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12230.05,88,,percent of total billed charges,,,,,,,,,10617.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12646.98,91,,percent of total billed charges,,,13202.89,95,,percent of total billed charges,,,11535.16,83,,percent of total billed charges,,,11535.16,83,,percent of total billed charges,,,,,,,,,,,,,,,11535.16,83,,percent of total billed charges,,,13202.89,95,,percent of total billed charges,,,12508,90,,percent of total billed charges,,,12508,90,,percent of total billed charges,,,11396.18,82,,percent of total billed charges,,,12508,90,,percent of total billed charges,,,11813.11,85,,percent of total billed charges,,10478.93,13202.89, DEPUY SCREW NON LOCKING 30MM,30183788,CDM,,,278,RC,inpatient,,1330.16,1330.16,,1129.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1002.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1130.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1170.54,88,,percent of total billed charges,,,,,,,,,1016.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1210.45,91,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,1104.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1104.03,83,,percent of total billed charges,,,1263.65,95,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1090.73,82,,percent of total billed charges,,,1197.14,90,,percent of total billed charges,,,1130.64,85,,percent of total billed charges,,1002.94,1263.65, SYNTHES PLATE DISTAL TIBIAL 6 HOLE RIGHT,30183789,CDM,,,278,RC,inpatient,,13039,13039,,11070.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9831.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11083.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11474.32,88,,percent of total billed charges,,,,,,,,,9961.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11865.49,91,,percent of total billed charges,,,12387.05,95,,percent of total billed charges,,,10822.37,83,,percent of total billed charges,,,10822.37,83,,percent of total billed charges,,,,,,,,,,,,,,,10822.37,83,,percent of total billed charges,,,12387.05,95,,percent of total billed charges,,,11735.1,90,,percent of total billed charges,,,11735.1,90,,percent of total billed charges,,,10691.98,82,,percent of total billed charges,,,11735.1,90,,percent of total billed charges,,,11083.15,85,,percent of total billed charges,,9831.41,12387.05, SYNTHES SCREW LOCKING 3.5 X 26MM,30183790,CDM,,,278,RC,inpatient,,274.13,274.13,,232.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,206.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,233.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,241.23,88,,percent of total billed charges,,,,,,,,,209.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,249.46,91,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,,,,,,,,,,,,,227.53,83,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,224.79,82,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,233.01,85,,percent of total billed charges,,206.69,260.42, SYNTHES SCREW LOCKING 3.5 X 45MM,30183791,CDM,,,278,RC,inpatient,,274.13,274.13,,232.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,206.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,233.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,241.23,88,,percent of total billed charges,,,,,,,,,209.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,249.46,91,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,,,,,,,,,,,,,227.53,83,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,224.79,82,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,233.01,85,,percent of total billed charges,,206.69,260.42, SYNTHES SCREW LOCKING 3.5 X 40MM,30183792,CDM,,,278,RC,inpatient,,274.13,274.13,,232.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,206.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,233.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,241.23,88,,percent of total billed charges,,,,,,,,,209.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,249.46,91,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,,,,,,,,,,,,,227.53,83,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,224.79,82,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,233.01,85,,percent of total billed charges,,206.69,260.42, SYNTHES SCREW LOCKING 3.5 X 32MM,30183793,CDM,,,278,RC,inpatient,,274.13,274.13,,232.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,206.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,233.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,241.23,88,,percent of total billed charges,,,,,,,,,209.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,249.46,91,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,,,,,,,,,,,,,227.53,83,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,224.79,82,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,233.01,85,,percent of total billed charges,,206.69,260.42, SYNTHES SCREW LOCKING 3.5 X 28MM,30183794,CDM,,,278,RC,inpatient,,274.13,274.13,,232.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,206.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,233.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,241.23,88,,percent of total billed charges,,,,,,,,,209.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,249.46,91,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,227.53,83,,percent of total billed charges,,,,,,,,,,,,,,,227.53,83,,percent of total billed charges,,,260.42,95,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,224.79,82,,percent of total billed charges,,,246.72,90,,percent of total billed charges,,,233.01,85,,percent of total billed charges,,206.69,260.42, DEPUY LINER CONSTRAINED +4 28 X 48,30183795,CDM,,,278,RC,inpatient,,36635.17,36635.17,,31103.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27622.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31139.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32238.95,88,,percent of total billed charges,,,,,,,,,27989.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,33338,91,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,30407.19,83,,percent of total billed charges,,,,,,,,,,,,,,,30407.19,83,,percent of total billed charges,,,34803.41,95,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,30040.84,82,,percent of total billed charges,,,32971.65,90,,percent of total billed charges,,,31139.89,85,,percent of total billed charges,,27622.92,34803.41, S&N ENDO SCREW SOFT SILK 9 X 20,30183796,CDM,,,278,RC,inpatient,,1417,1417,,1203.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1068.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1204.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1246.96,88,,percent of total billed charges,,,,,,,,,1082.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1289.47,91,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,,,,,,,,,,,,,1176.11,83,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1161.94,82,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1204.45,85,,percent of total billed charges,,1068.42,1346.15, MENTOR MEMORYGEL BREAST IMPLANT RND MODE,30183797,CDM,,,278,RC,inpatient,,6370,6370,,5408.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4802.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5414.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5605.6,88,,percent of total billed charges,,,,,,,,,4866.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5796.7,91,,percent of total billed charges,,,6051.5,95,,percent of total billed charges,,,5287.1,83,,percent of total billed charges,,,5287.1,83,,percent of total billed charges,,,,,,,,,,,,,,,5287.1,83,,percent of total billed charges,,,6051.5,95,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5223.4,82,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5414.5,85,,percent of total billed charges,,4802.98,6051.5, STRYKER ELECTRODE VENOM MONOP 150MM,30183800,CDM,,,270,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, DEPUY BONE CEMENT 3,30183802,CDM,,,270,RC,inpatient,,430.71,430.71,,365.67,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,324.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,366.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,379.02,88,,percent of total billed charges,,,,,,,,,329.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,391.95,91,,percent of total billed charges,,,409.17,95,,percent of total billed charges,,,357.49,83,,percent of total billed charges,,,357.49,83,,percent of total billed charges,,,,,,,,,,,,,,,357.49,83,,percent of total billed charges,,,409.17,95,,percent of total billed charges,,,387.64,90,,percent of total billed charges,,,387.64,90,,percent of total billed charges,,,353.18,82,,percent of total billed charges,,,387.64,90,,percent of total billed charges,,,366.1,85,,percent of total billed charges,,324.76,409.17, SYNTHES SCREW LOCKING VA 2.4 X 12MM,30183803,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, SYNTHES PLATE 8 HOLE 112MM 3.5MM,30183807,CDM,,,278,RC,inpatient,,5116.15,5116.15,,4343.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3857.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4348.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4502.21,88,,percent of total billed charges,,,,,,,,,3908.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4655.7,91,,percent of total billed charges,,,4860.34,95,,percent of total billed charges,,,4246.4,83,,percent of total billed charges,,,4246.4,83,,percent of total billed charges,,,,,,,,,,,,,,,4246.4,83,,percent of total billed charges,,,4860.34,95,,percent of total billed charges,,,4604.54,90,,percent of total billed charges,,,4604.54,90,,percent of total billed charges,,,4195.24,82,,percent of total billed charges,,,4604.54,90,,percent of total billed charges,,,4348.73,85,,percent of total billed charges,,3857.58,4860.34, SYNTHES TAP FOR SCREW CANCELLOUS 4.0,30183808,CDM,,,278,RC,inpatient,,2077.4,2077.4,,1763.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1566.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1765.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1828.11,88,,percent of total billed charges,,,,,,,,,1587.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1890.43,91,,percent of total billed charges,,,1973.53,95,,percent of total billed charges,,,1724.24,83,,percent of total billed charges,,,1724.24,83,,percent of total billed charges,,,,,,,,,,,,,,,1724.24,83,,percent of total billed charges,,,1973.53,95,,percent of total billed charges,,,1869.66,90,,percent of total billed charges,,,1869.66,90,,percent of total billed charges,,,1703.47,82,,percent of total billed charges,,,1869.66,90,,percent of total billed charges,,,1765.79,85,,percent of total billed charges,,1566.36,1973.53, DEPUY FEMUR SZ 5 NARROW CR L,30183809,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY BONE CEMENT 1,30183810,CDM,,,270,RC,inpatient,,1352,1352,,1147.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1019.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1149.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1189.76,88,,percent of total billed charges,,,,,,,,,1032.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1230.32,91,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,,,,,,,,,,,,,1122.16,83,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1108.64,82,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1149.2,85,,percent of total billed charges,,1019.41,1284.4, DEPUY INSERT CR 5MM SZ 5,30183811,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, DEPUY STEM FEMORAL 115X16MM,30183812,CDM,,,278,RC,inpatient,,9024.34,9024.34,,7661.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6804.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7670.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7941.42,88,,percent of total billed charges,,,,,,,,,6894.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8212.15,91,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,,,,,,,,,,,,,7490.2,83,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7399.96,82,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7670.69,85,,percent of total billed charges,,6804.35,8573.12, DEPUY BONE HV CEMENT,30183813,CDM,,,270,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, SYNTHES SCREW CORTEX SELF TAPPING 1.5 X,30183814,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES SCREW CORTEX 1.5 X 11MM SELF TAP,30183815,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES SCREW CORTEX 2.0 X 9MM SELF TAP,30183816,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES SCREW CORTEX 1.5 X 9MM SELF TAP,30183817,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES SCREW CORTEX 1.5 X 12MM SELF TAP,30183818,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES SCREW CORTEX 1.5 X 13MM SELF TAP,30183819,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES DRILL BIT J-LATCH 1.0MM,30183820,CDM,,,278,RC,inpatient,,943.67,943.67,,801.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,711.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,802.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,830.43,88,,percent of total billed charges,,,,,,,,,720.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,858.74,91,,percent of total billed charges,,,896.49,95,,percent of total billed charges,,,783.25,83,,percent of total billed charges,,,783.25,83,,percent of total billed charges,,,,,,,,,,,,,,,783.25,83,,percent of total billed charges,,,896.49,95,,percent of total billed charges,,,849.3,90,,percent of total billed charges,,,849.3,90,,percent of total billed charges,,,773.81,82,,percent of total billed charges,,,849.3,90,,percent of total billed charges,,,802.12,85,,percent of total billed charges,,711.53,896.49, SYNTHES DRILL BIT J-LATCH 1.3MM,30183821,CDM,,,278,RC,inpatient,,767.55,767.55,,651.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,578.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,652.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,675.44,88,,percent of total billed charges,,,,,,,,,586.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,698.47,91,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,,,,,,,,,,,,,637.07,83,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,629.39,82,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,652.42,85,,percent of total billed charges,,578.73,729.17, SYNTHES DRILL BIT J-LATCH 1.5MM,30183822,CDM,,,278,RC,inpatient,,767.55,767.55,,651.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,578.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,652.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,675.44,88,,percent of total billed charges,,,,,,,,,586.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,698.47,91,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,,,,,,,,,,,,,637.07,83,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,629.39,82,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,652.42,85,,percent of total billed charges,,578.73,729.17, DEPUY INSERT RP PS 15MM SZ 5,30183823,CDM,,,278,RC,inpatient,,11480.69,11480.69,,9747.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8656.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9758.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10103.01,88,,percent of total billed charges,,,,,,,,,8771.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10447.43,91,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,,,,,,,,,,,,,9528.97,83,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9414.17,82,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9758.59,85,,percent of total billed charges,,8656.44,10906.66, DEPUY FEMUR CR SZ 6 NARROW,30183824,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY FEMUR CR SZ 6 NARROW LEFT,30183825,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, SYNTHES PLATE DORSAL L 2.4MM 2X3HOLE,30183827,CDM,,,278,RC,inpatient,,6022.25,6022.25,,5112.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4540.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5118.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5299.58,88,,percent of total billed charges,,,,,,,,,4601,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5480.25,91,,percent of total billed charges,,,5721.14,95,,percent of total billed charges,,,4998.47,83,,percent of total billed charges,,,4998.47,83,,percent of total billed charges,,,,,,,,,,,,,,,4998.47,83,,percent of total billed charges,,,5721.14,95,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,4938.25,82,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,5118.91,85,,percent of total billed charges,,4540.78,5721.14, SYNTHES PLATE DORSAL L 2.4MM 2X5HOLE,30183828,CDM,,,278,RC,inpatient,,6337.18,6337.18,,5380.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4778.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5386.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5576.72,88,,percent of total billed charges,,,,,,,,,4841.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5766.83,91,,percent of total billed charges,,,6020.32,95,,percent of total billed charges,,,5259.86,83,,percent of total billed charges,,,5259.86,83,,percent of total billed charges,,,,,,,,,,,,,,,5259.86,83,,percent of total billed charges,,,6020.32,95,,percent of total billed charges,,,5703.46,90,,percent of total billed charges,,,5703.46,90,,percent of total billed charges,,,5196.49,82,,percent of total billed charges,,,5703.46,90,,percent of total billed charges,,,5386.6,85,,percent of total billed charges,,4778.23,6020.32, SYNTHES PLATE DORSAL R 2.4MM 22MM,30183829,CDM,,,278,RC,inpatient,,6491.88,6491.88,,5511.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4894.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5518.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5712.85,88,,percent of total billed charges,,,,,,,,,4959.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5907.61,91,,percent of total billed charges,,,6167.29,95,,percent of total billed charges,,,5388.26,83,,percent of total billed charges,,,5388.26,83,,percent of total billed charges,,,,,,,,,,,,,,,5388.26,83,,percent of total billed charges,,,6167.29,95,,percent of total billed charges,,,5842.69,90,,percent of total billed charges,,,5842.69,90,,percent of total billed charges,,,5323.34,82,,percent of total billed charges,,,5842.69,90,,percent of total billed charges,,,5518.1,85,,percent of total billed charges,,4894.88,6167.29, DJO PATELLA E+9 X 38MM,30183830,CDM,,,278,RC,inpatient,,9217,9217,,7825.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6949.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7834.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8110.96,88,,percent of total billed charges,,,,,,,,,7041.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8387.47,91,,percent of total billed charges,,,8756.15,95,,percent of total billed charges,,,7650.11,83,,percent of total billed charges,,,7650.11,83,,percent of total billed charges,,,,,,,,,,,,,,,7650.11,83,,percent of total billed charges,,,8756.15,95,,percent of total billed charges,,,8295.3,90,,percent of total billed charges,,,8295.3,90,,percent of total billed charges,,,7557.94,82,,percent of total billed charges,,,8295.3,90,,percent of total billed charges,,,7834.45,85,,percent of total billed charges,,6949.62,8756.15, DJO INSERT 15MM 12 RIGHT,30183831,CDM,,,278,RC,inpatient,,18089.5,18089.5,,15357.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13639.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15376.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15918.76,88,,percent of total billed charges,,,,,,,,,13820.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16461.45,91,,percent of total billed charges,,,17185.03,95,,percent of total billed charges,,,15014.29,83,,percent of total billed charges,,,15014.29,83,,percent of total billed charges,,,,,,,,,,,,,,,15014.29,83,,percent of total billed charges,,,17185.03,95,,percent of total billed charges,,,16280.55,90,,percent of total billed charges,,,16280.55,90,,percent of total billed charges,,,14833.39,82,,percent of total billed charges,,,16280.55,90,,percent of total billed charges,,,15376.08,85,,percent of total billed charges,,13639.48,17185.03, DJO STEM 100 X 16MM TIBIAL REVISION,30183832,CDM,,,278,RC,inpatient,,10042.5,10042.5,,8526.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7572.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8536.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8837.4,88,,percent of total billed charges,,,,,,,,,7672.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9138.68,91,,percent of total billed charges,,,9540.38,95,,percent of total billed charges,,,8335.28,83,,percent of total billed charges,,,8335.28,83,,percent of total billed charges,,,,,,,,,,,,,,,8335.28,83,,percent of total billed charges,,,9540.38,95,,percent of total billed charges,,,9038.25,90,,percent of total billed charges,,,9038.25,90,,percent of total billed charges,,,8234.85,82,,percent of total billed charges,,,9038.25,90,,percent of total billed charges,,,8536.13,85,,percent of total billed charges,,7572.05,9540.38, DJO BASE STEM TIBIAL REV 10 RIGHT,30183833,CDM,,,278,RC,inpatient,,26110.5,26110.5,,22167.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19687.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22193.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22977.24,88,,percent of total billed charges,,,,,,,,,19948.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23760.56,91,,percent of total billed charges,,,24804.98,95,,percent of total billed charges,,,21671.72,83,,percent of total billed charges,,,21671.72,83,,percent of total billed charges,,,,,,,,,,,,,,,21671.72,83,,percent of total billed charges,,,24804.98,95,,percent of total billed charges,,,23499.45,90,,percent of total billed charges,,,23499.45,90,,percent of total billed charges,,,21410.61,82,,percent of total billed charges,,,23499.45,90,,percent of total billed charges,,,22193.93,85,,percent of total billed charges,,19687.32,24804.98, ZIMMER LPS ART SURFACE 12MM EF 3-4,30183834,CDM,,,278,RC,inpatient,,12733.57,12733.57,,10810.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9601.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10823.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11205.54,88,,percent of total billed charges,,,,,,,,,9728.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11587.55,91,,percent of total billed charges,,,12096.89,95,,percent of total billed charges,,,10568.86,83,,percent of total billed charges,,,10568.86,83,,percent of total billed charges,,,,,,,,,,,,,,,10568.86,83,,percent of total billed charges,,,12096.89,95,,percent of total billed charges,,,11460.21,90,,percent of total billed charges,,,11460.21,90,,percent of total billed charges,,,10441.53,82,,percent of total billed charges,,,11460.21,90,,percent of total billed charges,,,10823.53,85,,percent of total billed charges,,9601.11,12096.89, DEPUY DISTAL AUGMENT 5MM,30183837,CDM,,,278,RC,inpatient,,8177.85,8177.85,,6942.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6166.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6951.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7196.51,88,,percent of total billed charges,,,,,,,,,6247.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.84,91,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,6787.62,83,,percent of total billed charges,,,,,,,,,,,,,,,6787.62,83,,percent of total billed charges,,,7768.96,95,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6705.84,82,,percent of total billed charges,,,7360.07,90,,percent of total billed charges,,,6951.17,85,,percent of total billed charges,,6166.1,7768.96, DEPUY ATTUNE FEMUR CR SZ 4 LT,30183840,CDM,,,278,RC,inpatient,,28281.83,28281.83,,24011.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21324.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24039.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24888.01,88,,percent of total billed charges,,,,,,,,,21607.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,25736.47,91,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,23473.92,83,,percent of total billed charges,,,,,,,,,,,,,,,23473.92,83,,percent of total billed charges,,,26867.74,95,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,23191.1,82,,percent of total billed charges,,,25453.65,90,,percent of total billed charges,,,24039.56,85,,percent of total billed charges,,21324.5,26867.74, DEPUY PINS THREADED STERILE,30183842,CDM,,,278,RC,inpatient,,2944.5,2944.5,,2499.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2220.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2502.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2591.16,88,,percent of total billed charges,,,,,,,,,2249.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2679.5,91,,percent of total billed charges,,,2797.28,95,,percent of total billed charges,,,2443.94,83,,percent of total billed charges,,,2443.94,83,,percent of total billed charges,,,,,,,,,,,,,,,2443.94,83,,percent of total billed charges,,,2797.28,95,,percent of total billed charges,,,2650.05,90,,percent of total billed charges,,,2650.05,90,,percent of total billed charges,,,2414.49,82,,percent of total billed charges,,,2650.05,90,,percent of total billed charges,,,2502.83,85,,percent of total billed charges,,2220.15,2797.28, BANDAGE CONFORM STERILE 1,30183843,CDM,,,270,RC,inpatient,,11.81,11.81,,10.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10.39,88,,percent of total billed charges,,,,,,,,,9.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10.75,91,,percent of total billed charges,,,11.22,95,,percent of total billed charges,,,9.8,83,,percent of total billed charges,,,9.8,83,,percent of total billed charges,,,,,,,,,,,,,,,9.8,83,,percent of total billed charges,,,11.22,95,,percent of total billed charges,,,10.63,90,,percent of total billed charges,,,10.63,90,,percent of total billed charges,,,9.68,82,,percent of total billed charges,,,10.63,90,,percent of total billed charges,,,10.04,85,,percent of total billed charges,,8.9,11.22, STRYKER FULL RADIUS CUTTER 2.5,30183844,CDM,,,270,RC,inpatient,,351.4,351.4,,298.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,264.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,298.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,309.23,88,,percent of total billed charges,,,,,,,,,268.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,319.77,91,,percent of total billed charges,,,333.83,95,,percent of total billed charges,,,291.66,83,,percent of total billed charges,,,291.66,83,,percent of total billed charges,,,,,,,,,,,,,,,291.66,83,,percent of total billed charges,,,333.83,95,,percent of total billed charges,,,316.26,90,,percent of total billed charges,,,316.26,90,,percent of total billed charges,,,288.15,82,,percent of total billed charges,,,316.26,90,,percent of total billed charges,,,298.69,85,,percent of total billed charges,,264.96,333.83, STRYKER BUR HOODED ABRASION 2.0,30183845,CDM,,,270,RC,inpatient,,387.87,387.87,,329.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,292.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,329.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,341.33,88,,percent of total billed charges,,,,,,,,,296.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,352.96,91,,percent of total billed charges,,,368.48,95,,percent of total billed charges,,,321.93,83,,percent of total billed charges,,,321.93,83,,percent of total billed charges,,,,,,,,,,,,,,,321.93,83,,percent of total billed charges,,,368.48,95,,percent of total billed charges,,,349.08,90,,percent of total billed charges,,,349.08,90,,percent of total billed charges,,,318.05,82,,percent of total billed charges,,,349.08,90,,percent of total billed charges,,,329.69,85,,percent of total billed charges,,292.45,368.48, STRYKER BUR HOODED ABRASION 3.0,30183846,CDM,,,270,RC,inpatient,,354.9,354.9,,301.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,267.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,301.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,312.31,88,,percent of total billed charges,,,,,,,,,271.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,322.96,91,,percent of total billed charges,,,337.16,95,,percent of total billed charges,,,294.57,83,,percent of total billed charges,,,294.57,83,,percent of total billed charges,,,,,,,,,,,,,,,294.57,83,,percent of total billed charges,,,337.16,95,,percent of total billed charges,,,319.41,90,,percent of total billed charges,,,319.41,90,,percent of total billed charges,,,291.02,82,,percent of total billed charges,,,319.41,90,,percent of total billed charges,,,301.67,85,,percent of total billed charges,,267.59,337.16, DEPUY INSERT 4 X 5MM FIXED BEARING CR,30183848,CDM,,,278,RC,inpatient,,12477.27,12477.27,,10593.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9407.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10605.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10980,88,,percent of total billed charges,,,,,,,,,9532.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11354.32,91,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,10356.13,83,,percent of total billed charges,,,,,,,,,,,,,,,10356.13,83,,percent of total billed charges,,,11853.41,95,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10231.36,82,,percent of total billed charges,,,11229.54,90,,percent of total billed charges,,,10605.68,85,,percent of total billed charges,,9407.86,11853.41, DEPUY FEMUR CR SZ 5N RIGHT,30183849,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, ZIMMER ULNA ASSEMBLY C/M PLASMA SML LT,30183850,CDM,,,278,RC,inpatient,,30023.5,30023.5,,25489.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22637.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25519.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26420.68,88,,percent of total billed charges,,,,,,,,,22937.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27321.39,91,,percent of total billed charges,,,28522.33,95,,percent of total billed charges,,,24919.51,83,,percent of total billed charges,,,24919.51,83,,percent of total billed charges,,,,,,,,,,,,,,,24919.51,83,,percent of total billed charges,,,28522.33,95,,percent of total billed charges,,,27021.15,90,,percent of total billed charges,,,27021.15,90,,percent of total billed charges,,,24619.27,82,,percent of total billed charges,,,27021.15,90,,percent of total billed charges,,,25519.98,85,,percent of total billed charges,,22637.72,28522.33, ZIMMER HUMERAL ASSEMBLY C/M 6IN SML LON,30183851,CDM,,,278,RC,inpatient,,34090.03,34090.03,,28942.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25703.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28976.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29999.23,88,,percent of total billed charges,,,,,,,,,26044.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,31021.93,91,,percent of total billed charges,,,32385.53,95,,percent of total billed charges,,,28294.72,83,,percent of total billed charges,,,28294.72,83,,percent of total billed charges,,,,,,,,,,,,,,,28294.72,83,,percent of total billed charges,,,32385.53,95,,percent of total billed charges,,,30681.03,90,,percent of total billed charges,,,30681.03,90,,percent of total billed charges,,,27953.82,82,,percent of total billed charges,,,30681.03,90,,percent of total billed charges,,,28976.53,85,,percent of total billed charges,,25703.88,32385.53, ZIMMER PLUG W/NOZZLE C/M 16MM & 25MM,30183852,CDM,,,278,RC,inpatient,,2210,2210,,1876.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1666.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1878.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1944.8,88,,percent of total billed charges,,,,,,,,,1688.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2011.1,91,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1834.3,83,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1812.2,82,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1878.5,85,,percent of total billed charges,,1666.34,2099.5, ZIMMER CEMENT MIXING SYSTEM VACUUM,30183853,CDM,,,270,RC,inpatient,,863.72,863.72,,733.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,651.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,734.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,760.07,88,,percent of total billed charges,,,,,,,,,659.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,785.99,91,,percent of total billed charges,,,820.53,95,,percent of total billed charges,,,716.89,83,,percent of total billed charges,,,716.89,83,,percent of total billed charges,,,,,,,,,,,,,,,716.89,83,,percent of total billed charges,,,820.53,95,,percent of total billed charges,,,777.35,90,,percent of total billed charges,,,777.35,90,,percent of total billed charges,,,708.25,82,,percent of total billed charges,,,777.35,90,,percent of total billed charges,,,734.16,85,,percent of total billed charges,,651.24,820.53, ZIMMER PALACOS LV+G W/GENTAMICIN,30183854,CDM,,,270,RC,inpatient,,2771.15,2771.15,,2352.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2089.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2355.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2438.61,88,,percent of total billed charges,,,,,,,,,2117.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2521.75,91,,percent of total billed charges,,,2632.59,95,,percent of total billed charges,,,2300.05,83,,percent of total billed charges,,,2300.05,83,,percent of total billed charges,,,,,,,,,,,,,,,2300.05,83,,percent of total billed charges,,,2632.59,95,,percent of total billed charges,,,2494.04,90,,percent of total billed charges,,,2494.04,90,,percent of total billed charges,,,2272.34,82,,percent of total billed charges,,,2494.04,90,,percent of total billed charges,,,2355.48,85,,percent of total billed charges,,2089.45,2632.59, GUIDE WIRE .045 X 6 ST,30183856,CDM,,,270,RC,inpatient,,120,120,,101.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,90.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,102,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,105.6,88,,percent of total billed charges,,,,,,,,,91.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,109.2,91,,percent of total billed charges,,,114,95,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,,,,,,,,,,,,,99.6,83,,percent of total billed charges,,,114,95,,percent of total billed charges,,,108,90,,percent of total billed charges,,,108,90,,percent of total billed charges,,,98.4,82,,percent of total billed charges,,,108,90,,percent of total billed charges,,,102,85,,percent of total billed charges,,90.48,114, MINI ACUTRAK 2 DRILL LONG,30183857,CDM,,,270,RC,inpatient,,1911,1911,,1622.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1440.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1624.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1681.68,88,,percent of total billed charges,,,,,,,,,1460,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1739.01,91,,percent of total billed charges,,,1815.45,95,,percent of total billed charges,,,1586.13,83,,percent of total billed charges,,,1586.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1586.13,83,,percent of total billed charges,,,1815.45,95,,percent of total billed charges,,,1719.9,90,,percent of total billed charges,,,1719.9,90,,percent of total billed charges,,,1567.02,82,,percent of total billed charges,,,1719.9,90,,percent of total billed charges,,,1624.35,85,,percent of total billed charges,,1440.89,1815.45, MINI ACUTRAK 2 BONE SCREW 24MM,30183858,CDM,,,270,RC,inpatient,,3432,3432,,2913.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2587.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2917.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3020.16,88,,percent of total billed charges,,,,,,,,,2622.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3123.12,91,,percent of total billed charges,,,3260.4,95,,percent of total billed charges,,,2848.56,83,,percent of total billed charges,,,2848.56,83,,percent of total billed charges,,,,,,,,,,,,,,,2848.56,83,,percent of total billed charges,,,3260.4,95,,percent of total billed charges,,,3088.8,90,,percent of total billed charges,,,3088.8,90,,percent of total billed charges,,,2814.24,82,,percent of total billed charges,,,3088.8,90,,percent of total billed charges,,,2917.2,85,,percent of total billed charges,,2587.73,3260.4, SYNTHES PLATE DORSAL 2.4MM VA 3X5 HOLE,30183859,CDM,,,278,RC,inpatient,,6337.18,6337.18,,5380.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4778.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5386.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5576.72,88,,percent of total billed charges,,,,,,,,,4841.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5766.83,91,,percent of total billed charges,,,6020.32,95,,percent of total billed charges,,,5259.86,83,,percent of total billed charges,,,5259.86,83,,percent of total billed charges,,,,,,,,,,,,,,,5259.86,83,,percent of total billed charges,,,6020.32,95,,percent of total billed charges,,,5703.46,90,,percent of total billed charges,,,5703.46,90,,percent of total billed charges,,,5196.49,82,,percent of total billed charges,,,5703.46,90,,percent of total billed charges,,,5386.6,85,,percent of total billed charges,,4778.23,6020.32, SYNTHES SCREW LOCKING VA 2.4 X 10MM,30183860,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, SYNTHES PLATE DORSAL L 2.4MM 2X3HOLE,30183861,CDM,,,278,RC,inpatient,,6022.25,6022.25,,5112.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4540.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5118.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5299.58,88,,percent of total billed charges,,,,,,,,,4601,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5480.25,91,,percent of total billed charges,,,5721.14,95,,percent of total billed charges,,,4998.47,83,,percent of total billed charges,,,4998.47,83,,percent of total billed charges,,,,,,,,,,,,,,,4998.47,83,,percent of total billed charges,,,5721.14,95,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,4938.25,82,,percent of total billed charges,,,5420.03,90,,percent of total billed charges,,,5118.91,85,,percent of total billed charges,,4540.78,5721.14, SYNTHES PLATE VOLAC DISTAL RADIUS 2.4,30183862,CDM,,,278,RC,inpatient,,9392.5,9392.5,,7974.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7081.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7983.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8265.4,88,,percent of total billed charges,,,,,,,,,7175.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8547.18,91,,percent of total billed charges,,,8922.88,95,,percent of total billed charges,,,7795.78,83,,percent of total billed charges,,,7795.78,83,,percent of total billed charges,,,,,,,,,,,,,,,7795.78,83,,percent of total billed charges,,,8922.88,95,,percent of total billed charges,,,8453.25,90,,percent of total billed charges,,,8453.25,90,,percent of total billed charges,,,7701.85,82,,percent of total billed charges,,,8453.25,90,,percent of total billed charges,,,7983.63,85,,percent of total billed charges,,7081.95,8922.88, SYNTHES SCREW LOCKING VA 2.4 X 14MM,30183863,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, DEPUY CUP PROSTALAC 42X32,30183864,CDM,,,278,RC,inpatient,,6303.83,6303.83,,5351.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4753.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5358.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5547.37,88,,percent of total billed charges,,,,,,,,,4816.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5736.49,91,,percent of total billed charges,,,5988.64,95,,percent of total billed charges,,,5232.18,83,,percent of total billed charges,,,5232.18,83,,percent of total billed charges,,,,,,,,,,,,,,,5232.18,83,,percent of total billed charges,,,5988.64,95,,percent of total billed charges,,,5673.45,90,,percent of total billed charges,,,5673.45,90,,percent of total billed charges,,,5169.14,82,,percent of total billed charges,,,5673.45,90,,percent of total billed charges,,,5358.26,85,,percent of total billed charges,,4753.09,5988.64, DEPUY STEM FEMORAL SZ 3 300MM,30183865,CDM,,,278,RC,inpatient,,24918.92,24918.92,,21156.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18788.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21181.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21928.65,88,,percent of total billed charges,,,,,,,,,19038.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22676.22,91,,percent of total billed charges,,,23672.97,95,,percent of total billed charges,,,20682.7,83,,percent of total billed charges,,,20682.7,83,,percent of total billed charges,,,,,,,,,,,,,,,20682.7,83,,percent of total billed charges,,,23672.97,95,,percent of total billed charges,,,22427.03,90,,percent of total billed charges,,,22427.03,90,,percent of total billed charges,,,20433.51,82,,percent of total billed charges,,,22427.03,90,,percent of total billed charges,,,21181.08,85,,percent of total billed charges,,18788.87,23672.97, STRYKER TAPERED SERRATED DRILL,30183868,CDM,,,270,RC,inpatient,,368.06,368.06,,312.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,277.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,312.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,323.89,88,,percent of total billed charges,,,,,,,,,281.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,334.93,91,,percent of total billed charges,,,349.66,95,,percent of total billed charges,,,305.49,83,,percent of total billed charges,,,305.49,83,,percent of total billed charges,,,,,,,,,,,,,,,305.49,83,,percent of total billed charges,,,349.66,95,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,301.81,82,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,312.85,85,,percent of total billed charges,,277.52,349.66, STRYKER LINDEMANN DRILL,30183869,CDM,,,270,RC,inpatient,,940.16,940.16,,798.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,708.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,799.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,827.34,88,,percent of total billed charges,,,,,,,,,718.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,855.55,91,,percent of total billed charges,,,893.15,95,,percent of total billed charges,,,780.33,83,,percent of total billed charges,,,780.33,83,,percent of total billed charges,,,,,,,,,,,,,,,780.33,83,,percent of total billed charges,,,893.15,95,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,770.93,82,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,799.14,85,,percent of total billed charges,,708.88,893.15, DEPUY FEMUR SIGMA RT SZ 6,30183871,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, SAFE SHEATH 6FR 13CM,30183872,CDM,,,270,RC,inpatient,,534.8,534.8,,454.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,403.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,454.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,470.62,88,,percent of total billed charges,,,,,,,,,408.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,486.67,91,,percent of total billed charges,,,508.06,95,,percent of total billed charges,,,443.88,83,,percent of total billed charges,,,443.88,83,,percent of total billed charges,,,,,,,,,,,,,,,443.88,83,,percent of total billed charges,,,508.06,95,,percent of total billed charges,,,481.32,90,,percent of total billed charges,,,481.32,90,,percent of total billed charges,,,438.54,82,,percent of total billed charges,,,481.32,90,,percent of total billed charges,,,454.58,85,,percent of total billed charges,,403.24,508.06, BIOMET HEAD MODULAR 36MM,30183875,CDM,,,278,RC,inpatient,,10309,10309,,8752.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7772.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8762.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9071.92,88,,percent of total billed charges,,,,,,,,,7876.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9381.19,91,,percent of total billed charges,,,9793.55,95,,percent of total billed charges,,,8556.47,83,,percent of total billed charges,,,8556.47,83,,percent of total billed charges,,,,,,,,,,,,,,,8556.47,83,,percent of total billed charges,,,9793.55,95,,percent of total billed charges,,,9278.1,90,,percent of total billed charges,,,9278.1,90,,percent of total billed charges,,,8453.38,82,,percent of total billed charges,,,9278.1,90,,percent of total billed charges,,,8762.65,85,,percent of total billed charges,,7772.99,9793.55, SYNTHES SCREW CANNUL 16MM 6.5X100MM,30183876,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, NEEDLE SPINAL QUINKE 25GX3.5 ORANGE,30183879,CDM,,,270,RC,inpatient,,12.98,12.98,,11.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11.42,88,,percent of total billed charges,,,,,,,,,9.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11.81,91,,percent of total billed charges,,,12.33,95,,percent of total billed charges,,,10.77,83,,percent of total billed charges,,,10.77,83,,percent of total billed charges,,,,,,,,,,,,,,,10.77,83,,percent of total billed charges,,,12.33,95,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,10.64,82,,percent of total billed charges,,,11.68,90,,percent of total billed charges,,,11.03,85,,percent of total billed charges,,9.79,12.33, DEPUY ATTUNE TKA FB,30183881,CDM,,,278,RC,inpatient,,37440,37440,,31786.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31824,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32947.2,88,,percent of total billed charges,,,,,,,,,28604.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34070.4,91,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,,,,,,,,,,,,,31075.2,83,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,30700.8,82,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,31824,85,,percent of total billed charges,,28229.76,35568, CURVED PHACO TIP 30 DEG,30183882,CDM,,,270,RC,inpatient,,788.5,788.5,,669.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,594.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,670.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,693.88,88,,percent of total billed charges,,,,,,,,,602.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,717.54,91,,percent of total billed charges,,,749.08,95,,percent of total billed charges,,,654.46,83,,percent of total billed charges,,,654.46,83,,percent of total billed charges,,,,,,,,,,,,,,,654.46,83,,percent of total billed charges,,,749.08,95,,percent of total billed charges,,,709.65,90,,percent of total billed charges,,,709.65,90,,percent of total billed charges,,,646.57,82,,percent of total billed charges,,,709.65,90,,percent of total billed charges,,,670.23,85,,percent of total billed charges,,594.53,749.08, SYNTHES TAP 6.5MM,30183883,CDM,,,270,RC,inpatient,,4607.85,4607.85,,3912.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3474.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3916.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4054.91,88,,percent of total billed charges,,,,,,,,,3520.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4193.14,91,,percent of total billed charges,,,4377.46,95,,percent of total billed charges,,,3824.52,83,,percent of total billed charges,,,3824.52,83,,percent of total billed charges,,,,,,,,,,,,,,,3824.52,83,,percent of total billed charges,,,4377.46,95,,percent of total billed charges,,,4147.07,90,,percent of total billed charges,,,4147.07,90,,percent of total billed charges,,,3778.44,82,,percent of total billed charges,,,4147.07,90,,percent of total billed charges,,,3916.67,85,,percent of total billed charges,,3474.32,4377.46, SYNTHES SCREW BONE 6.5 X 32MM,30183884,CDM,,,270,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, DEPUY ATTUNE FEMUR CR SZ 4 RT,30183885,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, FORTEC HOLMIUM LASER LOW WATTAGE,30183890,CDM,,,270,RC,inpatient,,3250,3250,,2759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2450.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2762.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2860,88,,percent of total billed charges,,,,,,,,,2483,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2957.5,91,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,2697.5,83,,percent of total billed charges,,,,,,,,,,,,,,,2697.5,83,,percent of total billed charges,,,3087.5,95,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2665,82,,percent of total billed charges,,,2925,90,,percent of total billed charges,,,2762.5,85,,percent of total billed charges,,2450.5,3087.5, BRAVO CF CAPSULE DELIVERY DEVICE,30183896,CDM,,,270,RC,inpatient,,2018.9,2018.9,,1714.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1522.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1716.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1776.63,88,,percent of total billed charges,,,,,,,,,1542.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1837.2,91,,percent of total billed charges,,,1917.96,95,,percent of total billed charges,,,1675.69,83,,percent of total billed charges,,,1675.69,83,,percent of total billed charges,,,,,,,,,,,,,,,1675.69,83,,percent of total billed charges,,,1917.96,95,,percent of total billed charges,,,1817.01,90,,percent of total billed charges,,,1817.01,90,,percent of total billed charges,,,1655.5,82,,percent of total billed charges,,,1817.01,90,,percent of total billed charges,,,1716.07,85,,percent of total billed charges,,1522.25,1917.96, CIVCO NEEDLE GUIDE SHEATH KIT,30183934,CDM,,,270,RC,inpatient,,128.33,128.33,,108.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,96.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,109.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,112.93,88,,percent of total billed charges,,,,,,,,,98.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,116.78,91,,percent of total billed charges,,,121.91,95,,percent of total billed charges,,,106.51,83,,percent of total billed charges,,,106.51,83,,percent of total billed charges,,,,,,,,,,,,,,,106.51,83,,percent of total billed charges,,,121.91,95,,percent of total billed charges,,,115.5,90,,percent of total billed charges,,,115.5,90,,percent of total billed charges,,,105.23,82,,percent of total billed charges,,,115.5,90,,percent of total billed charges,,,109.08,85,,percent of total billed charges,,96.76,121.91, MEDTRONIC PACEMAKER ADVISA DR MRI SURESC,30183935,CDM,,,278,RC,inpatient,,46949.11,46949.11,,39859.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,35399.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,39906.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,41315.22,88,,percent of total billed charges,,,,,,,,,35869.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,42723.69,91,,percent of total billed charges,,,44601.65,95,,percent of total billed charges,,,38967.76,83,,percent of total billed charges,,,38967.76,83,,percent of total billed charges,,,,,,,,,,,,,,,38967.76,83,,percent of total billed charges,,,44601.65,95,,percent of total billed charges,,,42254.2,90,,percent of total billed charges,,,42254.2,90,,percent of total billed charges,,,38498.27,82,,percent of total billed charges,,,42254.2,90,,percent of total billed charges,,,39906.74,85,,percent of total billed charges,,35399.63,44601.65, MEDTRONIC LEAD 45CM MRI CONDITIONAL,30183936,CDM,,,270,RC,inpatient,,5178.55,5178.55,,4396.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3904.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4401.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4557.12,88,,percent of total billed charges,,,,,,,,,3956.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4712.48,91,,percent of total billed charges,,,4919.62,95,,percent of total billed charges,,,4298.2,83,,percent of total billed charges,,,4298.2,83,,percent of total billed charges,,,,,,,,,,,,,,,4298.2,83,,percent of total billed charges,,,4919.62,95,,percent of total billed charges,,,4660.7,90,,percent of total billed charges,,,4660.7,90,,percent of total billed charges,,,4246.41,82,,percent of total billed charges,,,4660.7,90,,percent of total billed charges,,,4401.77,85,,percent of total billed charges,,3904.63,4919.62, MEDTRONIC LEAD 52CM MRI CONDITIONAL,30183937,CDM,,,278,RC,inpatient,,5178.55,5178.55,,4396.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3904.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4401.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4557.12,88,,percent of total billed charges,,,,,,,,,3956.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4712.48,91,,percent of total billed charges,,,4919.62,95,,percent of total billed charges,,,4298.2,83,,percent of total billed charges,,,4298.2,83,,percent of total billed charges,,,,,,,,,,,,,,,4298.2,83,,percent of total billed charges,,,4919.62,95,,percent of total billed charges,,,4660.7,90,,percent of total billed charges,,,4660.7,90,,percent of total billed charges,,,4246.41,82,,percent of total billed charges,,,4660.7,90,,percent of total billed charges,,,4401.77,85,,percent of total billed charges,,3904.63,4919.62, S&N ENDO ANKLE STRAP PES TALARIS,30183944,CDM,,,270,RC,inpatient,,830.2,830.2,,704.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,625.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,705.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,730.58,88,,percent of total billed charges,,,,,,,,,634.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,755.48,91,,percent of total billed charges,,,788.69,95,,percent of total billed charges,,,689.07,83,,percent of total billed charges,,,689.07,83,,percent of total billed charges,,,,,,,,,,,,,,,689.07,83,,percent of total billed charges,,,788.69,95,,percent of total billed charges,,,747.18,90,,percent of total billed charges,,,747.18,90,,percent of total billed charges,,,680.76,82,,percent of total billed charges,,,747.18,90,,percent of total billed charges,,,705.67,85,,percent of total billed charges,,625.97,788.69, CATH STRAIGHT FILIFORM TIP 5FR,30183945,CDM,,,270,RC,inpatient,,501.62,501.62,,425.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,378.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,426.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,441.43,88,,percent of total billed charges,,,,,,,,,383.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,456.47,91,,percent of total billed charges,,,476.54,95,,percent of total billed charges,,,416.34,83,,percent of total billed charges,,,416.34,83,,percent of total billed charges,,,,,,,,,,,,,,,416.34,83,,percent of total billed charges,,,476.54,95,,percent of total billed charges,,,451.46,90,,percent of total billed charges,,,451.46,90,,percent of total billed charges,,,411.33,82,,percent of total billed charges,,,451.46,90,,percent of total billed charges,,,426.38,85,,percent of total billed charges,,378.22,476.54, CATH WOVEN PHILLIPS FOLLOWER 24FR,30183946,CDM,,,270,RC,inpatient,,752.78,752.78,,639.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,567.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,639.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,662.45,88,,percent of total billed charges,,,,,,,,,575.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,685.03,91,,percent of total billed charges,,,715.14,95,,percent of total billed charges,,,624.81,83,,percent of total billed charges,,,624.81,83,,percent of total billed charges,,,,,,,,,,,,,,,624.81,83,,percent of total billed charges,,,715.14,95,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,617.28,82,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,639.86,85,,percent of total billed charges,,567.6,715.14, STENT URETERAL 5FR X 18CM,30183947,CDM,,,270,RC,inpatient,,904.8,904.8,,768.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,682.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,769.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,796.22,88,,percent of total billed charges,,,,,,,,,691.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,823.37,91,,percent of total billed charges,,,859.56,95,,percent of total billed charges,,,750.98,83,,percent of total billed charges,,,750.98,83,,percent of total billed charges,,,,,,,,,,,,,,,750.98,83,,percent of total billed charges,,,859.56,95,,percent of total billed charges,,,814.32,90,,percent of total billed charges,,,814.32,90,,percent of total billed charges,,,741.94,82,,percent of total billed charges,,,814.32,90,,percent of total billed charges,,,769.08,85,,percent of total billed charges,,682.22,859.56, S&N SCREWDRIVER RELEASE HANDLE,30183948,CDM,,,270,RC,inpatient,,1391.13,1391.13,,1181.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1048.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1182.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1224.19,88,,percent of total billed charges,,,,,,,,,1062.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1265.93,91,,percent of total billed charges,,,1321.57,95,,percent of total billed charges,,,1154.64,83,,percent of total billed charges,,,1154.64,83,,percent of total billed charges,,,,,,,,,,,,,,,1154.64,83,,percent of total billed charges,,,1321.57,95,,percent of total billed charges,,,1252.02,90,,percent of total billed charges,,,1252.02,90,,percent of total billed charges,,,1140.73,82,,percent of total billed charges,,,1252.02,90,,percent of total billed charges,,,1182.46,85,,percent of total billed charges,,1048.91,1321.57, S&N NAIL TROCHANTERIC 11.5MM X 40CM 130D,30183949,CDM,,,278,RC,inpatient,,15190.5,15190.5,,12896.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11453.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12911.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13367.64,88,,percent of total billed charges,,,,,,,,,11605.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13823.36,91,,percent of total billed charges,,,14430.98,95,,percent of total billed charges,,,12608.12,83,,percent of total billed charges,,,12608.12,83,,percent of total billed charges,,,,,,,,,,,,,,,12608.12,83,,percent of total billed charges,,,14430.98,95,,percent of total billed charges,,,13671.45,90,,percent of total billed charges,,,13671.45,90,,percent of total billed charges,,,12456.21,82,,percent of total billed charges,,,13671.45,90,,percent of total billed charges,,,12911.93,85,,percent of total billed charges,,11453.64,14430.98, S&N DRILL PILOT 4.0MM LONG AO,30183950,CDM,,,278,RC,inpatient,,1796.21,1796.21,,1524.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1354.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1526.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1580.66,88,,percent of total billed charges,,,,,,,,,1372.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1634.55,91,,percent of total billed charges,,,1706.4,95,,percent of total billed charges,,,1490.85,83,,percent of total billed charges,,,1490.85,83,,percent of total billed charges,,,,,,,,,,,,,,,1490.85,83,,percent of total billed charges,,,1706.4,95,,percent of total billed charges,,,1616.59,90,,percent of total billed charges,,,1616.59,90,,percent of total billed charges,,,1472.89,82,,percent of total billed charges,,,1616.59,90,,percent of total billed charges,,,1526.78,85,,percent of total billed charges,,1354.34,1706.4, S&N GUIDE PIN THREADED 3.2MM X 343MM,30183951,CDM,,,278,RC,inpatient,,1177.93,1177.93,,1000.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.58,88,,percent of total billed charges,,,,,,,,,899.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1071.92,91,,percent of total billed charges,,,1119.03,95,,percent of total billed charges,,,977.68,83,,percent of total billed charges,,,977.68,83,,percent of total billed charges,,,,,,,,,,,,,,,977.68,83,,percent of total billed charges,,,1119.03,95,,percent of total billed charges,,,1060.14,90,,percent of total billed charges,,,1060.14,90,,percent of total billed charges,,,965.9,82,,percent of total billed charges,,,1060.14,90,,percent of total billed charges,,,1001.24,85,,percent of total billed charges,,888.16,1119.03, S&N SCREW LP 5MM X 60MM TRIGEN,30183952,CDM,,,278,RC,inpatient,,1726.92,1726.92,,1466.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1302.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1467.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1519.69,88,,percent of total billed charges,,,,,,,,,1319.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1571.5,91,,percent of total billed charges,,,1640.57,95,,percent of total billed charges,,,1433.34,83,,percent of total billed charges,,,1433.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1433.34,83,,percent of total billed charges,,,1640.57,95,,percent of total billed charges,,,1554.23,90,,percent of total billed charges,,,1554.23,90,,percent of total billed charges,,,1416.07,82,,percent of total billed charges,,,1554.23,90,,percent of total billed charges,,,1467.88,85,,percent of total billed charges,,1302.1,1640.57, S&N SCREW HEX RECON 6.4MM X 100MM,30183953,CDM,,,278,RC,inpatient,,2782.56,2782.56,,2362.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2098.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2365.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2448.65,88,,percent of total billed charges,,,,,,,,,2125.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2532.13,91,,percent of total billed charges,,,2643.43,95,,percent of total billed charges,,,2309.52,83,,percent of total billed charges,,,2309.52,83,,percent of total billed charges,,,,,,,,,,,,,,,2309.52,83,,percent of total billed charges,,,2643.43,95,,percent of total billed charges,,,2504.3,90,,percent of total billed charges,,,2504.3,90,,percent of total billed charges,,,2281.7,82,,percent of total billed charges,,,2504.3,90,,percent of total billed charges,,,2365.18,85,,percent of total billed charges,,2098.05,2643.43, S&N SCREW HEX RECON 6.4MM X 90MM,30183954,CDM,,,278,RC,inpatient,,2782.26,2782.26,,2362.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2097.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2364.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2448.39,88,,percent of total billed charges,,,,,,,,,2125.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2531.86,91,,percent of total billed charges,,,2643.15,95,,percent of total billed charges,,,2309.28,83,,percent of total billed charges,,,2309.28,83,,percent of total billed charges,,,,,,,,,,,,,,,2309.28,83,,percent of total billed charges,,,2643.15,95,,percent of total billed charges,,,2504.03,90,,percent of total billed charges,,,2504.03,90,,percent of total billed charges,,,2281.45,82,,percent of total billed charges,,,2504.03,90,,percent of total billed charges,,,2364.92,85,,percent of total billed charges,,2097.82,2643.15, DEPUY INSERT RP 15MM SZ3,30183955,CDM,,,278,RC,inpatient,,13012.42,13012.42,,11047.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9811.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11060.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11450.93,88,,percent of total billed charges,,,,,,,,,9941.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11841.3,91,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,10800.31,83,,percent of total billed charges,,,,,,,,,,,,,,,10800.31,83,,percent of total billed charges,,,12361.8,95,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,10670.18,82,,percent of total billed charges,,,11711.18,90,,percent of total billed charges,,,11060.56,85,,percent of total billed charges,,9811.36,12361.8, SYNTHES SCREW CANNUL 85MM X 6.5MM,30183956,CDM,,,278,RC,inpatient,,2795.65,2795.65,,2373.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2107.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2376.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2460.17,88,,percent of total billed charges,,,,,,,,,2135.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2544.04,91,,percent of total billed charges,,,2655.87,95,,percent of total billed charges,,,2320.39,83,,percent of total billed charges,,,2320.39,83,,percent of total billed charges,,,,,,,,,,,,,,,2320.39,83,,percent of total billed charges,,,2655.87,95,,percent of total billed charges,,,2516.09,90,,percent of total billed charges,,,2516.09,90,,percent of total billed charges,,,2292.43,82,,percent of total billed charges,,,2516.09,90,,percent of total billed charges,,,2376.3,85,,percent of total billed charges,,2107.92,2655.87, BARD PHILLIPS 8FR THREADED FOLLOWER,30183957,CDM,,,270,RC,inpatient,,752.78,752.78,,639.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,567.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,639.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,662.45,88,,percent of total billed charges,,,,,,,,,575.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,685.03,91,,percent of total billed charges,,,715.14,95,,percent of total billed charges,,,624.81,83,,percent of total billed charges,,,624.81,83,,percent of total billed charges,,,,,,,,,,,,,,,624.81,83,,percent of total billed charges,,,715.14,95,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,617.28,82,,percent of total billed charges,,,677.5,90,,percent of total billed charges,,,639.86,85,,percent of total billed charges,,567.6,715.14, SYNTHES SCREW CANNUL 16MM 6.5X75MM,30183958,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, ACUTRAK MICRO DRILL,30183959,CDM,,,270,RC,inpatient,,2008.5,2008.5,,1705.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1514.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1707.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1767.48,88,,percent of total billed charges,,,,,,,,,1534.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1827.74,91,,percent of total billed charges,,,1908.08,95,,percent of total billed charges,,,1667.06,83,,percent of total billed charges,,,1667.06,83,,percent of total billed charges,,,,,,,,,,,,,,,1667.06,83,,percent of total billed charges,,,1908.08,95,,percent of total billed charges,,,1807.65,90,,percent of total billed charges,,,1807.65,90,,percent of total billed charges,,,1646.97,82,,percent of total billed charges,,,1807.65,90,,percent of total billed charges,,,1707.23,85,,percent of total billed charges,,1514.41,1908.08, ACUTRAK WIRE .035 X 6 SINGLE,30183960,CDM,,,270,RC,inpatient,,357,357,,303.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,269.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,303.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,314.16,88,,percent of total billed charges,,,,,,,,,272.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,324.87,91,,percent of total billed charges,,,339.15,95,,percent of total billed charges,,,296.31,83,,percent of total billed charges,,,296.31,83,,percent of total billed charges,,,,,,,,,,,,,,,296.31,83,,percent of total billed charges,,,339.15,95,,percent of total billed charges,,,321.3,90,,percent of total billed charges,,,321.3,90,,percent of total billed charges,,,292.74,82,,percent of total billed charges,,,321.3,90,,percent of total billed charges,,,303.45,85,,percent of total billed charges,,269.18,339.15, SYNTHES SCREW CANNULATED 6.5X75MM,30183961,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES 7 HOLE RECON PLATE,30183963,CDM,,,278,RC,inpatient,,4900.68,4900.68,,4160.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3695.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4165.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4312.6,88,,percent of total billed charges,,,,,,,,,3744.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4459.62,91,,percent of total billed charges,,,4655.65,95,,percent of total billed charges,,,4067.56,83,,percent of total billed charges,,,4067.56,83,,percent of total billed charges,,,,,,,,,,,,,,,4067.56,83,,percent of total billed charges,,,4655.65,95,,percent of total billed charges,,,4410.61,90,,percent of total billed charges,,,4410.61,90,,percent of total billed charges,,,4018.56,82,,percent of total billed charges,,,4410.61,90,,percent of total billed charges,,,4165.58,85,,percent of total billed charges,,3695.11,4655.65, DEPUY INSERT AOX SZ 8 7MM,30183965,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, DEPUY LINER ALTRX NEUT 28 X 48,30183966,CDM,,,278,RC,inpatient,,10729.29,10729.29,,9109.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8089.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9119.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9441.78,88,,percent of total billed charges,,,,,,,,,8197.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9763.65,91,,percent of total billed charges,,,10192.83,95,,percent of total billed charges,,,8905.31,83,,percent of total billed charges,,,8905.31,83,,percent of total billed charges,,,,,,,,,,,,,,,8905.31,83,,percent of total billed charges,,,10192.83,95,,percent of total billed charges,,,9656.36,90,,percent of total billed charges,,,9656.36,90,,percent of total billed charges,,,8798.02,82,,percent of total billed charges,,,9656.36,90,,percent of total billed charges,,,9119.9,85,,percent of total billed charges,,8089.88,10192.83, DEPUY BIOLOX TS HEAD 28MM +5,30183967,CDM,,,278,RC,inpatient,,13897.78,13897.78,,11799.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10478.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11813.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12230.05,88,,percent of total billed charges,,,,,,,,,10617.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12646.98,91,,percent of total billed charges,,,13202.89,95,,percent of total billed charges,,,11535.16,83,,percent of total billed charges,,,11535.16,83,,percent of total billed charges,,,,,,,,,,,,,,,11535.16,83,,percent of total billed charges,,,13202.89,95,,percent of total billed charges,,,12508,90,,percent of total billed charges,,,12508,90,,percent of total billed charges,,,11396.18,82,,percent of total billed charges,,,12508,90,,percent of total billed charges,,,11813.11,85,,percent of total billed charges,,10478.93,13202.89, CONFORMIS IUNI G2 RIGHT MEDIAL IMPLANT K,30183971,CDM,,,278,RC,inpatient,,39000,39000,,33111,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29406,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33150,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34320,88,,percent of total billed charges,,,,,,,,,29796,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35490,91,,percent of total billed charges,,,37050,95,,percent of total billed charges,,,32370,83,,percent of total billed charges,,,32370,83,,percent of total billed charges,,,,,,,,,,,,,,,32370,83,,percent of total billed charges,,,37050,95,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,31980,82,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,33150,85,,percent of total billed charges,,29406,37050, BARD CATHETER/ELECTRODE BALLOON PACING,30183972,CDM,,,270,RC,inpatient,,1400.69,1400.69,,1189.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1056.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1190.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1232.61,88,,percent of total billed charges,,,,,,,,,1070.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1274.63,91,,percent of total billed charges,,,1330.66,95,,percent of total billed charges,,,1162.57,83,,percent of total billed charges,,,1162.57,83,,percent of total billed charges,,,,,,,,,,,,,,,1162.57,83,,percent of total billed charges,,,1330.66,95,,percent of total billed charges,,,1260.62,90,,percent of total billed charges,,,1260.62,90,,percent of total billed charges,,,1148.57,82,,percent of total billed charges,,,1260.62,90,,percent of total billed charges,,,1190.59,85,,percent of total billed charges,,1056.12,1330.66, BARD CATHETER/ELECTRODE NBIH BIPOLAR PAC,30183973,CDM,,,270,RC,inpatient,,1144,1144,,971.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,862.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,972.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1006.72,88,,percent of total billed charges,,,,,,,,,874.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1041.04,91,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,,,,,,,,,,,,,949.52,83,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,938.08,82,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,972.4,85,,percent of total billed charges,,862.58,1086.8, BARD CATHETER/ELECTRODE NBIH BIPOLAR PAC,30183974,CDM,,,270,RC,inpatient,,1144,1144,,971.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,862.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,972.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1006.72,88,,percent of total billed charges,,,,,,,,,874.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1041.04,91,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,949.52,83,,percent of total billed charges,,,,,,,,,,,,,,,949.52,83,,percent of total billed charges,,,1086.8,95,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,938.08,82,,percent of total billed charges,,,1029.6,90,,percent of total billed charges,,,972.4,85,,percent of total billed charges,,862.58,1086.8, ZIMMER K-WIRE .035 6 STYLE 7,30183976,CDM,,,278,RC,inpatient,,88.08,88.08,,74.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.51,88,,percent of total billed charges,,,,,,,,,67.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.15,91,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,,,,,,,,,,,,,73.11,83,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,72.23,82,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,74.87,85,,percent of total billed charges,,66.41,83.68, ZIMMER K-WIRE .035 9,30183977,CDM,,,278,RC,inpatient,,88.08,88.08,,74.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.51,88,,percent of total billed charges,,,,,,,,,67.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.15,91,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,,,,,,,,,,,,,73.11,83,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,72.23,82,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,74.87,85,,percent of total billed charges,,66.41,83.68, ZIMMER K-WIRE .045 6 STYLE 7,30183978,CDM,,,278,RC,inpatient,,88.08,88.08,,74.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.51,88,,percent of total billed charges,,,,,,,,,67.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.15,91,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,,,,,,,,,,,,,73.11,83,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,72.23,82,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,74.87,85,,percent of total billed charges,,66.41,83.68, ZIMMER K-WIRE .045 9,30183979,CDM,,,278,RC,inpatient,,88.08,88.08,,74.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.51,88,,percent of total billed charges,,,,,,,,,67.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.15,91,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,,,,,,,,,,,,,73.11,83,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,72.23,82,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,74.87,85,,percent of total billed charges,,66.41,83.68, ZIMMER K-WIRE .062 6,30183980,CDM,,,278,RC,inpatient,,88.08,88.08,,74.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.51,88,,percent of total billed charges,,,,,,,,,67.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.15,91,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,,,,,,,,,,,,,73.11,83,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,72.23,82,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,74.87,85,,percent of total billed charges,,66.41,83.68, ZIMMER K-WIRE .062 9,30183981,CDM,,,278,RC,inpatient,,88.08,88.08,,74.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.51,88,,percent of total billed charges,,,,,,,,,67.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.15,91,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,,,,,,,,,,,,,73.11,83,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,72.23,82,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,74.87,85,,percent of total billed charges,,66.41,83.68, DEPUY FEMUR ATTUNE SZ 6 LT CR,30183982,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY INSERT XLK SZ 5 15MM,30183983,CDM,,,278,RC,inpatient,,14248.52,14248.52,,12096.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10743.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12111.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12538.7,88,,percent of total billed charges,,,,,,,,,10885.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12966.15,91,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,11826.27,83,,percent of total billed charges,,,,,,,,,,,,,,,11826.27,83,,percent of total billed charges,,,13536.09,95,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,11683.79,82,,percent of total billed charges,,,12823.67,90,,percent of total billed charges,,,12111.24,85,,percent of total billed charges,,10743.38,13536.09, LEEP RADIUS LOOP ELECTRODE 2.0 X 2.0,30183984,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81, LEEP RADIUS LOOP ELECTRODE 1.0 X 1.0,30183985,CDM,,,270,RC,inpatient,,189.68,189.68,,161.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,143.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,161.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,166.92,88,,percent of total billed charges,,,,,,,,,144.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,172.61,91,,percent of total billed charges,,,180.2,95,,percent of total billed charges,,,157.43,83,,percent of total billed charges,,,157.43,83,,percent of total billed charges,,,,,,,,,,,,,,,157.43,83,,percent of total billed charges,,,180.2,95,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,155.54,82,,percent of total billed charges,,,170.71,90,,percent of total billed charges,,,161.23,85,,percent of total billed charges,,143.02,180.2, LEEP RADIUS LOOP ELECTRODE 1.5 X 1.5,30183986,CDM,,,270,RC,inpatient,,185.06,185.06,,157.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,162.85,88,,percent of total billed charges,,,,,,,,,141.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.4,91,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,153.6,83,,percent of total billed charges,,,,,,,,,,,,,,,153.6,83,,percent of total billed charges,,,175.81,95,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,151.75,82,,percent of total billed charges,,,166.55,90,,percent of total billed charges,,,157.3,85,,percent of total billed charges,,139.54,175.81, SYNTHES BLADE HELICAL 11MM X 95MM,30183987,CDM,,,278,RC,inpatient,,6630,6630,,5628.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4999.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5635.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5834.4,88,,percent of total billed charges,,,,,,,,,5065.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6033.3,91,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,,,,,,,,,,,,,5502.9,83,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5436.6,82,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5635.5,85,,percent of total billed charges,,4999.02,6298.5, SYNTHES SCREW LOCKING TI 5.0MM X 34MM,30183988,CDM,,,278,RC,inpatient,,2160.28,2160.28,,1834.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1628.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1836.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1901.05,88,,percent of total billed charges,,,,,,,,,1650.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1965.85,91,,percent of total billed charges,,,2052.27,95,,percent of total billed charges,,,1793.03,83,,percent of total billed charges,,,1793.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1793.03,83,,percent of total billed charges,,,2052.27,95,,percent of total billed charges,,,1944.25,90,,percent of total billed charges,,,1944.25,90,,percent of total billed charges,,,1771.43,82,,percent of total billed charges,,,1944.25,90,,percent of total billed charges,,,1836.24,85,,percent of total billed charges,,1628.85,2052.27, SYNTHES SCREW CORTEX 1.3 X 9MM SELF TAP,30183989,CDM,,,278,RC,inpatient,,856.8,856.8,,727.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,646.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,728.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,753.98,88,,percent of total billed charges,,,,,,,,,654.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,779.69,91,,percent of total billed charges,,,813.96,95,,percent of total billed charges,,,711.14,83,,percent of total billed charges,,,711.14,83,,percent of total billed charges,,,,,,,,,,,,,,,711.14,83,,percent of total billed charges,,,813.96,95,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,702.58,82,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,728.28,85,,percent of total billed charges,,646.03,813.96, SYNTHES SCREW CORTEX 1.3 X 10MM,30183990,CDM,,,278,RC,inpatient,,856.8,856.8,,727.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,646.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,728.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,753.98,88,,percent of total billed charges,,,,,,,,,654.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,779.69,91,,percent of total billed charges,,,813.96,95,,percent of total billed charges,,,711.14,83,,percent of total billed charges,,,711.14,83,,percent of total billed charges,,,,,,,,,,,,,,,711.14,83,,percent of total billed charges,,,813.96,95,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,702.58,82,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,728.28,85,,percent of total billed charges,,646.03,813.96, SYNTHES SCREW CORTEX 1.5 X 8MM SELF TAP,30183991,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES SCREW CORTEX 2.0 X 10MM SELF TAP,30183992,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES SCREW CORTEX 2.0 X 12MM SELF TAP,30183993,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES DRILL BIT 1.1MM,30183994,CDM,,,278,RC,inpatient,,795.34,795.34,,675.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,599.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,676.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,699.9,88,,percent of total billed charges,,,,,,,,,607.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,723.76,91,,percent of total billed charges,,,755.57,95,,percent of total billed charges,,,660.13,83,,percent of total billed charges,,,660.13,83,,percent of total billed charges,,,,,,,,,,,,,,,660.13,83,,percent of total billed charges,,,755.57,95,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,652.18,82,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,676.04,85,,percent of total billed charges,,599.69,755.57, SYNTHES DRILL BIT 1.5MM,30183995,CDM,,,278,RC,inpatient,,767.55,767.55,,651.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,578.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,652.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,675.44,88,,percent of total billed charges,,,,,,,,,586.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,698.47,91,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,,,,,,,,,,,,,637.07,83,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,629.39,82,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,652.42,85,,percent of total billed charges,,578.73,729.17, DEPUY HEAD HUMERAL 44 X 15,30183996,CDM,,,278,RC,inpatient,,15560.09,15560.09,,13210.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11732.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13226.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13692.88,88,,percent of total billed charges,,,,,,,,,11887.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14159.68,91,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,12914.87,83,,percent of total billed charges,,,,,,,,,,,,,,,12914.87,83,,percent of total billed charges,,,14782.09,95,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,12759.27,82,,percent of total billed charges,,,14004.08,90,,percent of total billed charges,,,13226.08,85,,percent of total billed charges,,11732.31,14782.09, DEPUY STEM HUMERAL SZ 16,30183997,CDM,,,278,RC,inpatient,,17244.96,17244.96,,14640.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13002.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14658.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15175.56,88,,percent of total billed charges,,,,,,,,,13175.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15692.91,91,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,14313.32,83,,percent of total billed charges,,,,,,,,,,,,,,,14313.32,83,,percent of total billed charges,,,16382.71,95,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14140.87,82,,percent of total billed charges,,,15520.46,90,,percent of total billed charges,,,14658.22,85,,percent of total billed charges,,13002.7,16382.71, ALLOSOURCE PATELLA TENDON ASCEPTIC PRESH,30183998,CDM,,,278,RC,inpatient,,18232.5,18232.5,,15479.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13747.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15497.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16044.6,88,,percent of total billed charges,,,,,,,,,13929.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16591.58,91,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,15132.98,83,,percent of total billed charges,,,,,,,,,,,,,,,15132.98,83,,percent of total billed charges,,,17320.88,95,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,14950.65,82,,percent of total billed charges,,,16409.25,90,,percent of total billed charges,,,15497.63,85,,percent of total billed charges,,13747.31,17320.88, FORCEP DISP. POLYGRAB 20MM,30183999,CDM,,,270,RC,inpatient,,468.2,468.2,,397.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,353.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,397.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,412.02,88,,percent of total billed charges,,,,,,,,,357.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,426.06,91,,percent of total billed charges,,,444.79,95,,percent of total billed charges,,,388.61,83,,percent of total billed charges,,,388.61,83,,percent of total billed charges,,,,,,,,,,,,,,,388.61,83,,percent of total billed charges,,,444.79,95,,percent of total billed charges,,,421.38,90,,percent of total billed charges,,,421.38,90,,percent of total billed charges,,,383.92,82,,percent of total billed charges,,,421.38,90,,percent of total billed charges,,,397.97,85,,percent of total billed charges,,353.02,444.79, SYNTHES SCREW LOCKING 4.0MM X 38,30184000,CDM,,,278,RC,inpatient,,1640.93,1640.93,,1393.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1237.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1394.79,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1444.02,88,,percent of total billed charges,,,,,,,,,1253.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1493.25,91,,percent of total billed charges,,,1558.88,95,,percent of total billed charges,,,1361.97,83,,percent of total billed charges,,,1361.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1361.97,83,,percent of total billed charges,,,1558.88,95,,percent of total billed charges,,,1476.84,90,,percent of total billed charges,,,1476.84,90,,percent of total billed charges,,,1345.56,82,,percent of total billed charges,,,1476.84,90,,percent of total billed charges,,,1394.79,85,,percent of total billed charges,,1237.26,1558.88, S&N DRILL GUIDE 2.9MM,30184002,CDM,,,270,RC,inpatient,,2710.5,2710.5,,2301.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2043.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2303.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2385.24,88,,percent of total billed charges,,,,,,,,,2070.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2466.56,91,,percent of total billed charges,,,2574.98,95,,percent of total billed charges,,,2249.72,83,,percent of total billed charges,,,2249.72,83,,percent of total billed charges,,,,,,,,,,,,,,,2249.72,83,,percent of total billed charges,,,2574.98,95,,percent of total billed charges,,,2439.45,90,,percent of total billed charges,,,2439.45,90,,percent of total billed charges,,,2222.61,82,,percent of total billed charges,,,2439.45,90,,percent of total billed charges,,,2303.93,85,,percent of total billed charges,,2043.72,2574.98, SYNTHES SCREW CANCEL 6.5X35MM,30184003,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCEL 6.5X25MM,30184004,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, S&N ENDO SCREW 7 X 20,30184005,CDM,,,278,RC,inpatient,,1235,1235,,1048.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,931.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1049.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1086.8,88,,percent of total billed charges,,,,,,,,,943.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1123.85,91,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,,,,,,,,,,,,,1025.05,83,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1012.7,82,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1049.75,85,,percent of total billed charges,,931.19,1173.25, STONE SWEEPING PARACHUTE 90 CM,30184008,CDM,,,270,RC,inpatient,,2068.63,2068.63,,1756.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1559.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1758.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1820.39,88,,percent of total billed charges,,,,,,,,,1580.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1882.45,91,,percent of total billed charges,,,1965.2,95,,percent of total billed charges,,,1716.96,83,,percent of total billed charges,,,1716.96,83,,percent of total billed charges,,,,,,,,,,,,,,,1716.96,83,,percent of total billed charges,,,1965.2,95,,percent of total billed charges,,,1861.77,90,,percent of total billed charges,,,1861.77,90,,percent of total billed charges,,,1696.28,82,,percent of total billed charges,,,1861.77,90,,percent of total billed charges,,,1758.34,85,,percent of total billed charges,,1559.75,1965.2, STONE BASKET ESCAPE 90CM,30184009,CDM,,,270,RC,inpatient,,2704.65,2704.65,,2296.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2039.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2298.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2380.09,88,,percent of total billed charges,,,,,,,,,2066.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2461.23,91,,percent of total billed charges,,,2569.42,95,,percent of total billed charges,,,2244.86,83,,percent of total billed charges,,,2244.86,83,,percent of total billed charges,,,,,,,,,,,,,,,2244.86,83,,percent of total billed charges,,,2569.42,95,,percent of total billed charges,,,2434.19,90,,percent of total billed charges,,,2434.19,90,,percent of total billed charges,,,2217.81,82,,percent of total billed charges,,,2434.19,90,,percent of total billed charges,,,2298.95,85,,percent of total billed charges,,2039.31,2569.42, S&N SCREW CANN 1.5 8X20 SOFT SILK,30184011,CDM,,,278,RC,inpatient,,1235,1235,,1048.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,931.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1049.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1086.8,88,,percent of total billed charges,,,,,,,,,943.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1123.85,91,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,,,,,,,,,,,,,1025.05,83,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1012.7,82,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1049.75,85,,percent of total billed charges,,931.19,1173.25, DEPUY LINER CONSTRAINED +4 40 X 64,30184014,CDM,,,278,RC,inpatient,,39314.21,39314.21,,33377.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29642.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33417.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34596.5,88,,percent of total billed charges,,,,,,,,,30036.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35775.93,91,,percent of total billed charges,,,37348.5,95,,percent of total billed charges,,,32630.79,83,,percent of total billed charges,,,32630.79,83,,percent of total billed charges,,,,,,,,,,,,,,,32630.79,83,,percent of total billed charges,,,37348.5,95,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,32237.65,82,,percent of total billed charges,,,35382.79,90,,percent of total billed charges,,,33417.08,85,,percent of total billed charges,,29642.91,37348.5, ZIMMER FEMORAL HEAD 40MM +3.5,30184015,CDM,,,278,RC,inpatient,,6648.98,6648.98,,5644.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5013.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5651.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5851.1,88,,percent of total billed charges,,,,,,,,,5079.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6050.57,91,,percent of total billed charges,,,6316.53,95,,percent of total billed charges,,,5518.65,83,,percent of total billed charges,,,5518.65,83,,percent of total billed charges,,,,,,,,,,,,,,,5518.65,83,,percent of total billed charges,,,6316.53,95,,percent of total billed charges,,,5984.08,90,,percent of total billed charges,,,5984.08,90,,percent of total billed charges,,,5452.16,82,,percent of total billed charges,,,5984.08,90,,percent of total billed charges,,,5651.63,85,,percent of total billed charges,,5013.33,6316.53, BRAVO BUFFER PH 7.01 500ML,30184016,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, BRAVO BUFFER PH 1.07 500ML,30184017,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, COUDE CATH 22FR LUBRICATH,30184019,CDM,,,270,RC,inpatient,,88.72,88.72,,75.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,75.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,78.07,88,,percent of total billed charges,,,,,,,,,67.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.74,91,,percent of total billed charges,,,84.28,95,,percent of total billed charges,,,73.64,83,,percent of total billed charges,,,73.64,83,,percent of total billed charges,,,,,,,,,,,,,,,73.64,83,,percent of total billed charges,,,84.28,95,,percent of total billed charges,,,79.85,90,,percent of total billed charges,,,79.85,90,,percent of total billed charges,,,72.75,82,,percent of total billed charges,,,79.85,90,,percent of total billed charges,,,75.41,85,,percent of total billed charges,,66.89,84.28, 3FR OLIVE TIP URETERAL CATHETER,30184020,CDM,,,270,RC,inpatient,,610.89,610.89,,518.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,460.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,519.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,537.58,88,,percent of total billed charges,,,,,,,,,466.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,555.91,91,,percent of total billed charges,,,580.35,95,,percent of total billed charges,,,507.04,83,,percent of total billed charges,,,507.04,83,,percent of total billed charges,,,,,,,,,,,,,,,507.04,83,,percent of total billed charges,,,580.35,95,,percent of total billed charges,,,549.8,90,,percent of total billed charges,,,549.8,90,,percent of total billed charges,,,500.93,82,,percent of total billed charges,,,549.8,90,,percent of total billed charges,,,519.26,85,,percent of total billed charges,,460.61,580.35, ZIMMER STEM REV. WAGNER 135 NK ANGLE 14X,30184021,CDM,,,278,RC,inpatient,,73125,73125,,62083.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,55136.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,62156.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,64350,88,,percent of total billed charges,,,,,,,,,55867.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,66543.75,91,,percent of total billed charges,,,69468.75,95,,percent of total billed charges,,,60693.75,83,,percent of total billed charges,,,60693.75,83,,percent of total billed charges,,,,,,,,,,,,,,,60693.75,83,,percent of total billed charges,,,69468.75,95,,percent of total billed charges,,,65812.5,90,,percent of total billed charges,,,65812.5,90,,percent of total billed charges,,,59962.5,82,,percent of total billed charges,,,65812.5,90,,percent of total billed charges,,,62156.25,85,,percent of total billed charges,,55136.25,69468.75, ZIMMER HEAD FEMORAL 40MM 12/14 +3.5,30184022,CDM,,,278,RC,inpatient,,6648.98,6648.98,,5644.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5013.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5651.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5851.1,88,,percent of total billed charges,,,,,,,,,5079.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6050.57,91,,percent of total billed charges,,,6316.53,95,,percent of total billed charges,,,5518.65,83,,percent of total billed charges,,,5518.65,83,,percent of total billed charges,,,,,,,,,,,,,,,5518.65,83,,percent of total billed charges,,,6316.53,95,,percent of total billed charges,,,5984.08,90,,percent of total billed charges,,,5984.08,90,,percent of total billed charges,,,5452.16,82,,percent of total billed charges,,,5984.08,90,,percent of total billed charges,,,5651.63,85,,percent of total billed charges,,5013.33,6316.53, S&N Q-FIX 1.8MM MINI SUTURE ANCHOR,30184023,CDM,,,278,RC,inpatient,,4854.85,4854.85,,4121.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3660.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4126.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4272.27,88,,percent of total billed charges,,,,,,,,,3709.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4417.91,91,,percent of total billed charges,,,4612.11,95,,percent of total billed charges,,,4029.53,83,,percent of total billed charges,,,4029.53,83,,percent of total billed charges,,,,,,,,,,,,,,,4029.53,83,,percent of total billed charges,,,4612.11,95,,percent of total billed charges,,,4369.37,90,,percent of total billed charges,,,4369.37,90,,percent of total billed charges,,,3980.98,82,,percent of total billed charges,,,4369.37,90,,percent of total billed charges,,,4126.62,85,,percent of total billed charges,,3660.56,4612.11, S&N KIT DISP. FOR 1.8MM Q-FIX,30184024,CDM,,,278,RC,inpatient,,3783,3783,,3211.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2852.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3215.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3329.04,88,,percent of total billed charges,,,,,,,,,2890.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3442.53,91,,percent of total billed charges,,,3593.85,95,,percent of total billed charges,,,3139.89,83,,percent of total billed charges,,,3139.89,83,,percent of total billed charges,,,,,,,,,,,,,,,3139.89,83,,percent of total billed charges,,,3593.85,95,,percent of total billed charges,,,3404.7,90,,percent of total billed charges,,,3404.7,90,,percent of total billed charges,,,3102.06,82,,percent of total billed charges,,,3404.7,90,,percent of total billed charges,,,3215.55,85,,percent of total billed charges,,2852.38,3593.85, S&N Q-FIX 2.8MM,30184025,CDM,,,278,RC,inpatient,,3984.5,3984.5,,3382.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3004.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3386.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3506.36,88,,percent of total billed charges,,,,,,,,,3044.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3625.9,91,,percent of total billed charges,,,3785.28,95,,percent of total billed charges,,,3307.14,83,,percent of total billed charges,,,3307.14,83,,percent of total billed charges,,,,,,,,,,,,,,,3307.14,83,,percent of total billed charges,,,3785.28,95,,percent of total billed charges,,,3586.05,90,,percent of total billed charges,,,3586.05,90,,percent of total billed charges,,,3267.29,82,,percent of total billed charges,,,3586.05,90,,percent of total billed charges,,,3386.83,85,,percent of total billed charges,,3004.31,3785.28, S&N KIT DISP. FOR 2.8MM Q-FIX,30184026,CDM,,,278,RC,inpatient,,3315,3315,,2814.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2499.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2817.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2917.2,88,,percent of total billed charges,,,,,,,,,2532.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3016.65,91,,percent of total billed charges,,,3149.25,95,,percent of total billed charges,,,2751.45,83,,percent of total billed charges,,,2751.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2751.45,83,,percent of total billed charges,,,3149.25,95,,percent of total billed charges,,,2983.5,90,,percent of total billed charges,,,2983.5,90,,percent of total billed charges,,,2718.3,82,,percent of total billed charges,,,2983.5,90,,percent of total billed charges,,,2817.75,85,,percent of total billed charges,,2499.51,3149.25, ARTHREX WIRE LOOP NITINOL,30184027,CDM,,,270,RC,inpatient,,210,210,,178.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,158.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,178.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,184.8,88,,percent of total billed charges,,,,,,,,,160.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,191.1,91,,percent of total billed charges,,,199.5,95,,percent of total billed charges,,,174.3,83,,percent of total billed charges,,,174.3,83,,percent of total billed charges,,,,,,,,,,,,,,,174.3,83,,percent of total billed charges,,,199.5,95,,percent of total billed charges,,,189,90,,percent of total billed charges,,,189,90,,percent of total billed charges,,,172.2,82,,percent of total billed charges,,,189,90,,percent of total billed charges,,,178.5,85,,percent of total billed charges,,158.34,199.5, SYNTHES PLATE LC-DCP 6 HOLE 2.0MM,30184028,CDM,,,278,RC,inpatient,,4187.95,4187.95,,3555.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3157.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3559.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3685.4,88,,percent of total billed charges,,,,,,,,,3199.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3811.03,91,,percent of total billed charges,,,3978.55,95,,percent of total billed charges,,,3476,83,,percent of total billed charges,,,3476,83,,percent of total billed charges,,,,,,,,,,,,,,,3476,83,,percent of total billed charges,,,3978.55,95,,percent of total billed charges,,,3769.16,90,,percent of total billed charges,,,3769.16,90,,percent of total billed charges,,,3434.12,82,,percent of total billed charges,,,3769.16,90,,percent of total billed charges,,,3559.76,85,,percent of total billed charges,,3157.71,3978.55, SYNTHES SCREW CORTEX 2.0 X 11MM SELF TAP,30184029,CDM,,,278,RC,inpatient,,368.9,368.9,,313.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,278.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.57,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.63,88,,percent of total billed charges,,,,,,,,,281.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.7,91,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,306.19,83,,percent of total billed charges,,,,,,,,,,,,,,,306.19,83,,percent of total billed charges,,,350.46,95,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,302.5,82,,percent of total billed charges,,,332.01,90,,percent of total billed charges,,,313.57,85,,percent of total billed charges,,278.15,350.46, SYNTHES DRILL BIT MQC 1.3MM,30184030,CDM,,,278,RC,inpatient,,767.55,767.55,,651.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,578.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,652.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,675.44,88,,percent of total billed charges,,,,,,,,,586.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,698.47,91,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,637.07,83,,percent of total billed charges,,,,,,,,,,,,,,,637.07,83,,percent of total billed charges,,,729.17,95,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,629.39,82,,percent of total billed charges,,,690.8,90,,percent of total billed charges,,,652.42,85,,percent of total billed charges,,578.73,729.17, SYNTHES SCREW CORTEX 1.3 X 11MM,30184031,CDM,,,278,RC,inpatient,,856.8,856.8,,727.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,646.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,728.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,753.98,88,,percent of total billed charges,,,,,,,,,654.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,779.69,91,,percent of total billed charges,,,813.96,95,,percent of total billed charges,,,711.14,83,,percent of total billed charges,,,711.14,83,,percent of total billed charges,,,,,,,,,,,,,,,711.14,83,,percent of total billed charges,,,813.96,95,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,702.58,82,,percent of total billed charges,,,771.12,90,,percent of total billed charges,,,728.28,85,,percent of total billed charges,,646.03,813.96, ALLODERM 9.6X19.3CM FENESTRATED CONTOURE,30184032,CDM,,,278,RC,inpatient,,41119,41119,,34910.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31003.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34951.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36184.72,88,,percent of total billed charges,,,,,,,,,31414.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37418.29,91,,percent of total billed charges,,,39063.05,95,,percent of total billed charges,,,34128.77,83,,percent of total billed charges,,,34128.77,83,,percent of total billed charges,,,,,,,,,,,,,,,34128.77,83,,percent of total billed charges,,,39063.05,95,,percent of total billed charges,,,37007.1,90,,percent of total billed charges,,,37007.1,90,,percent of total billed charges,,,33717.58,82,,percent of total billed charges,,,37007.1,90,,percent of total billed charges,,,34951.15,85,,percent of total billed charges,,31003.73,39063.05, STRYKER SHAVER LONG HIP AGGR. PLUS 4.0,30184033,CDM,,,270,RC,inpatient,,641.62,641.62,,544.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,483.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,545.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,564.63,88,,percent of total billed charges,,,,,,,,,490.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,583.87,91,,percent of total billed charges,,,609.54,95,,percent of total billed charges,,,532.54,83,,percent of total billed charges,,,532.54,83,,percent of total billed charges,,,,,,,,,,,,,,,532.54,83,,percent of total billed charges,,,609.54,95,,percent of total billed charges,,,577.46,90,,percent of total billed charges,,,577.46,90,,percent of total billed charges,,,526.13,82,,percent of total billed charges,,,577.46,90,,percent of total billed charges,,,545.38,85,,percent of total billed charges,,483.78,609.54, STRYKER BURR BARREL 5.5,30184034,CDM,,,270,RC,inpatient,,680.4,680.4,,577.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,513.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,578.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,598.75,88,,percent of total billed charges,,,,,,,,,519.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,619.16,91,,percent of total billed charges,,,646.38,95,,percent of total billed charges,,,564.73,83,,percent of total billed charges,,,564.73,83,,percent of total billed charges,,,,,,,,,,,,,,,564.73,83,,percent of total billed charges,,,646.38,95,,percent of total billed charges,,,612.36,90,,percent of total billed charges,,,612.36,90,,percent of total billed charges,,,557.93,82,,percent of total billed charges,,,612.36,90,,percent of total billed charges,,,578.34,85,,percent of total billed charges,,513.02,646.38, S&N PERINEAL PAD SUPINE,30184035,CDM,,,270,RC,inpatient,,639.45,639.45,,542.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,482.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,543.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,562.72,88,,percent of total billed charges,,,,,,,,,488.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,581.9,91,,percent of total billed charges,,,607.48,95,,percent of total billed charges,,,530.74,83,,percent of total billed charges,,,530.74,83,,percent of total billed charges,,,,,,,,,,,,,,,530.74,83,,percent of total billed charges,,,607.48,95,,percent of total billed charges,,,575.51,90,,percent of total billed charges,,,575.51,90,,percent of total billed charges,,,524.35,82,,percent of total billed charges,,,575.51,90,,percent of total billed charges,,,543.53,85,,percent of total billed charges,,482.15,607.48, S&N HIP PAC DISP.,30184036,CDM,,,270,RC,inpatient,,1808.63,1808.63,,1535.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1363.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1537.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1591.59,88,,percent of total billed charges,,,,,,,,,1381.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1645.85,91,,percent of total billed charges,,,1718.2,95,,percent of total billed charges,,,1501.16,83,,percent of total billed charges,,,1501.16,83,,percent of total billed charges,,,,,,,,,,,,,,,1501.16,83,,percent of total billed charges,,,1718.2,95,,percent of total billed charges,,,1627.77,90,,percent of total billed charges,,,1627.77,90,,percent of total billed charges,,,1483.08,82,,percent of total billed charges,,,1627.77,90,,percent of total billed charges,,,1537.34,85,,percent of total billed charges,,1363.71,1718.2, S&N BEAVER BLADE,30184037,CDM,,,270,RC,inpatient,,256.8,256.8,,218.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,193.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,218.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,225.98,88,,percent of total billed charges,,,,,,,,,196.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,233.69,91,,percent of total billed charges,,,243.96,95,,percent of total billed charges,,,213.14,83,,percent of total billed charges,,,213.14,83,,percent of total billed charges,,,,,,,,,,,,,,,213.14,83,,percent of total billed charges,,,243.96,95,,percent of total billed charges,,,231.12,90,,percent of total billed charges,,,231.12,90,,percent of total billed charges,,,210.58,82,,percent of total billed charges,,,231.12,90,,percent of total billed charges,,,218.28,85,,percent of total billed charges,,193.63,243.96, S&N WAND 50 DEG CROSS RF-S,30184038,CDM,,,270,RC,inpatient,,1261,1261,,1070.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,950.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1071.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1109.68,88,,percent of total billed charges,,,,,,,,,963.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1147.51,91,,percent of total billed charges,,,1197.95,95,,percent of total billed charges,,,1046.63,83,,percent of total billed charges,,,1046.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1046.63,83,,percent of total billed charges,,,1197.95,95,,percent of total billed charges,,,1134.9,90,,percent of total billed charges,,,1134.9,90,,percent of total billed charges,,,1034.02,82,,percent of total billed charges,,,1134.9,90,,percent of total billed charges,,,1071.85,85,,percent of total billed charges,,950.79,1197.95, S&N SUTURE ANCHOR KNOTLESS BIORAPTOR,30184039,CDM,,,270,RC,inpatient,,2736.83,2736.83,,2323.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2063.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2326.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2408.41,88,,percent of total billed charges,,,,,,,,,2090.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2490.52,91,,percent of total billed charges,,,2599.99,95,,percent of total billed charges,,,2271.57,83,,percent of total billed charges,,,2271.57,83,,percent of total billed charges,,,,,,,,,,,,,,,2271.57,83,,percent of total billed charges,,,2599.99,95,,percent of total billed charges,,,2463.15,90,,percent of total billed charges,,,2463.15,90,,percent of total billed charges,,,2244.2,82,,percent of total billed charges,,,2463.15,90,,percent of total billed charges,,,2326.31,85,,percent of total billed charges,,2063.57,2599.99, S&N ULTRABRAID #2,30184040,CDM,,,270,RC,inpatient,,157.6,157.6,,133.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,118.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,133.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,138.69,88,,percent of total billed charges,,,,,,,,,120.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,143.42,91,,percent of total billed charges,,,149.72,95,,percent of total billed charges,,,130.81,83,,percent of total billed charges,,,130.81,83,,percent of total billed charges,,,,,,,,,,,,,,,130.81,83,,percent of total billed charges,,,149.72,95,,percent of total billed charges,,,141.84,90,,percent of total billed charges,,,141.84,90,,percent of total billed charges,,,129.23,82,,percent of total billed charges,,,141.84,90,,percent of total billed charges,,,133.96,85,,percent of total billed charges,,118.83,149.72, S&N HIP CANNULA 7X90 CLEAR TRAC,30184041,CDM,,,270,RC,inpatient,,240.68,240.68,,204.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,181.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,204.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,211.8,88,,percent of total billed charges,,,,,,,,,183.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,219.02,91,,percent of total billed charges,,,228.65,95,,percent of total billed charges,,,199.76,83,,percent of total billed charges,,,199.76,83,,percent of total billed charges,,,,,,,,,,,,,,,199.76,83,,percent of total billed charges,,,228.65,95,,percent of total billed charges,,,216.61,90,,percent of total billed charges,,,216.61,90,,percent of total billed charges,,,197.36,82,,percent of total billed charges,,,216.61,90,,percent of total billed charges,,,204.58,85,,percent of total billed charges,,181.47,228.65, DEPUY PINNACLE SHELL DPX REVISION 54MM,30184043,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, DEPUY SCREW TF 5x60MM,30184044,CDM,,,278,RC,inpatient,,987.87,987.87,,838.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,744.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,839.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,869.33,88,,percent of total billed charges,,,,,,,,,754.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,898.96,91,,percent of total billed charges,,,938.48,95,,percent of total billed charges,,,819.93,83,,percent of total billed charges,,,819.93,83,,percent of total billed charges,,,,,,,,,,,,,,,819.93,83,,percent of total billed charges,,,938.48,95,,percent of total billed charges,,,889.08,90,,percent of total billed charges,,,889.08,90,,percent of total billed charges,,,810.05,82,,percent of total billed charges,,,889.08,90,,percent of total billed charges,,,839.69,85,,percent of total billed charges,,744.85,938.48, DEPUY INSERT AOX CR SZ 6 6MM,30184047,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, DEPUY ANCHOR PEG GLENOID SZ52,30184048,CDM,,,278,RC,inpatient,,17098.9,17098.9,,14516.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12892.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14534.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15047.03,88,,percent of total billed charges,,,,,,,,,13063.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15560,91,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,,,,,,,,,,,,,14192.09,83,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14021.1,82,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14534.07,85,,percent of total billed charges,,12892.57,16243.96, ARTHREX IMPLANT SYSTEM BIO-COMP ACHILLES,30184049,CDM,,,278,RC,inpatient,,11310,11310,,9602.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8527.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9613.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9952.8,88,,percent of total billed charges,,,,,,,,,8640.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10292.1,91,,percent of total billed charges,,,10744.5,95,,percent of total billed charges,,,9387.3,83,,percent of total billed charges,,,9387.3,83,,percent of total billed charges,,,,,,,,,,,,,,,9387.3,83,,percent of total billed charges,,,10744.5,95,,percent of total billed charges,,,10179,90,,percent of total billed charges,,,10179,90,,percent of total billed charges,,,9274.2,82,,percent of total billed charges,,,10179,90,,percent of total billed charges,,,9613.5,85,,percent of total billed charges,,8527.74,10744.5, CROSSBOW FASCIAL CLOSTURE,30184051,CDM,,,270,RC,inpatient,,560,560,,475.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,422.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,476,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,492.8,88,,percent of total billed charges,,,,,,,,,427.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,509.6,91,,percent of total billed charges,,,532,95,,percent of total billed charges,,,464.8,83,,percent of total billed charges,,,464.8,83,,percent of total billed charges,,,,,,,,,,,,,,,464.8,83,,percent of total billed charges,,,532,95,,percent of total billed charges,,,504,90,,percent of total billed charges,,,504,90,,percent of total billed charges,,,459.2,82,,percent of total billed charges,,,504,90,,percent of total billed charges,,,476,85,,percent of total billed charges,,422.24,532, TRI-FUNNEL REPLACEMENT GASTROSTOMY TUBE,30184052,CDM,,,270,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, CATH STRAIGHT FILIFORM TIP 3FR,30184053,CDM,,,270,RC,inpatient,,501.62,501.62,,425.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,378.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,426.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,441.43,88,,percent of total billed charges,,,,,,,,,383.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,456.47,91,,percent of total billed charges,,,476.54,95,,percent of total billed charges,,,416.34,83,,percent of total billed charges,,,416.34,83,,percent of total billed charges,,,,,,,,,,,,,,,416.34,83,,percent of total billed charges,,,476.54,95,,percent of total billed charges,,,451.46,90,,percent of total billed charges,,,451.46,90,,percent of total billed charges,,,411.33,82,,percent of total billed charges,,,451.46,90,,percent of total billed charges,,,426.38,85,,percent of total billed charges,,378.22,476.54, SUTURE ETHIBOND EXCEL OS-4 30,30184059,CDM,,,270,RC,inpatient,,22.19,22.19,,18.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.53,88,,percent of total billed charges,,,,,,,,,16.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20.19,91,,percent of total billed charges,,,21.08,95,,percent of total billed charges,,,18.42,83,,percent of total billed charges,,,18.42,83,,percent of total billed charges,,,,,,,,,,,,,,,18.42,83,,percent of total billed charges,,,21.08,95,,percent of total billed charges,,,19.97,90,,percent of total billed charges,,,19.97,90,,percent of total billed charges,,,18.2,82,,percent of total billed charges,,,19.97,90,,percent of total billed charges,,,18.86,85,,percent of total billed charges,,16.73,21.08, DEPUY PINNACLE 100 CUP SECTOR II 52MM,30184070,CDM,,,278,RC,inpatient,,20679.88,20679.88,,17557.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15592.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17577.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18198.29,88,,percent of total billed charges,,,,,,,,,15799.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18818.69,91,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,17164.3,83,,percent of total billed charges,,,,,,,,,,,,,,,17164.3,83,,percent of total billed charges,,,19645.89,95,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,16957.5,82,,percent of total billed charges,,,18611.89,90,,percent of total billed charges,,,17577.9,85,,percent of total billed charges,,15592.63,19645.89, DEPUY LINER CERAMIC CESAMAX 52X36,30184071,CDM,,,278,RC,inpatient,,18915.85,18915.85,,16059.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14262.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16078.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16645.95,88,,percent of total billed charges,,,,,,,,,14451.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17213.42,91,,percent of total billed charges,,,17970.06,95,,percent of total billed charges,,,15700.16,83,,percent of total billed charges,,,15700.16,83,,percent of total billed charges,,,,,,,,,,,,,,,15700.16,83,,percent of total billed charges,,,17970.06,95,,percent of total billed charges,,,17024.27,90,,percent of total billed charges,,,17024.27,90,,percent of total billed charges,,,15511,82,,percent of total billed charges,,,17024.27,90,,percent of total billed charges,,,16078.47,85,,percent of total billed charges,,14262.55,17970.06, LEXION PNEUVIEW XE,30184076,CDM,,,270,RC,inpatient,,160,160,,135.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,120.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,136,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,140.8,88,,percent of total billed charges,,,,,,,,,122.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,145.6,91,,percent of total billed charges,,,152,95,,percent of total billed charges,,,132.8,83,,percent of total billed charges,,,132.8,83,,percent of total billed charges,,,,,,,,,,,,,,,132.8,83,,percent of total billed charges,,,152,95,,percent of total billed charges,,,144,90,,percent of total billed charges,,,144,90,,percent of total billed charges,,,131.2,82,,percent of total billed charges,,,144,90,,percent of total billed charges,,,136,85,,percent of total billed charges,,120.64,152, SYNTHES SCREW CORTEX S-T 2.7X10MM,30184078,CDM,,,278,RC,inpatient,,416.5,416.5,,353.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.52,88,,percent of total billed charges,,,,,,,,,318.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.02,91,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,,,,,,,,,,,,,345.7,83,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,341.53,82,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,354.03,85,,percent of total billed charges,,314.04,395.68, SYNTHES SCREW CORTEX S-T 2.7X12MM,30184079,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X26MM,30184081,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X28MM,30184082,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X30MM,30184083,CDM,,,278,RC,inpatient,,416.5,416.5,,353.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.52,88,,percent of total billed charges,,,,,,,,,318.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.02,91,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,,,,,,,,,,,,,345.7,83,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,341.53,82,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,354.03,85,,percent of total billed charges,,314.04,395.68, SYNTHES SCREW CORTEX S-T 2.7X32MM,30184084,CDM,,,278,RC,inpatient,,416.5,416.5,,353.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.52,88,,percent of total billed charges,,,,,,,,,318.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.02,91,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,,,,,,,,,,,,,345.7,83,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,341.53,82,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,354.03,85,,percent of total billed charges,,314.04,395.68, SYNTHES SCREW CORTEX S-T 2.7X34MM,30184085,CDM,,,278,RC,inpatient,,416.5,416.5,,353.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.52,88,,percent of total billed charges,,,,,,,,,318.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.02,91,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,,,,,,,,,,,,,345.7,83,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,341.53,82,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,354.03,85,,percent of total billed charges,,314.04,395.68, SYNTHES SCREW CORTEX S-T 2.7X36MM,30184086,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X38MM,30184087,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X40MM,30184088,CDM,,,278,RC,inpatient,,416.5,416.5,,353.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.52,88,,percent of total billed charges,,,,,,,,,318.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.02,91,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,,,,,,,,,,,,,345.7,83,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,341.53,82,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,354.03,85,,percent of total billed charges,,314.04,395.68, SYNTHES SCREW CORTEX S-T 2.7X45MM,30184089,CDM,,,278,RC,inpatient,,416.5,416.5,,353.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.52,88,,percent of total billed charges,,,,,,,,,318.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.02,91,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,,,,,,,,,,,,,345.7,83,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,341.53,82,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,354.03,85,,percent of total billed charges,,314.04,395.68, SYNTHES SCREW CORTEX S-T 2.7X50MM,30184090,CDM,,,278,RC,inpatient,,416.5,416.5,,353.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.52,88,,percent of total billed charges,,,,,,,,,318.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.02,91,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,345.7,83,,percent of total billed charges,,,,,,,,,,,,,,,345.7,83,,percent of total billed charges,,,395.68,95,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,341.53,82,,percent of total billed charges,,,374.85,90,,percent of total billed charges,,,354.03,85,,percent of total billed charges,,314.04,395.68, SYNTHES SCREW CORTEX S-T 2.7X55MM,30184091,CDM,,,278,RC,inpatient,,481.95,481.95,,409.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,363.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,409.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,424.12,88,,percent of total billed charges,,,,,,,,,368.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,438.57,91,,percent of total billed charges,,,457.85,95,,percent of total billed charges,,,400.02,83,,percent of total billed charges,,,400.02,83,,percent of total billed charges,,,,,,,,,,,,,,,400.02,83,,percent of total billed charges,,,457.85,95,,percent of total billed charges,,,433.76,90,,percent of total billed charges,,,433.76,90,,percent of total billed charges,,,395.2,82,,percent of total billed charges,,,433.76,90,,percent of total billed charges,,,409.66,85,,percent of total billed charges,,363.39,457.85, SYNTHES SCREW LOCKING S-T 2.7X24MM W/STA,30184092,CDM,,,278,RC,inpatient,,1143.87,1143.87,,971.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,862.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,972.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1006.61,88,,percent of total billed charges,,,,,,,,,873.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1040.92,91,,percent of total billed charges,,,1086.68,95,,percent of total billed charges,,,949.41,83,,percent of total billed charges,,,949.41,83,,percent of total billed charges,,,,,,,,,,,,,,,949.41,83,,percent of total billed charges,,,1086.68,95,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,937.97,82,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,972.29,85,,percent of total billed charges,,862.48,1086.68, SYNTHES SCREW LOCKING S-T 2.7X26MM W/STA,30184093,CDM,,,278,RC,inpatient,,1143.87,1143.87,,971.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,862.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,972.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1006.61,88,,percent of total billed charges,,,,,,,,,873.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1040.92,91,,percent of total billed charges,,,1086.68,95,,percent of total billed charges,,,949.41,83,,percent of total billed charges,,,949.41,83,,percent of total billed charges,,,,,,,,,,,,,,,949.41,83,,percent of total billed charges,,,1086.68,95,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,937.97,82,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,972.29,85,,percent of total billed charges,,862.48,1086.68, SYNTHES SCREW CANCELLOUS 4X5MM,30184095,CDM,,,278,RC,inpatient,,236.7,236.7,,200.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,178.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,201.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,208.3,88,,percent of total billed charges,,,,,,,,,180.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,215.4,91,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,,,,,,,,,,,,,196.46,83,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,194.09,82,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,201.2,85,,percent of total billed charges,,178.47,224.87, SYNTHES SCREW CANN. 4X12MM SHORT THREAD,30184096,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANN. 4X14MM SHORT THREAD,30184097,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANN. 4X20MM SHORT THREAD,30184098,CDM,,,278,RC,inpatient,,2063.23,2063.23,,1751.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1555.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1753.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1815.64,88,,percent of total billed charges,,,,,,,,,1576.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1877.54,91,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1712.48,83,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1691.85,82,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1753.75,85,,percent of total billed charges,,1555.68,1960.07, SYNTHES SCREW CANN. 6.5X30MM 16MM THREAD,30184099,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X35MM 16MM THREAD,30184100,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X40MM 16MM THREAD,30184101,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X45MM 16MM THREAD,30184102,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X90MM 16MM THREAD,30184103,CDM,,,278,RC,inpatient,,2696.27,2696.27,,2289.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2032.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2291.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2372.72,88,,percent of total billed charges,,,,,,,,,2059.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2453.61,91,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2237.9,83,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2210.94,82,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2291.83,85,,percent of total billed charges,,2032.99,2561.46, SYNTHES SCREW CANN. 6.5X95MM 16MM THREAD,30184104,CDM,,,278,RC,inpatient,,2696.27,2696.27,,2289.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2032.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2291.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2372.72,88,,percent of total billed charges,,,,,,,,,2059.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2453.61,91,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2237.9,83,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2210.94,82,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2291.83,85,,percent of total billed charges,,2032.99,2561.46, SYNTHES SCREW CANN. 6.5X105MM 16MM THRE,30184105,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X110MM 16MM THRE,30184106,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X115MM 16MM THRE,30184107,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X120MM 16MM THRE,30184108,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X125MM 16MM THRE,30184109,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X130MM 16MM THRE,30184110,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X50MM 32MM THRE,30184111,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X55MM 32MM THREAD,30184112,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X95MM 32MM THRE,30184113,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X100MM 32MM THRE,30184114,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X100MM 32MM THRE,30184115,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X110MM 32MM THRE,30184116,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X115MM 32MM THRE,30184117,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X120MM 32MM THRE,30184118,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X125MM 32MM THRE,30184119,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANN. 6.5X130MM 32MM THRE,30184120,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW LOCKING S-T 3.5X55MM W/STA,30184122,CDM,,,278,RC,inpatient,,1182.35,1182.35,,1003.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,891.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1005,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1040.47,88,,percent of total billed charges,,,,,,,,,903.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1075.94,91,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,981.35,83,,percent of total billed charges,,,,,,,,,,,,,,,981.35,83,,percent of total billed charges,,,1123.23,95,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,969.53,82,,percent of total billed charges,,,1064.12,90,,percent of total billed charges,,,1005,85,,percent of total billed charges,,891.49,1123.23, SYNTHES SCREW CORTEX S-T 4.5X22MM,30184123,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW CORTEX S-T 4.5X24MM,30184124,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW CORTEX S-T 4.5X26MM,30184125,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW CORTEX S-T 4.5X58MM,30184126,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW CANCELLOUS 6.5X45MM 16MM T,30184134,CDM,,,278,RC,inpatient,,916.5,916.5,,778.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,691.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,779.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,806.52,88,,percent of total billed charges,,,,,,,,,700.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,834.02,91,,percent of total billed charges,,,870.68,95,,percent of total billed charges,,,760.7,83,,percent of total billed charges,,,760.7,83,,percent of total billed charges,,,,,,,,,,,,,,,760.7,83,,percent of total billed charges,,,870.68,95,,percent of total billed charges,,,824.85,90,,percent of total billed charges,,,824.85,90,,percent of total billed charges,,,751.53,82,,percent of total billed charges,,,824.85,90,,percent of total billed charges,,,779.03,85,,percent of total billed charges,,691.04,870.68, SYNTHES SCREW CANCELLOUS 6.5X50MM 16MM T,30184135,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X55MM 16MM T,30184136,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X60MM 16MM T,30184137,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X65MM 16MM T,30184138,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X70MM 16MM T,30184139,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X75MM 16MM T,30184140,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X80MM 16MM T,30184141,CDM,,,278,RC,inpatient,,416.64,416.64,,353.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,314.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,354.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,366.64,88,,percent of total billed charges,,,,,,,,,318.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,379.14,91,,percent of total billed charges,,,395.81,95,,percent of total billed charges,,,345.81,83,,percent of total billed charges,,,345.81,83,,percent of total billed charges,,,,,,,,,,,,,,,345.81,83,,percent of total billed charges,,,395.81,95,,percent of total billed charges,,,374.98,90,,percent of total billed charges,,,374.98,90,,percent of total billed charges,,,341.64,82,,percent of total billed charges,,,374.98,90,,percent of total billed charges,,,354.14,85,,percent of total billed charges,,314.15,395.81, SYNTHES SCREW CANCELLOUS 6.5X85MM 16MM T,30184142,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X90MM 16MM T,30184143,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X100MM 16MM,30184144,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X105MM 16MM,30184145,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X110MM 16MM,30184146,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES PLATE LCP 9 HOLE 3.5X124MM,30184147,CDM,,,278,RC,inpatient,,3326.05,3326.05,,2823.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2507.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2827.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2926.92,88,,percent of total billed charges,,,,,,,,,2541.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3026.71,91,,percent of total billed charges,,,3159.75,95,,percent of total billed charges,,,2760.62,83,,percent of total billed charges,,,2760.62,83,,percent of total billed charges,,,,,,,,,,,,,,,2760.62,83,,percent of total billed charges,,,3159.75,95,,percent of total billed charges,,,2993.45,90,,percent of total billed charges,,,2993.45,90,,percent of total billed charges,,,2727.36,82,,percent of total billed charges,,,2993.45,90,,percent of total billed charges,,,2827.14,85,,percent of total billed charges,,2507.84,3159.75, SYNTHES PLATE LCP 10 HOLE 3.5X137MM,30184148,CDM,,,278,RC,inpatient,,3528.27,3528.27,,2995.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2660.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2999.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3104.88,88,,percent of total billed charges,,,,,,,,,2695.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3210.73,91,,percent of total billed charges,,,3351.86,95,,percent of total billed charges,,,2928.46,83,,percent of total billed charges,,,2928.46,83,,percent of total billed charges,,,,,,,,,,,,,,,2928.46,83,,percent of total billed charges,,,3351.86,95,,percent of total billed charges,,,3175.44,90,,percent of total billed charges,,,3175.44,90,,percent of total billed charges,,,2893.18,82,,percent of total billed charges,,,3175.44,90,,percent of total billed charges,,,2999.03,85,,percent of total billed charges,,2660.32,3351.86, SYNTHES PLATE LCP 12 HOLE 3.5X163MM,30184149,CDM,,,278,RC,inpatient,,3779.1,3779.1,,3208.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2849.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3212.24,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3325.61,88,,percent of total billed charges,,,,,,,,,2887.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3438.98,91,,percent of total billed charges,,,3590.15,95,,percent of total billed charges,,,3136.65,83,,percent of total billed charges,,,3136.65,83,,percent of total billed charges,,,,,,,,,,,,,,,3136.65,83,,percent of total billed charges,,,3590.15,95,,percent of total billed charges,,,3401.19,90,,percent of total billed charges,,,3401.19,90,,percent of total billed charges,,,3098.86,82,,percent of total billed charges,,,3401.19,90,,percent of total billed charges,,,3212.24,85,,percent of total billed charges,,2849.44,3590.15, SYNTHES PLATE LCP 14 HOLE 3.5X189MM,30184150,CDM,,,278,RC,inpatient,,5668.65,5668.65,,4812.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4274.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4818.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4988.41,88,,percent of total billed charges,,,,,,,,,4330.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5158.47,91,,percent of total billed charges,,,5385.22,95,,percent of total billed charges,,,4704.98,83,,percent of total billed charges,,,4704.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4704.98,83,,percent of total billed charges,,,5385.22,95,,percent of total billed charges,,,5101.79,90,,percent of total billed charges,,,5101.79,90,,percent of total billed charges,,,4648.29,82,,percent of total billed charges,,,5101.79,90,,percent of total billed charges,,,4818.35,85,,percent of total billed charges,,4274.16,5385.22, SYNTHES SCREW CANCELLOUS 6.5X45MM 32MM T,30184151,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X65MM 32MM T,30184152,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X70MM 32MM T,30184153,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X75MM 32MM T,30184154,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X80MM 32MM T,30184155,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW CANCELLOUS 6.5X85MM 32MM T,30184156,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X90MM 32MM T,30184157,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X95MM 32MM T,30184158,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X100MM 32MM,30184159,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X110MM 32MM,30184161,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CANCELLOUS 6.5X30MM FULLY,30184162,CDM,,,278,RC,inpatient,,392.7,392.7,,333.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,296.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,333.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,345.58,88,,percent of total billed charges,,,,,,,,,300.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,357.36,91,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,325.94,83,,percent of total billed charges,,,,,,,,,,,,,,,325.94,83,,percent of total billed charges,,,373.07,95,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,322.01,82,,percent of total billed charges,,,353.43,90,,percent of total billed charges,,,333.8,85,,percent of total billed charges,,296.1,373.07, SYNTHES SCREW LOCKING S-T 4X16MM,30184163,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES SCREW LOCKING S-T 4X18MM,30184164,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES SCREW LOCKING S-T 4X22MM,30184165,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES SCREW LOCKING S-T 4X46MM,30184166,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES SCREW LOCKING S-T 4X50MM,30184167,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES SCREW LOCKING S-T 4X54MM,30184168,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES SCREW LOCKING S-T 4X58MM,30184169,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES SCREW LOCKING S-T 4X62MM,30184170,CDM,,,278,RC,inpatient,,1342.58,1342.58,,1139.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1012.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1141.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1181.47,88,,percent of total billed charges,,,,,,,,,1025.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1221.75,91,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,1114.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1114.34,83,,percent of total billed charges,,,1275.45,95,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1100.92,82,,percent of total billed charges,,,1208.32,90,,percent of total billed charges,,,1141.19,85,,percent of total billed charges,,1012.31,1275.45, SYNTHES PLATE LCP 4 HOLE 3.5X112MM RIGHT,30184171,CDM,,,278,RC,inpatient,,10199.15,10199.15,,8659.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7690.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8669.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8975.25,88,,percent of total billed charges,,,,,,,,,7792.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9281.23,91,,percent of total billed charges,,,9689.19,95,,percent of total billed charges,,,8465.29,83,,percent of total billed charges,,,8465.29,83,,percent of total billed charges,,,,,,,,,,,,,,,8465.29,83,,percent of total billed charges,,,9689.19,95,,percent of total billed charges,,,9179.24,90,,percent of total billed charges,,,9179.24,90,,percent of total billed charges,,,8363.3,82,,percent of total billed charges,,,9179.24,90,,percent of total billed charges,,,8669.28,85,,percent of total billed charges,,7690.16,9689.19, SYNTHES PLATE LCP 4 HOLE 3.5X112MM LEFT,30184172,CDM,,,278,RC,inpatient,,10199.15,10199.15,,8659.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7690.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8669.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8975.25,88,,percent of total billed charges,,,,,,,,,7792.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9281.23,91,,percent of total billed charges,,,9689.19,95,,percent of total billed charges,,,8465.29,83,,percent of total billed charges,,,8465.29,83,,percent of total billed charges,,,,,,,,,,,,,,,8465.29,83,,percent of total billed charges,,,9689.19,95,,percent of total billed charges,,,9179.24,90,,percent of total billed charges,,,9179.24,90,,percent of total billed charges,,,8363.3,82,,percent of total billed charges,,,9179.24,90,,percent of total billed charges,,,8669.28,85,,percent of total billed charges,,7690.16,9689.19, SYNTHES PLATE LCP 2 HOLE 3.5X86MM RIGHT,30184173,CDM,,,278,RC,inpatient,,9773.73,9773.73,,8297.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7369.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8307.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8600.88,88,,percent of total billed charges,,,,,,,,,7467.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8894.09,91,,percent of total billed charges,,,9285.04,95,,percent of total billed charges,,,8112.2,83,,percent of total billed charges,,,8112.2,83,,percent of total billed charges,,,,,,,,,,,,,,,8112.2,83,,percent of total billed charges,,,9285.04,95,,percent of total billed charges,,,8796.36,90,,percent of total billed charges,,,8796.36,90,,percent of total billed charges,,,8014.46,82,,percent of total billed charges,,,8796.36,90,,percent of total billed charges,,,8307.67,85,,percent of total billed charges,,7369.39,9285.04, SYNTHES PLATE LCP 2 HOLE 3.5X86MM LEFT,30184174,CDM,,,278,RC,inpatient,,9773.73,9773.73,,8297.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7369.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8307.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8600.88,88,,percent of total billed charges,,,,,,,,,7467.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8894.09,91,,percent of total billed charges,,,9285.04,95,,percent of total billed charges,,,8112.2,83,,percent of total billed charges,,,8112.2,83,,percent of total billed charges,,,,,,,,,,,,,,,8112.2,83,,percent of total billed charges,,,9285.04,95,,percent of total billed charges,,,8796.36,90,,percent of total billed charges,,,8796.36,90,,percent of total billed charges,,,8014.46,82,,percent of total billed charges,,,8796.36,90,,percent of total billed charges,,,8307.67,85,,percent of total billed charges,,7369.39,9285.04, SYNTHES PLATE LCP RECON. 3.5X84MM 6 HOLE,30184175,CDM,,,278,RC,inpatient,,4958.79,4958.79,,4210.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3738.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4214.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4363.74,88,,percent of total billed charges,,,,,,,,,3788.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4512.5,91,,percent of total billed charges,,,4710.85,95,,percent of total billed charges,,,4115.8,83,,percent of total billed charges,,,4115.8,83,,percent of total billed charges,,,,,,,,,,,,,,,4115.8,83,,percent of total billed charges,,,4710.85,95,,percent of total billed charges,,,4462.91,90,,percent of total billed charges,,,4462.91,90,,percent of total billed charges,,,4066.21,82,,percent of total billed charges,,,4462.91,90,,percent of total billed charges,,,4214.97,85,,percent of total billed charges,,3738.93,4710.85, SYNTHES PLATE LCP RECON. 3.5X140MM 10HOL,30184176,CDM,,,278,RC,inpatient,,5304,5304,,4503.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3999.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4508.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4667.52,88,,percent of total billed charges,,,,,,,,,4052.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4826.64,91,,percent of total billed charges,,,5038.8,95,,percent of total billed charges,,,4402.32,83,,percent of total billed charges,,,4402.32,83,,percent of total billed charges,,,,,,,,,,,,,,,4402.32,83,,percent of total billed charges,,,5038.8,95,,percent of total billed charges,,,4773.6,90,,percent of total billed charges,,,4773.6,90,,percent of total billed charges,,,4349.28,82,,percent of total billed charges,,,4773.6,90,,percent of total billed charges,,,4508.4,85,,percent of total billed charges,,3999.22,5038.8, SYNTHES T-PLATE LCP OBLIQE RT 3.5X63,30184177,CDM,,,278,RC,inpatient,,3464.18,3464.18,,2941.09,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2611.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2944.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3048.48,88,,percent of total billed charges,,,,,,,,,2646.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3152.4,91,,percent of total billed charges,,,3290.97,95,,percent of total billed charges,,,2875.27,83,,percent of total billed charges,,,2875.27,83,,percent of total billed charges,,,,,,,,,,,,,,,2875.27,83,,percent of total billed charges,,,3290.97,95,,percent of total billed charges,,,3117.76,90,,percent of total billed charges,,,3117.76,90,,percent of total billed charges,,,2840.63,82,,percent of total billed charges,,,3117.76,90,,percent of total billed charges,,,2944.55,85,,percent of total billed charges,,2611.99,3290.97, SYNTHES T-PLATE LCP OBLIQUE RT 3.5X74,30184178,CDM,,,278,RC,inpatient,,3618.88,3618.88,,3072.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2728.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3076.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3184.61,88,,percent of total billed charges,,,,,,,,,2764.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3293.18,91,,percent of total billed charges,,,3437.94,95,,percent of total billed charges,,,3003.67,83,,percent of total billed charges,,,3003.67,83,,percent of total billed charges,,,,,,,,,,,,,,,3003.67,83,,percent of total billed charges,,,3437.94,95,,percent of total billed charges,,,3256.99,90,,percent of total billed charges,,,3256.99,90,,percent of total billed charges,,,2967.48,82,,percent of total billed charges,,,3256.99,90,,percent of total billed charges,,,3076.05,85,,percent of total billed charges,,2728.64,3437.94, SYNTHES T-PLATE LCP OBLIQUE RT 3.5X96,30184179,CDM,,,278,RC,inpatient,,3928.28,3928.28,,3335.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2961.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3339.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3456.89,88,,percent of total billed charges,,,,,,,,,3001.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3574.73,91,,percent of total billed charges,,,3731.87,95,,percent of total billed charges,,,3260.47,83,,percent of total billed charges,,,3260.47,83,,percent of total billed charges,,,,,,,,,,,,,,,3260.47,83,,percent of total billed charges,,,3731.87,95,,percent of total billed charges,,,3535.45,90,,percent of total billed charges,,,3535.45,90,,percent of total billed charges,,,3221.19,82,,percent of total billed charges,,,3535.45,90,,percent of total billed charges,,,3339.04,85,,percent of total billed charges,,2961.92,3731.87, SYNTHES T-PLATE LCP OBLIQUE LT 3.5X52MM,30184180,CDM,,,278,RC,inpatient,,3320.53,3320.53,,2819.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2503.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2822.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2922.07,88,,percent of total billed charges,,,,,,,,,2536.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3021.68,91,,percent of total billed charges,,,3154.5,95,,percent of total billed charges,,,2756.04,83,,percent of total billed charges,,,2756.04,83,,percent of total billed charges,,,,,,,,,,,,,,,2756.04,83,,percent of total billed charges,,,3154.5,95,,percent of total billed charges,,,2988.48,90,,percent of total billed charges,,,2988.48,90,,percent of total billed charges,,,2722.83,82,,percent of total billed charges,,,2988.48,90,,percent of total billed charges,,,2822.45,85,,percent of total billed charges,,2503.68,3154.5, SYNTHES T-PLATE LCP OBLIQUE LT 3.5X63MM,30184181,CDM,,,278,RC,inpatient,,3475.23,3475.23,,2950.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2620.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2953.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3058.2,88,,percent of total billed charges,,,,,,,,,2655.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3162.46,91,,percent of total billed charges,,,3301.47,95,,percent of total billed charges,,,2884.44,83,,percent of total billed charges,,,2884.44,83,,percent of total billed charges,,,,,,,,,,,,,,,2884.44,83,,percent of total billed charges,,,3301.47,95,,percent of total billed charges,,,3127.71,90,,percent of total billed charges,,,3127.71,90,,percent of total billed charges,,,2849.69,82,,percent of total billed charges,,,3127.71,90,,percent of total billed charges,,,2953.95,85,,percent of total billed charges,,2620.32,3301.47, SYNTHES T-PLATE LCP OBLIQUE LT 3.5X74MM,30184182,CDM,,,278,RC,inpatient,,3629.93,3629.93,,3081.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2736.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3085.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3194.34,88,,percent of total billed charges,,,,,,,,,2773.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3303.24,91,,percent of total billed charges,,,3448.43,95,,percent of total billed charges,,,3012.84,83,,percent of total billed charges,,,3012.84,83,,percent of total billed charges,,,,,,,,,,,,,,,3012.84,83,,percent of total billed charges,,,3448.43,95,,percent of total billed charges,,,3266.94,90,,percent of total billed charges,,,3266.94,90,,percent of total billed charges,,,2976.54,82,,percent of total billed charges,,,3266.94,90,,percent of total billed charges,,,3085.44,85,,percent of total billed charges,,2736.97,3448.43, SYNTHES T-PLATE LCP OBLIQUE LT 3.5X96MM,30184183,CDM,,,278,RC,inpatient,,3933.8,3933.8,,3339.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2966.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3343.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3461.74,88,,percent of total billed charges,,,,,,,,,3005.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3579.76,91,,percent of total billed charges,,,3737.11,95,,percent of total billed charges,,,3265.05,83,,percent of total billed charges,,,3265.05,83,,percent of total billed charges,,,,,,,,,,,,,,,3265.05,83,,percent of total billed charges,,,3737.11,95,,percent of total billed charges,,,3540.42,90,,percent of total billed charges,,,3540.42,90,,percent of total billed charges,,,3225.72,82,,percent of total billed charges,,,3540.42,90,,percent of total billed charges,,,3343.73,85,,percent of total billed charges,,2966.09,3737.11, SYNTHES T-PLATE LCP RT ANGLE 3.5X56MM 4H,30184184,CDM,,,278,RC,inpatient,,3055.33,3055.33,,2593.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2303.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2597.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2688.69,88,,percent of total billed charges,,,,,,,,,2334.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2780.35,91,,percent of total billed charges,,,2902.56,95,,percent of total billed charges,,,2535.92,83,,percent of total billed charges,,,2535.92,83,,percent of total billed charges,,,,,,,,,,,,,,,2535.92,83,,percent of total billed charges,,,2902.56,95,,percent of total billed charges,,,2749.8,90,,percent of total billed charges,,,2749.8,90,,percent of total billed charges,,,2505.37,82,,percent of total billed charges,,,2749.8,90,,percent of total billed charges,,,2597.03,85,,percent of total billed charges,,2303.72,2902.56, SYNTHES T-PLATE LCP RT ANGLE 3.5X78MM 6H,30184185,CDM,,,278,RC,inpatient,,3911.7,3911.7,,3321.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2949.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3324.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3442.3,88,,percent of total billed charges,,,,,,,,,2988.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3559.65,91,,percent of total billed charges,,,3716.12,95,,percent of total billed charges,,,3246.71,83,,percent of total billed charges,,,3246.71,83,,percent of total billed charges,,,,,,,,,,,,,,,3246.71,83,,percent of total billed charges,,,3716.12,95,,percent of total billed charges,,,3520.53,90,,percent of total billed charges,,,3520.53,90,,percent of total billed charges,,,3207.59,82,,percent of total billed charges,,,3520.53,90,,percent of total billed charges,,,3324.95,85,,percent of total billed charges,,2949.42,3716.12, SYNTHES T-PLATE LCP RT ANGLE 3.5X87MM 7H,30184186,CDM,,,278,RC,inpatient,,4895.15,4895.15,,4155.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3690.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4160.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4307.73,88,,percent of total billed charges,,,,,,,,,3739.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4454.59,91,,percent of total billed charges,,,4650.39,95,,percent of total billed charges,,,4062.97,83,,percent of total billed charges,,,4062.97,83,,percent of total billed charges,,,,,,,,,,,,,,,4062.97,83,,percent of total billed charges,,,4650.39,95,,percent of total billed charges,,,4405.64,90,,percent of total billed charges,,,4405.64,90,,percent of total billed charges,,,4014.02,82,,percent of total billed charges,,,4405.64,90,,percent of total billed charges,,,4160.88,85,,percent of total billed charges,,3690.94,4650.39, SYNTHES PLATE PROX. FEMUR LCP 4.5X133 2H,30184187,CDM,,,278,RC,inpatient,,16536.33,16536.33,,14039.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12468.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14055.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14551.97,88,,percent of total billed charges,,,,,,,,,12633.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15048.06,91,,percent of total billed charges,,,15709.51,95,,percent of total billed charges,,,13725.15,83,,percent of total billed charges,,,13725.15,83,,percent of total billed charges,,,,,,,,,,,,,,,13725.15,83,,percent of total billed charges,,,15709.51,95,,percent of total billed charges,,,14882.7,90,,percent of total billed charges,,,14882.7,90,,percent of total billed charges,,,13559.79,82,,percent of total billed charges,,,14882.7,90,,percent of total billed charges,,,14055.88,85,,percent of total billed charges,,12468.39,15709.51, SYNTHES PLATE PROX. FEMUR LCP 4.5X169 4H,30184188,CDM,,,278,RC,inpatient,,16762.85,16762.85,,14231.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12639.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14248.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14751.31,88,,percent of total billed charges,,,,,,,,,12806.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15254.19,91,,percent of total billed charges,,,15924.71,95,,percent of total billed charges,,,13913.17,83,,percent of total billed charges,,,13913.17,83,,percent of total billed charges,,,,,,,,,,,,,,,13913.17,83,,percent of total billed charges,,,15924.71,95,,percent of total billed charges,,,15086.57,90,,percent of total billed charges,,,15086.57,90,,percent of total billed charges,,,13745.54,82,,percent of total billed charges,,,15086.57,90,,percent of total billed charges,,,14248.42,85,,percent of total billed charges,,12639.19,15924.71, SYNTHES PLATE PROX. FEMUR LCP 4.5X205 6H,30184189,CDM,,,278,RC,inpatient,,17033.58,17033.58,,14461.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12843.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14478.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14989.55,88,,percent of total billed charges,,,,,,,,,13013.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15500.56,91,,percent of total billed charges,,,16181.9,95,,percent of total billed charges,,,14137.87,83,,percent of total billed charges,,,14137.87,83,,percent of total billed charges,,,,,,,,,,,,,,,14137.87,83,,percent of total billed charges,,,16181.9,95,,percent of total billed charges,,,15330.22,90,,percent of total billed charges,,,15330.22,90,,percent of total billed charges,,,13967.54,82,,percent of total billed charges,,,15330.22,90,,percent of total billed charges,,,14478.54,85,,percent of total billed charges,,12843.32,16181.9, SYNTHES PLATE PROX. FEMUR LCP 4.5X241 8H,30184190,CDM,,,278,RC,inpatient,,17657.9,17657.9,,14991.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13314.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15009.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15538.95,88,,percent of total billed charges,,,,,,,,,13490.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16068.69,91,,percent of total billed charges,,,16775.01,95,,percent of total billed charges,,,14656.06,83,,percent of total billed charges,,,14656.06,83,,percent of total billed charges,,,,,,,,,,,,,,,14656.06,83,,percent of total billed charges,,,16775.01,95,,percent of total billed charges,,,15892.11,90,,percent of total billed charges,,,15892.11,90,,percent of total billed charges,,,14479.48,82,,percent of total billed charges,,,15892.11,90,,percent of total billed charges,,,15009.22,85,,percent of total billed charges,,13314.06,16775.01, SYNTHES PLATE PROX. FEMUR LCP 4.5X313 12,30184192,CDM,,,278,RC,inpatient,,19166.23,19166.23,,16272.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14451.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16291.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16866.28,88,,percent of total billed charges,,,,,,,,,14643,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17441.27,91,,percent of total billed charges,,,18207.92,95,,percent of total billed charges,,,15907.97,83,,percent of total billed charges,,,15907.97,83,,percent of total billed charges,,,,,,,,,,,,,,,15907.97,83,,percent of total billed charges,,,18207.92,95,,percent of total billed charges,,,17249.61,90,,percent of total billed charges,,,17249.61,90,,percent of total billed charges,,,15716.31,82,,percent of total billed charges,,,17249.61,90,,percent of total billed charges,,,16291.3,85,,percent of total billed charges,,14451.34,18207.92, SYNTHES PLATE PROX. FEMUR LCP 4.5X349 14,30184193,CDM,,,278,RC,inpatient,,19392.75,19392.75,,16464.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14622.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16483.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17065.62,88,,percent of total billed charges,,,,,,,,,14816.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17647.4,91,,percent of total billed charges,,,18423.11,95,,percent of total billed charges,,,16095.98,83,,percent of total billed charges,,,16095.98,83,,percent of total billed charges,,,,,,,,,,,,,,,16095.98,83,,percent of total billed charges,,,18423.11,95,,percent of total billed charges,,,17453.48,90,,percent of total billed charges,,,17453.48,90,,percent of total billed charges,,,15902.06,82,,percent of total billed charges,,,17453.48,90,,percent of total billed charges,,,16483.84,85,,percent of total billed charges,,14622.13,18423.11, SYNTHES PLATE PROX. FEMUR LCP 4.5X385 16,30184194,CDM,,,278,RC,inpatient,,20033.65,20033.65,,17008.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15105.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17028.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17629.61,88,,percent of total billed charges,,,,,,,,,15305.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18230.62,91,,percent of total billed charges,,,19031.97,95,,percent of total billed charges,,,16627.93,83,,percent of total billed charges,,,16627.93,83,,percent of total billed charges,,,,,,,,,,,,,,,16627.93,83,,percent of total billed charges,,,19031.97,95,,percent of total billed charges,,,18030.29,90,,percent of total billed charges,,,18030.29,90,,percent of total billed charges,,,16427.59,82,,percent of total billed charges,,,18030.29,90,,percent of total billed charges,,,17028.6,85,,percent of total billed charges,,15105.37,19031.97, SYNTHES PLATE PROX. FEMUR LCP 4.5X421 18,30184195,CDM,,,278,RC,inpatient,,20674.55,20674.55,,17552.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15588.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17573.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18193.6,88,,percent of total billed charges,,,,,,,,,15795.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18813.84,91,,percent of total billed charges,,,19640.82,95,,percent of total billed charges,,,17159.88,83,,percent of total billed charges,,,17159.88,83,,percent of total billed charges,,,,,,,,,,,,,,,17159.88,83,,percent of total billed charges,,,19640.82,95,,percent of total billed charges,,,18607.1,90,,percent of total billed charges,,,18607.1,90,,percent of total billed charges,,,16953.13,82,,percent of total billed charges,,,18607.1,90,,percent of total billed charges,,,17573.37,85,,percent of total billed charges,,15588.61,19640.82, SYNTHES CERCLAGE POSITIONING PIN 4.5MM,30184196,CDM,,,278,RC,inpatient,,1792.57,1792.57,,1521.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1351.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1523.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1577.46,88,,percent of total billed charges,,,,,,,,,1369.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1631.24,91,,percent of total billed charges,,,1702.94,95,,percent of total billed charges,,,1487.83,83,,percent of total billed charges,,,1487.83,83,,percent of total billed charges,,,,,,,,,,,,,,,1487.83,83,,percent of total billed charges,,,1702.94,95,,percent of total billed charges,,,1613.31,90,,percent of total billed charges,,,1613.31,90,,percent of total billed charges,,,1469.91,82,,percent of total billed charges,,,1613.31,90,,percent of total billed charges,,,1523.68,85,,percent of total billed charges,,1351.6,1702.94, SYNTHES PLATE LCP CURVED 4.5X247MM 13HOL,30184197,CDM,,,278,RC,inpatient,,7077.53,7077.53,,6008.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5336.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6015.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6228.23,88,,percent of total billed charges,,,,,,,,,5407.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6440.55,91,,percent of total billed charges,,,6723.65,95,,percent of total billed charges,,,5874.35,83,,percent of total billed charges,,,5874.35,83,,percent of total billed charges,,,,,,,,,,,,,,,5874.35,83,,percent of total billed charges,,,6723.65,95,,percent of total billed charges,,,6369.78,90,,percent of total billed charges,,,6369.78,90,,percent of total billed charges,,,5803.57,82,,percent of total billed charges,,,6369.78,90,,percent of total billed charges,,,6015.9,85,,percent of total billed charges,,5336.46,6723.65, SYNTHES PLATE LCP CURVED 4.5X265MM 14HOL,30184198,CDM,,,278,RC,inpatient,,7436.65,7436.65,,6313.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5607.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6321.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6544.25,88,,percent of total billed charges,,,,,,,,,5681.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6767.35,91,,percent of total billed charges,,,7064.82,95,,percent of total billed charges,,,6172.42,83,,percent of total billed charges,,,6172.42,83,,percent of total billed charges,,,,,,,,,,,,,,,6172.42,83,,percent of total billed charges,,,7064.82,95,,percent of total billed charges,,,6692.99,90,,percent of total billed charges,,,6692.99,90,,percent of total billed charges,,,6098.05,82,,percent of total billed charges,,,6692.99,90,,percent of total billed charges,,,6321.15,85,,percent of total billed charges,,5607.23,7064.82, SYNTHES PLATE LCP CURVED 4.5X282MM 15HOL,30184199,CDM,,,278,RC,inpatient,,8254.35,8254.35,,7007.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6223.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7016.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7263.83,88,,percent of total billed charges,,,,,,,,,6306.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7511.46,91,,percent of total billed charges,,,7841.63,95,,percent of total billed charges,,,6851.11,83,,percent of total billed charges,,,6851.11,83,,percent of total billed charges,,,,,,,,,,,,,,,6851.11,83,,percent of total billed charges,,,7841.63,95,,percent of total billed charges,,,7428.92,90,,percent of total billed charges,,,7428.92,90,,percent of total billed charges,,,6768.57,82,,percent of total billed charges,,,7428.92,90,,percent of total billed charges,,,7016.2,85,,percent of total billed charges,,6223.78,7841.63, SYNTHES PLATE LCP CURVED 4.5X300MM 16HOL,30184200,CDM,,,278,RC,inpatient,,9033.38,9033.38,,7669.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6811.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7678.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7949.37,88,,percent of total billed charges,,,,,,,,,6901.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8220.38,91,,percent of total billed charges,,,8581.71,95,,percent of total billed charges,,,7497.71,83,,percent of total billed charges,,,7497.71,83,,percent of total billed charges,,,,,,,,,,,,,,,7497.71,83,,percent of total billed charges,,,8581.71,95,,percent of total billed charges,,,8130.04,90,,percent of total billed charges,,,8130.04,90,,percent of total billed charges,,,7407.37,82,,percent of total billed charges,,,8130.04,90,,percent of total billed charges,,,7678.37,85,,percent of total billed charges,,6811.17,8581.71, SYNTHES PLATE LCP CURVED 4.5X318MM 17HOL,30184201,CDM,,,278,RC,inpatient,,9469.85,9469.85,,8039.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7140.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8049.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8333.47,88,,percent of total billed charges,,,,,,,,,7234.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8617.56,91,,percent of total billed charges,,,8996.36,95,,percent of total billed charges,,,7859.98,83,,percent of total billed charges,,,7859.98,83,,percent of total billed charges,,,,,,,,,,,,,,,7859.98,83,,percent of total billed charges,,,8996.36,95,,percent of total billed charges,,,8522.87,90,,percent of total billed charges,,,8522.87,90,,percent of total billed charges,,,7765.28,82,,percent of total billed charges,,,8522.87,90,,percent of total billed charges,,,8049.37,85,,percent of total billed charges,,7140.27,8996.36, SYNTHES PLATE LCP CURVED 4.5X336MM 18HOL,30184202,CDM,,,278,RC,inpatient,,10315.18,10315.18,,8757.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7777.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8767.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9077.36,88,,percent of total billed charges,,,,,,,,,7880.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9386.81,91,,percent of total billed charges,,,9799.42,95,,percent of total billed charges,,,8561.6,83,,percent of total billed charges,,,8561.6,83,,percent of total billed charges,,,,,,,,,,,,,,,8561.6,83,,percent of total billed charges,,,9799.42,95,,percent of total billed charges,,,9283.66,90,,percent of total billed charges,,,9283.66,90,,percent of total billed charges,,,8458.45,82,,percent of total billed charges,,,9283.66,90,,percent of total billed charges,,,8767.9,85,,percent of total billed charges,,7777.65,9799.42, SYNTHES CERCALGE POSITIONING PIN 4.5MM,30184203,CDM,,,278,RC,inpatient,,1740.38,1740.38,,1477.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1312.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1479.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1531.53,88,,percent of total billed charges,,,,,,,,,1329.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1583.75,91,,percent of total billed charges,,,1653.36,95,,percent of total billed charges,,,1444.52,83,,percent of total billed charges,,,1444.52,83,,percent of total billed charges,,,,,,,,,,,,,,,1444.52,83,,percent of total billed charges,,,1653.36,95,,percent of total billed charges,,,1566.34,90,,percent of total billed charges,,,1566.34,90,,percent of total billed charges,,,1427.11,82,,percent of total billed charges,,,1566.34,90,,percent of total billed charges,,,1479.32,85,,percent of total billed charges,,1312.25,1653.36, SYNTHES TROCHANTERIC REATTCHMENT DEVICE,30184205,CDM,,,278,RC,inpatient,,18420.35,18420.35,,15638.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13888.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15657.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16209.91,88,,percent of total billed charges,,,,,,,,,14073.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16762.52,91,,percent of total billed charges,,,17499.33,95,,percent of total billed charges,,,15288.89,83,,percent of total billed charges,,,15288.89,83,,percent of total billed charges,,,,,,,,,,,,,,,15288.89,83,,percent of total billed charges,,,17499.33,95,,percent of total billed charges,,,16578.32,90,,percent of total billed charges,,,16578.32,90,,percent of total billed charges,,,15104.69,82,,percent of total billed charges,,,16578.32,90,,percent of total billed charges,,,15657.3,85,,percent of total billed charges,,13888.94,17499.33, SYNTHES TROCHANTERIC REATTCHMENT W/LONG,30184206,CDM,,,278,RC,inpatient,,26547.63,26547.63,,22538.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20016.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22565.49,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,23361.91,88,,percent of total billed charges,,,,,,,,,20282.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24158.34,91,,percent of total billed charges,,,25220.25,95,,percent of total billed charges,,,22034.53,83,,percent of total billed charges,,,22034.53,83,,percent of total billed charges,,,,,,,,,,,,,,,22034.53,83,,percent of total billed charges,,,25220.25,95,,percent of total billed charges,,,23892.87,90,,percent of total billed charges,,,23892.87,90,,percent of total billed charges,,,21769.06,82,,percent of total billed charges,,,23892.87,90,,percent of total billed charges,,,22565.49,85,,percent of total billed charges,,20016.91,25220.25, SYNTHES PLATE DISTAL FIBULA 3H LT 2.7/3.,30184207,CDM,,,278,RC,inpatient,,5850.98,5850.98,,4967.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4411.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4973.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148.86,88,,percent of total billed charges,,,,,,,,,4470.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5324.39,91,,percent of total billed charges,,,5558.43,95,,percent of total billed charges,,,4856.31,83,,percent of total billed charges,,,4856.31,83,,percent of total billed charges,,,,,,,,,,,,,,,4856.31,83,,percent of total billed charges,,,5558.43,95,,percent of total billed charges,,,5265.88,90,,percent of total billed charges,,,5265.88,90,,percent of total billed charges,,,4797.8,82,,percent of total billed charges,,,5265.88,90,,percent of total billed charges,,,4973.33,85,,percent of total billed charges,,4411.64,5558.43, SYNTHES PLATE DISTAL FIBULA 6H LT 2.7/3.,30184208,CDM,,,278,RC,inpatient,,6311.05,6311.05,,5358.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4758.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5364.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5553.72,88,,percent of total billed charges,,,,,,,,,4821.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5743.06,91,,percent of total billed charges,,,5995.5,95,,percent of total billed charges,,,5238.17,83,,percent of total billed charges,,,5238.17,83,,percent of total billed charges,,,,,,,,,,,,,,,5238.17,83,,percent of total billed charges,,,5995.5,95,,percent of total billed charges,,,5679.95,90,,percent of total billed charges,,,5679.95,90,,percent of total billed charges,,,5175.06,82,,percent of total billed charges,,,5679.95,90,,percent of total billed charges,,,5364.39,85,,percent of total billed charges,,4758.53,5995.5, SYNTHES PLATE DISTAL FIBULA 7H RT 2.7/3.,30184209,CDM,,,278,RC,inpatient,,6396.39,6396.39,,5430.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4822.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5436.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5628.82,88,,percent of total billed charges,,,,,,,,,4886.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5820.71,91,,percent of total billed charges,,,6076.57,95,,percent of total billed charges,,,5309,83,,percent of total billed charges,,,5309,83,,percent of total billed charges,,,,,,,,,,,,,,,5309,83,,percent of total billed charges,,,6076.57,95,,percent of total billed charges,,,5756.75,90,,percent of total billed charges,,,5756.75,90,,percent of total billed charges,,,5245.04,82,,percent of total billed charges,,,5756.75,90,,percent of total billed charges,,,5436.93,85,,percent of total billed charges,,4822.88,6076.57, SYNTHES PLATE DISTAL FIBULA 7H LT 2.7/3.,30184210,CDM,,,278,RC,inpatient,,6588.27,6588.27,,5593.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4967.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5600.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5797.68,88,,percent of total billed charges,,,,,,,,,5033.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5995.33,91,,percent of total billed charges,,,6258.86,95,,percent of total billed charges,,,5468.26,83,,percent of total billed charges,,,5468.26,83,,percent of total billed charges,,,,,,,,,,,,,,,5468.26,83,,percent of total billed charges,,,6258.86,95,,percent of total billed charges,,,5929.44,90,,percent of total billed charges,,,5929.44,90,,percent of total billed charges,,,5402.38,82,,percent of total billed charges,,,5929.44,90,,percent of total billed charges,,,5600.03,85,,percent of total billed charges,,4967.56,6258.86, SYNTHES PLATE DISTAL FIBULA 9H RT 2.7/3.,30184211,CDM,,,278,RC,inpatient,,6519.5,6519.5,,5535.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4915.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5541.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5737.16,88,,percent of total billed charges,,,,,,,,,4980.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5932.75,91,,percent of total billed charges,,,6193.53,95,,percent of total billed charges,,,5411.19,83,,percent of total billed charges,,,5411.19,83,,percent of total billed charges,,,,,,,,,,,,,,,5411.19,83,,percent of total billed charges,,,6193.53,95,,percent of total billed charges,,,5867.55,90,,percent of total billed charges,,,5867.55,90,,percent of total billed charges,,,5345.99,82,,percent of total billed charges,,,5867.55,90,,percent of total billed charges,,,5541.58,85,,percent of total billed charges,,4915.7,6193.53, SYNTHES PLATE DISTAL FIBULA 8H LT 2.7/3.,30184212,CDM,,,278,RC,inpatient,,6519.5,6519.5,,5535.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4915.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5541.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5737.16,88,,percent of total billed charges,,,,,,,,,4980.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5932.75,91,,percent of total billed charges,,,6193.53,95,,percent of total billed charges,,,5411.19,83,,percent of total billed charges,,,5411.19,83,,percent of total billed charges,,,,,,,,,,,,,,,5411.19,83,,percent of total billed charges,,,6193.53,95,,percent of total billed charges,,,5867.55,90,,percent of total billed charges,,,5867.55,90,,percent of total billed charges,,,5345.99,82,,percent of total billed charges,,,5867.55,90,,percent of total billed charges,,,5541.58,85,,percent of total billed charges,,4915.7,6193.53, SYNTHES PLATE DISTAL FIBULA 11H RT 2.7/,30184213,CDM,,,278,RC,inpatient,,6618.95,6618.95,,5619.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4990.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5626.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5824.68,88,,percent of total billed charges,,,,,,,,,5056.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6023.24,91,,percent of total billed charges,,,6288,95,,percent of total billed charges,,,5493.73,83,,percent of total billed charges,,,5493.73,83,,percent of total billed charges,,,,,,,,,,,,,,,5493.73,83,,percent of total billed charges,,,6288,95,,percent of total billed charges,,,5957.06,90,,percent of total billed charges,,,5957.06,90,,percent of total billed charges,,,5427.54,82,,percent of total billed charges,,,5957.06,90,,percent of total billed charges,,,5626.11,85,,percent of total billed charges,,4990.69,6288, SYNTHES PLATE DISTAL FIBULA 11H LT 2.7/,30184214,CDM,,,278,RC,inpatient,,6618.95,6618.95,,5619.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4990.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5626.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5824.68,88,,percent of total billed charges,,,,,,,,,5056.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6023.24,91,,percent of total billed charges,,,6288,95,,percent of total billed charges,,,5493.73,83,,percent of total billed charges,,,5493.73,83,,percent of total billed charges,,,,,,,,,,,,,,,5493.73,83,,percent of total billed charges,,,6288,95,,percent of total billed charges,,,5957.06,90,,percent of total billed charges,,,5957.06,90,,percent of total billed charges,,,5427.54,82,,percent of total billed charges,,,5957.06,90,,percent of total billed charges,,,5626.11,85,,percent of total billed charges,,4990.69,6288, DUPLOTIP APPLICATOR 320 FOR TISSEEL,30184215,CDM,,,270,RC,inpatient,,402.15,402.15,,341.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,303.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,341.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,353.89,88,,percent of total billed charges,,,,,,,,,307.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,365.96,91,,percent of total billed charges,,,382.04,95,,percent of total billed charges,,,333.78,83,,percent of total billed charges,,,333.78,83,,percent of total billed charges,,,,,,,,,,,,,,,333.78,83,,percent of total billed charges,,,382.04,95,,percent of total billed charges,,,361.94,90,,percent of total billed charges,,,361.94,90,,percent of total billed charges,,,329.76,82,,percent of total billed charges,,,361.94,90,,percent of total billed charges,,,341.83,85,,percent of total billed charges,,303.22,382.04, ARTHREX SUTURE ANCHOR BC 4.75 X 24.5MM,30184224,CDM,,,278,RC,inpatient,,2730,2730,,2317.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2058.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2320.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2402.4,88,,percent of total billed charges,,,,,,,,,2085.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2484.3,91,,percent of total billed charges,,,2593.5,95,,percent of total billed charges,,,2265.9,83,,percent of total billed charges,,,2265.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2265.9,83,,percent of total billed charges,,,2593.5,95,,percent of total billed charges,,,2457,90,,percent of total billed charges,,,2457,90,,percent of total billed charges,,,2238.6,82,,percent of total billed charges,,,2457,90,,percent of total billed charges,,,2320.5,85,,percent of total billed charges,,2058.42,2593.5, *SYNTHES SCREW CORTEX ST TI 2.4MM X 12,30184225,CDM,,,278,RC,inpatient,,1105,1105,,938.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,833.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,939.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,972.4,88,,percent of total billed charges,,,,,,,,,844.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1005.55,91,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,917.15,83,,percent of total billed charges,,,,,,,,,,,,,,,917.15,83,,percent of total billed charges,,,1049.75,95,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,906.1,82,,percent of total billed charges,,,994.5,90,,percent of total billed charges,,,939.25,85,,percent of total billed charges,,833.17,1049.75, S&N GUIDE WIRE TIP THREADED 3.2MM,30184235,CDM,,,270,RC,inpatient,,1406.02,1406.02,,1193.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1060.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1195.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1237.3,88,,percent of total billed charges,,,,,,,,,1074.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1279.48,91,,percent of total billed charges,,,1335.72,95,,percent of total billed charges,,,1167,83,,percent of total billed charges,,,1167,83,,percent of total billed charges,,,,,,,,,,,,,,,1167,83,,percent of total billed charges,,,1335.72,95,,percent of total billed charges,,,1265.42,90,,percent of total billed charges,,,1265.42,90,,percent of total billed charges,,,1152.94,82,,percent of total billed charges,,,1265.42,90,,percent of total billed charges,,,1195.12,85,,percent of total billed charges,,1060.14,1335.72, CATH SPIRAL FILIFORM TIP 4FR,30184243,CDM,,,270,RC,inpatient,,593.6,593.6,,503.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,447.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,504.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,522.37,88,,percent of total billed charges,,,,,,,,,453.51,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,540.18,91,,percent of total billed charges,,,563.92,95,,percent of total billed charges,,,492.69,83,,percent of total billed charges,,,492.69,83,,percent of total billed charges,,,,,,,,,,,,,,,492.69,83,,percent of total billed charges,,,563.92,95,,percent of total billed charges,,,534.24,90,,percent of total billed charges,,,534.24,90,,percent of total billed charges,,,486.75,82,,percent of total billed charges,,,534.24,90,,percent of total billed charges,,,504.56,85,,percent of total billed charges,,447.57,563.92, ALLOFUSE DBM PUTTY 10CC,30184255,CDM,,,278,RC,inpatient,,6305,6305,,5352.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4753.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5359.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5548.4,88,,percent of total billed charges,,,,,,,,,4817.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5737.55,91,,percent of total billed charges,,,5989.75,95,,percent of total billed charges,,,5233.15,83,,percent of total billed charges,,,5233.15,83,,percent of total billed charges,,,,,,,,,,,,,,,5233.15,83,,percent of total billed charges,,,5989.75,95,,percent of total billed charges,,,5674.5,90,,percent of total billed charges,,,5674.5,90,,percent of total billed charges,,,5170.1,82,,percent of total billed charges,,,5674.5,90,,percent of total billed charges,,,5359.25,85,,percent of total billed charges,,4753.97,5989.75, ALLOSOURCE CORTICAL STRUT 2 X 25 CM (FRO,30184258,CDM,,,278,RC,inpatient,,4563,4563,,3873.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3440.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3878.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4015.44,88,,percent of total billed charges,,,,,,,,,3486.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4152.33,91,,percent of total billed charges,,,4334.85,95,,percent of total billed charges,,,3787.29,83,,percent of total billed charges,,,3787.29,83,,percent of total billed charges,,,,,,,,,,,,,,,3787.29,83,,percent of total billed charges,,,4334.85,95,,percent of total billed charges,,,4106.7,90,,percent of total billed charges,,,4106.7,90,,percent of total billed charges,,,3741.66,82,,percent of total billed charges,,,4106.7,90,,percent of total billed charges,,,3878.55,85,,percent of total billed charges,,3440.5,4334.85, S&N FEMUR OX SZ 6 RT P/S,30184259,CDM,,,278,RC,inpatient,,25285,25285,,21466.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19064.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21492.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22250.8,88,,percent of total billed charges,,,,,,,,,19317.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23009.35,91,,percent of total billed charges,,,24020.75,95,,percent of total billed charges,,,20986.55,83,,percent of total billed charges,,,20986.55,83,,percent of total billed charges,,,,,,,,,,,,,,,20986.55,83,,percent of total billed charges,,,24020.75,95,,percent of total billed charges,,,22756.5,90,,percent of total billed charges,,,22756.5,90,,percent of total billed charges,,,20733.7,82,,percent of total billed charges,,,22756.5,90,,percent of total billed charges,,,21492.25,85,,percent of total billed charges,,19064.89,24020.75, S&N TIBIA RT SZ 6,30184260,CDM,,,278,RC,inpatient,,12122.5,12122.5,,10292,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9140.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10304.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10667.8,88,,percent of total billed charges,,,,,,,,,9261.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11031.48,91,,percent of total billed charges,,,11516.38,95,,percent of total billed charges,,,10061.68,83,,percent of total billed charges,,,10061.68,83,,percent of total billed charges,,,,,,,,,,,,,,,10061.68,83,,percent of total billed charges,,,11516.38,95,,percent of total billed charges,,,10910.25,90,,percent of total billed charges,,,10910.25,90,,percent of total billed charges,,,9940.45,82,,percent of total billed charges,,,10910.25,90,,percent of total billed charges,,,10304.13,85,,percent of total billed charges,,9140.37,11516.38, S&N INSERT SZ 5-6 15MM LEGION PS XLPE,30184261,CDM,,,278,RC,inpatient,,14299.55,14299.55,,12140.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10781.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12154.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12583.6,88,,percent of total billed charges,,,,,,,,,10924.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13012.59,91,,percent of total billed charges,,,13584.57,95,,percent of total billed charges,,,11868.63,83,,percent of total billed charges,,,11868.63,83,,percent of total billed charges,,,,,,,,,,,,,,,11868.63,83,,percent of total billed charges,,,13584.57,95,,percent of total billed charges,,,12869.6,90,,percent of total billed charges,,,12869.6,90,,percent of total billed charges,,,11725.63,82,,percent of total billed charges,,,12869.6,90,,percent of total billed charges,,,12154.62,85,,percent of total billed charges,,10781.86,13584.57, SYNTHES PLATE VA-LCP 4.5MM CURVED 14 HOL,30184264,CDM,,,278,RC,inpatient,,20762.95,20762.95,,17627.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15655.26,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17648.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18271.4,88,,percent of total billed charges,,,,,,,,,15862.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18894.28,91,,percent of total billed charges,,,19724.8,95,,percent of total billed charges,,,17233.25,83,,percent of total billed charges,,,17233.25,83,,percent of total billed charges,,,,,,,,,,,,,,,17233.25,83,,percent of total billed charges,,,19724.8,95,,percent of total billed charges,,,18686.66,90,,percent of total billed charges,,,18686.66,90,,percent of total billed charges,,,17025.62,82,,percent of total billed charges,,,18686.66,90,,percent of total billed charges,,,17648.51,85,,percent of total billed charges,,15655.26,19724.8, SYNTHES SCREW LOCKING 5.0 X 10MM,30184265,CDM,,,278,RC,inpatient,,2900.63,2900.63,,2462.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2187.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2465.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2552.55,88,,percent of total billed charges,,,,,,,,,2216.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2639.57,91,,percent of total billed charges,,,2755.6,95,,percent of total billed charges,,,2407.52,83,,percent of total billed charges,,,2407.52,83,,percent of total billed charges,,,,,,,,,,,,,,,2407.52,83,,percent of total billed charges,,,2755.6,95,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2378.52,82,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2465.54,85,,percent of total billed charges,,2187.08,2755.6, SYNTHES SCREW LOCKING 5.0 X 12MM,30184266,CDM,,,278,RC,inpatient,,2900.63,2900.63,,2462.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2187.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2465.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2552.55,88,,percent of total billed charges,,,,,,,,,2216.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2639.57,91,,percent of total billed charges,,,2755.6,95,,percent of total billed charges,,,2407.52,83,,percent of total billed charges,,,2407.52,83,,percent of total billed charges,,,,,,,,,,,,,,,2407.52,83,,percent of total billed charges,,,2755.6,95,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2378.52,82,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2465.54,85,,percent of total billed charges,,2187.08,2755.6, SYNTHES SCREW LOCKING 5.0 X 14MM,30184267,CDM,,,278,RC,inpatient,,2900.63,2900.63,,2462.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2187.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2465.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2552.55,88,,percent of total billed charges,,,,,,,,,2216.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2639.57,91,,percent of total billed charges,,,2755.6,95,,percent of total billed charges,,,2407.52,83,,percent of total billed charges,,,2407.52,83,,percent of total billed charges,,,,,,,,,,,,,,,2407.52,83,,percent of total billed charges,,,2755.6,95,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2378.52,82,,percent of total billed charges,,,2610.57,90,,percent of total billed charges,,,2465.54,85,,percent of total billed charges,,2187.08,2755.6, SYNTHES SCREW CONICAL CONNULATED 5.0MM,30184268,CDM,,,278,RC,inpatient,,1618.83,1618.83,,1374.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1220.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1376.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1424.57,88,,percent of total billed charges,,,,,,,,,1236.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1473.14,91,,percent of total billed charges,,,1537.89,95,,percent of total billed charges,,,1343.63,83,,percent of total billed charges,,,1343.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1343.63,83,,percent of total billed charges,,,1537.89,95,,percent of total billed charges,,,1456.95,90,,percent of total billed charges,,,1456.95,90,,percent of total billed charges,,,1327.44,82,,percent of total billed charges,,,1456.95,90,,percent of total billed charges,,,1376.01,85,,percent of total billed charges,,1220.6,1537.89, SYNTHES SCREW LOCKING 5 X 26MM ANGLED,30184269,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES SCREW LOCKING 5 X 30MM ANGLE,30184270,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES SCREW LOCKING 5 X 65MM ANGLE,30184271,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES SCREW LOCKING 5 X85MM ANGLED,30184272,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES SCREW LOCKING 5 X 75MM ANGLED,30184273,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES DRILL TIP GUIDE WIRE 2.5 X 200MM,30184274,CDM,,,278,RC,inpatient,,672.35,672.35,,570.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,506.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,571.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,591.67,88,,percent of total billed charges,,,,,,,,,513.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,611.84,91,,percent of total billed charges,,,638.73,95,,percent of total billed charges,,,558.05,83,,percent of total billed charges,,,558.05,83,,percent of total billed charges,,,,,,,,,,,,,,,558.05,83,,percent of total billed charges,,,638.73,95,,percent of total billed charges,,,605.12,90,,percent of total billed charges,,,605.12,90,,percent of total billed charges,,,551.33,82,,percent of total billed charges,,,605.12,90,,percent of total billed charges,,,571.5,85,,percent of total billed charges,,506.95,638.73, SYNTHES DRILL BIT 4.3MM,30184275,CDM,,,278,RC,inpatient,,1789.13,1789.13,,1518.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1349,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1520.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1574.43,88,,percent of total billed charges,,,,,,,,,1366.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1628.11,91,,percent of total billed charges,,,1699.67,95,,percent of total billed charges,,,1484.98,83,,percent of total billed charges,,,1484.98,83,,percent of total billed charges,,,,,,,,,,,,,,,1484.98,83,,percent of total billed charges,,,1699.67,95,,percent of total billed charges,,,1610.22,90,,percent of total billed charges,,,1610.22,90,,percent of total billed charges,,,1467.09,82,,percent of total billed charges,,,1610.22,90,,percent of total billed charges,,,1520.76,85,,percent of total billed charges,,1349,1699.67, SYNTHES DRILL BIT QC 2.5,30184276,CDM,,,270,RC,inpatient,,795.34,795.34,,675.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,599.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,676.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,699.9,88,,percent of total billed charges,,,,,,,,,607.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,723.76,91,,percent of total billed charges,,,755.57,95,,percent of total billed charges,,,660.13,83,,percent of total billed charges,,,660.13,83,,percent of total billed charges,,,,,,,,,,,,,,,660.13,83,,percent of total billed charges,,,755.57,95,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,652.18,82,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,676.04,85,,percent of total billed charges,,599.69,755.57, SYNTHES PLATE PROX HUMERUS 3.5MM 3 HOLE,30184277,CDM,,,278,RC,inpatient,,18299.52,18299.52,,15536.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13797.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15554.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16103.58,88,,percent of total billed charges,,,,,,,,,13980.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16652.56,91,,percent of total billed charges,,,17384.54,95,,percent of total billed charges,,,15188.6,83,,percent of total billed charges,,,15188.6,83,,percent of total billed charges,,,,,,,,,,,,,,,15188.6,83,,percent of total billed charges,,,17384.54,95,,percent of total billed charges,,,16469.57,90,,percent of total billed charges,,,16469.57,90,,percent of total billed charges,,,15005.61,82,,percent of total billed charges,,,16469.57,90,,percent of total billed charges,,,15554.59,85,,percent of total billed charges,,13797.84,17384.54, DEPUY STEM CORAIL KLA SZ 14,30184278,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY STEM SUMMIT CEMENTED SZ 3,30184279,CDM,,,278,RC,inpatient,,25444.06,25444.06,,21602.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19184.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21627.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22390.77,88,,percent of total billed charges,,,,,,,,,19439.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23154.09,91,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,,,,,,,,,,,,,21118.57,83,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,20864.13,82,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,21627.45,85,,percent of total billed charges,,19184.82,24171.86, DEPUY CEMENTRALIZERR 9.25,30184280,CDM,,,278,RC,inpatient,,919.36,919.36,,780.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,693.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,781.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,809.04,88,,percent of total billed charges,,,,,,,,,702.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,836.62,91,,percent of total billed charges,,,873.39,95,,percent of total billed charges,,,763.07,83,,percent of total billed charges,,,763.07,83,,percent of total billed charges,,,,,,,,,,,,,,,763.07,83,,percent of total billed charges,,,873.39,95,,percent of total billed charges,,,827.42,90,,percent of total billed charges,,,827.42,90,,percent of total billed charges,,,753.88,82,,percent of total billed charges,,,827.42,90,,percent of total billed charges,,,781.46,85,,percent of total billed charges,,693.2,873.39, DEPUY STEM CORAIL COLLERED VESUS SZ 9,30184282,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, SYNTHES PLATE 5-HOLE 2MM,30184283,CDM,,,278,RC,inpatient,,2646.48,2646.48,,2246.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1995.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2249.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2328.9,88,,percent of total billed charges,,,,,,,,,2021.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2408.3,91,,percent of total billed charges,,,2514.16,95,,percent of total billed charges,,,2196.58,83,,percent of total billed charges,,,2196.58,83,,percent of total billed charges,,,,,,,,,,,,,,,2196.58,83,,percent of total billed charges,,,2514.16,95,,percent of total billed charges,,,2381.83,90,,percent of total billed charges,,,2381.83,90,,percent of total billed charges,,,2170.11,82,,percent of total billed charges,,,2381.83,90,,percent of total billed charges,,,2249.51,85,,percent of total billed charges,,1995.45,2514.16, SYNTHES PLATE 6-HOLE 2MM,30184284,CDM,,,278,RC,inpatient,,2646.48,2646.48,,2246.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1995.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2249.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2328.9,88,,percent of total billed charges,,,,,,,,,2021.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2408.3,91,,percent of total billed charges,,,2514.16,95,,percent of total billed charges,,,2196.58,83,,percent of total billed charges,,,2196.58,83,,percent of total billed charges,,,,,,,,,,,,,,,2196.58,83,,percent of total billed charges,,,2514.16,95,,percent of total billed charges,,,2381.83,90,,percent of total billed charges,,,2381.83,90,,percent of total billed charges,,,2170.11,82,,percent of total billed charges,,,2381.83,90,,percent of total billed charges,,,2249.51,85,,percent of total billed charges,,1995.45,2514.16, SYNTHES PLATE 7-HOLE 2MM,30184285,CDM,,,278,RC,inpatient,,7939.43,7939.43,,6740.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5986.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6748.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6986.7,88,,percent of total billed charges,,,,,,,,,6065.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7224.88,91,,percent of total billed charges,,,7542.46,95,,percent of total billed charges,,,6589.73,83,,percent of total billed charges,,,6589.73,83,,percent of total billed charges,,,,,,,,,,,,,,,6589.73,83,,percent of total billed charges,,,7542.46,95,,percent of total billed charges,,,7145.49,90,,percent of total billed charges,,,7145.49,90,,percent of total billed charges,,,6510.33,82,,percent of total billed charges,,,7145.49,90,,percent of total billed charges,,,6748.52,85,,percent of total billed charges,,5986.33,7542.46, SYNTHES SCREW CORTEX 10 X 2MM,30184286,CDM,,,278,RC,inpatient,,529.55,529.55,,449.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466,88,,percent of total billed charges,,,,,,,,,404.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,481.89,91,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,,,,,,,,,,,,,439.53,83,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,434.23,82,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,450.12,85,,percent of total billed charges,,399.28,503.07, SYNTHES SCREW CORTEX 12 X 2MM,30184287,CDM,,,278,RC,inpatient,,529.55,529.55,,449.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466,88,,percent of total billed charges,,,,,,,,,404.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,481.89,91,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,,,,,,,,,,,,,439.53,83,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,434.23,82,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,450.12,85,,percent of total billed charges,,399.28,503.07, SYNTHES SCREW CORTEX 14 X 2MM,30184288,CDM,,,278,RC,inpatient,,529.55,529.55,,449.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466,88,,percent of total billed charges,,,,,,,,,404.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,481.89,91,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,,,,,,,,,,,,,439.53,83,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,434.23,82,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,450.12,85,,percent of total billed charges,,399.28,503.07, SYNTHES SCREW CORTEX 16 X 2MM,30184289,CDM,,,278,RC,inpatient,,529.55,529.55,,449.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466,88,,percent of total billed charges,,,,,,,,,404.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,481.89,91,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,,,,,,,,,,,,,439.53,83,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,434.23,82,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,450.12,85,,percent of total billed charges,,399.28,503.07, SYNTHES SCREW CORTEX 18 X 2MM,30184290,CDM,,,278,RC,inpatient,,529.55,529.55,,449.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,399.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,450.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,466,88,,percent of total billed charges,,,,,,,,,404.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,481.89,91,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,439.53,83,,percent of total billed charges,,,,,,,,,,,,,,,439.53,83,,percent of total billed charges,,,503.07,95,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,434.23,82,,percent of total billed charges,,,476.6,90,,percent of total billed charges,,,450.12,85,,percent of total billed charges,,399.28,503.07, SYNTHES SCREW LOCKING 9 X 2MM,30184291,CDM,,,278,RC,inpatient,,1187.88,1187.88,,1008.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,895.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1009.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1045.33,88,,percent of total billed charges,,,,,,,,,907.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1080.97,91,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,,,,,,,,,,,,,985.94,83,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,974.06,82,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1009.7,85,,percent of total billed charges,,895.66,1128.49, SYNTHES SCREW LOCKING 10 X 2MM,30184292,CDM,,,278,RC,inpatient,,1187.88,1187.88,,1008.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,895.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1009.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1045.33,88,,percent of total billed charges,,,,,,,,,907.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1080.97,91,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,,,,,,,,,,,,,985.94,83,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,974.06,82,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1009.7,85,,percent of total billed charges,,895.66,1128.49, SYNTHES SCREW LOCKING 11 X 2MM,30184293,CDM,,,278,RC,inpatient,,1187.88,1187.88,,1008.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,895.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1009.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1045.33,88,,percent of total billed charges,,,,,,,,,907.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1080.97,91,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,,,,,,,,,,,,,985.94,83,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,974.06,82,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1009.7,85,,percent of total billed charges,,895.66,1128.49, SYNTHES SCREW LOCKING 14 X 2MM,30184294,CDM,,,278,RC,inpatient,,1187.88,1187.88,,1008.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,895.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1009.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1045.33,88,,percent of total billed charges,,,,,,,,,907.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1080.97,91,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,,,,,,,,,,,,,985.94,83,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,974.06,82,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1009.7,85,,percent of total billed charges,,895.66,1128.49, SYNTHES SCREW LOCKING 16 X 2MM,30184295,CDM,,,278,RC,inpatient,,1187.88,1187.88,,1008.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,895.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1009.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1045.33,88,,percent of total billed charges,,,,,,,,,907.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1080.97,91,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,985.94,83,,percent of total billed charges,,,,,,,,,,,,,,,985.94,83,,percent of total billed charges,,,1128.49,95,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,974.06,82,,percent of total billed charges,,,1069.09,90,,percent of total billed charges,,,1009.7,85,,percent of total billed charges,,895.66,1128.49, SYNTHES DRILL BIT CALIBRATED 1.5MM,30184296,CDM,,,270,RC,inpatient,,1430.98,1430.98,,1214.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1078.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1216.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1259.26,88,,percent of total billed charges,,,,,,,,,1093.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1302.19,91,,percent of total billed charges,,,1359.43,95,,percent of total billed charges,,,1187.71,83,,percent of total billed charges,,,1187.71,83,,percent of total billed charges,,,,,,,,,,,,,,,1187.71,83,,percent of total billed charges,,,1359.43,95,,percent of total billed charges,,,1287.88,90,,percent of total billed charges,,,1287.88,90,,percent of total billed charges,,,1173.4,82,,percent of total billed charges,,,1287.88,90,,percent of total billed charges,,,1216.33,85,,percent of total billed charges,,1078.96,1359.43, MEDTRONIC LEAD BISIL STEROID FIX 58,30184297,CDM,,,278,RC,inpatient,,5310.5,5310.5,,4508.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4004.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4513.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4673.24,88,,percent of total billed charges,,,,,,,,,4057.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4832.56,91,,percent of total billed charges,,,5044.98,95,,percent of total billed charges,,,4407.72,83,,percent of total billed charges,,,4407.72,83,,percent of total billed charges,,,,,,,,,,,,,,,4407.72,83,,percent of total billed charges,,,5044.98,95,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4354.61,82,,percent of total billed charges,,,4779.45,90,,percent of total billed charges,,,4513.93,85,,percent of total billed charges,,4004.12,5044.98, HIP ORTHOSIS ABDUCTION CONTROL BRACE,30184298,CDM,,,270,RC,inpatient,,5911.3,5911.3,,5018.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4457.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5024.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5201.94,88,,percent of total billed charges,,,,,,,,,4516.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5379.28,91,,percent of total billed charges,,,5615.74,95,,percent of total billed charges,,,4906.38,83,,percent of total billed charges,,,4906.38,83,,percent of total billed charges,,,,,,,,,,,,,,,4906.38,83,,percent of total billed charges,,,5615.74,95,,percent of total billed charges,,,5320.17,90,,percent of total billed charges,,,5320.17,90,,percent of total billed charges,,,4847.27,82,,percent of total billed charges,,,5320.17,90,,percent of total billed charges,,,5024.61,85,,percent of total billed charges,,4457.12,5615.74, HIP BRACE- LOWER EXTREMITY PELVIC CONTRO,30184299,CDM,,,278,RC,inpatient,,2461.55,2461.55,,2089.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1856.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2092.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2166.16,88,,percent of total billed charges,,,,,,,,,1880.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2240.01,91,,percent of total billed charges,,,2338.47,95,,percent of total billed charges,,,2043.09,83,,percent of total billed charges,,,2043.09,83,,percent of total billed charges,,,,,,,,,,,,,,,2043.09,83,,percent of total billed charges,,,2338.47,95,,percent of total billed charges,,,2215.4,90,,percent of total billed charges,,,2215.4,90,,percent of total billed charges,,,2018.47,82,,percent of total billed charges,,,2215.4,90,,percent of total billed charges,,,2092.32,85,,percent of total billed charges,,1856.01,2338.47, MEDTRONIC SPINAL CORD STIMULATION ELECTR,30184300,CDM,,,270,RC,inpatient,,7280,7280,,6180.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5489.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6188,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6406.4,88,,percent of total billed charges,,,,,,,,,5561.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6624.8,91,,percent of total billed charges,,,6916,95,,percent of total billed charges,,,6042.4,83,,percent of total billed charges,,,6042.4,83,,percent of total billed charges,,,,,,,,,,,,,,,6042.4,83,,percent of total billed charges,,,6916,95,,percent of total billed charges,,,6552,90,,percent of total billed charges,,,6552,90,,percent of total billed charges,,,5969.6,82,,percent of total billed charges,,,6552,90,,percent of total billed charges,,,6188,85,,percent of total billed charges,,5489.12,6916, SYTHES SCREW CANNULATED 4.0 X 24MM LONG,30184301,CDM,,,270,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, CONFORMIS IUNI G2 FEOMORAL IMPLANT LEFT,30184302,CDM,,,278,RC,inpatient,,39000,39000,,33111,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29406,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33150,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34320,88,,percent of total billed charges,,,,,,,,,29796,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35490,91,,percent of total billed charges,,,37050,95,,percent of total billed charges,,,32370,83,,percent of total billed charges,,,32370,83,,percent of total billed charges,,,,,,,,,,,,,,,32370,83,,percent of total billed charges,,,37050,95,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,31980,82,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,33150,85,,percent of total billed charges,,29406,37050, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184303,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184304,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184305,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184306,CDM,,,278,RC,inpatient,,2003.17,2003.17,,1700.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1510.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1702.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1762.79,88,,percent of total billed charges,,,,,,,,,1530.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1822.88,91,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1662.63,83,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1642.6,82,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1702.69,85,,percent of total billed charges,,1510.39,1903.01, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184307,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184308,CDM,,,278,RC,inpatient,,2063.23,2063.23,,1751.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1555.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1753.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1815.64,88,,percent of total billed charges,,,,,,,,,1576.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1877.54,91,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1712.48,83,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1691.85,82,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1753.75,85,,percent of total billed charges,,1555.68,1960.07, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184309,CDM,,,278,RC,inpatient,,2003.17,2003.17,,1700.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1510.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1702.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1762.79,88,,percent of total billed charges,,,,,,,,,1530.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1822.88,91,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1662.63,83,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1642.6,82,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1702.69,85,,percent of total billed charges,,1510.39,1903.01, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184310,CDM,,,278,RC,inpatient,,2063.23,2063.23,,1751.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1555.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1753.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1815.64,88,,percent of total billed charges,,,,,,,,,1576.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1877.54,91,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1712.48,83,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1691.85,82,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1753.75,85,,percent of total billed charges,,1555.68,1960.07, SYNTHES SCREW CANNULATED SORT THREAD 4 X,30184311,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184312,CDM,,,278,RC,inpatient,,1944.8,1944.8,,1651.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1466.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1653.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1711.42,88,,percent of total billed charges,,,,,,,,,1485.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1769.77,91,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,1614.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1614.18,83,,percent of total billed charges,,,1847.56,95,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1594.74,82,,percent of total billed charges,,,1750.32,90,,percent of total billed charges,,,1653.08,85,,percent of total billed charges,,1466.38,1847.56, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184313,CDM,,,278,RC,inpatient,,2003.17,2003.17,,1700.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1510.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1702.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1762.79,88,,percent of total billed charges,,,,,,,,,1530.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1822.88,91,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,1662.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1662.63,83,,percent of total billed charges,,,1903.01,95,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1642.6,82,,percent of total billed charges,,,1802.85,90,,percent of total billed charges,,,1702.69,85,,percent of total billed charges,,1510.39,1903.01, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184314,CDM,,,278,RC,inpatient,,2043.73,2043.73,,1735.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1540.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1737.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1798.48,88,,percent of total billed charges,,,,,,,,,1561.41,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1859.79,91,,percent of total billed charges,,,1941.54,95,,percent of total billed charges,,,1696.3,83,,percent of total billed charges,,,1696.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1696.3,83,,percent of total billed charges,,,1941.54,95,,percent of total billed charges,,,1839.36,90,,percent of total billed charges,,,1839.36,90,,percent of total billed charges,,,1675.86,82,,percent of total billed charges,,,1839.36,90,,percent of total billed charges,,,1737.17,85,,percent of total billed charges,,1540.97,1941.54, SYNTHES SCREW CANNULATED SHORT THREAD 4,30184315,CDM,,,278,RC,inpatient,,2063.23,2063.23,,1751.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1555.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1753.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1815.64,88,,percent of total billed charges,,,,,,,,,1576.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1877.54,91,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1712.48,83,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1691.85,82,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1753.75,85,,percent of total billed charges,,1555.68,1960.07, ZIMMER BLADE EXPLANT 50MM LONG,30184316,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, ZIMMER BLADE EXPLANT 50MM SHORT,30184317,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, FULL COVERAGE SUPPORT BRA MEDIUM,30184318,CDM,,,270,RC,inpatient,,311.63,311.63,,264.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,234.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,264.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,274.23,88,,percent of total billed charges,,,,,,,,,238.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,283.58,91,,percent of total billed charges,,,296.05,95,,percent of total billed charges,,,258.65,83,,percent of total billed charges,,,258.65,83,,percent of total billed charges,,,,,,,,,,,,,,,258.65,83,,percent of total billed charges,,,296.05,95,,percent of total billed charges,,,280.47,90,,percent of total billed charges,,,280.47,90,,percent of total billed charges,,,255.54,82,,percent of total billed charges,,,280.47,90,,percent of total billed charges,,,264.89,85,,percent of total billed charges,,234.97,296.05, FULL COVERAGE SUPPORT BRA LARGE,30184319,CDM,,,270,RC,inpatient,,311.63,311.63,,264.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,234.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,264.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,274.23,88,,percent of total billed charges,,,,,,,,,238.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,283.58,91,,percent of total billed charges,,,296.05,95,,percent of total billed charges,,,258.65,83,,percent of total billed charges,,,258.65,83,,percent of total billed charges,,,,,,,,,,,,,,,258.65,83,,percent of total billed charges,,,296.05,95,,percent of total billed charges,,,280.47,90,,percent of total billed charges,,,280.47,90,,percent of total billed charges,,,255.54,82,,percent of total billed charges,,,280.47,90,,percent of total billed charges,,,264.89,85,,percent of total billed charges,,234.97,296.05, FULL COVERAGE SUPPORT BRA X-LARGE,30184320,CDM,,,270,RC,inpatient,,360.5,360.5,,306.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,271.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,306.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,317.24,88,,percent of total billed charges,,,,,,,,,275.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,328.06,91,,percent of total billed charges,,,342.48,95,,percent of total billed charges,,,299.22,83,,percent of total billed charges,,,299.22,83,,percent of total billed charges,,,,,,,,,,,,,,,299.22,83,,percent of total billed charges,,,342.48,95,,percent of total billed charges,,,324.45,90,,percent of total billed charges,,,324.45,90,,percent of total billed charges,,,295.61,82,,percent of total billed charges,,,324.45,90,,percent of total billed charges,,,306.43,85,,percent of total billed charges,,271.82,342.48, FULL COVERAGE SUPPORT BRA XX-LARGE,30184321,CDM,,,270,RC,inpatient,,360.85,360.85,,306.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,272.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,306.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,317.55,88,,percent of total billed charges,,,,,,,,,275.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,328.37,91,,percent of total billed charges,,,342.81,95,,percent of total billed charges,,,299.51,83,,percent of total billed charges,,,299.51,83,,percent of total billed charges,,,,,,,,,,,,,,,299.51,83,,percent of total billed charges,,,342.81,95,,percent of total billed charges,,,324.77,90,,percent of total billed charges,,,324.77,90,,percent of total billed charges,,,295.9,82,,percent of total billed charges,,,324.77,90,,percent of total billed charges,,,306.72,85,,percent of total billed charges,,272.08,342.81, KIRSCHNER WIRE DIA .035 9IN,30184324,CDM,,,270,RC,inpatient,,90.72,90.72,,77.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,77.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,79.83,88,,percent of total billed charges,,,,,,,,,69.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.56,91,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,,,,,,,,,,,,,75.3,83,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,74.39,82,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,77.11,85,,percent of total billed charges,,68.4,86.18, KIRSCHNER WIRE DIA .035 6,30184325,CDM,,,270,RC,inpatient,,90.72,90.72,,77.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,77.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,79.83,88,,percent of total billed charges,,,,,,,,,69.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.56,91,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,,,,,,,,,,,,,75.3,83,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,74.39,82,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,77.11,85,,percent of total billed charges,,68.4,86.18, KIRSCHNER WIRE DIA .045 X 9IN,30184326,CDM,,,270,RC,inpatient,,88.08,88.08,,74.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,66.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,74.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,77.51,88,,percent of total billed charges,,,,,,,,,67.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,80.15,91,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,73.11,83,,percent of total billed charges,,,,,,,,,,,,,,,73.11,83,,percent of total billed charges,,,83.68,95,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,72.23,82,,percent of total billed charges,,,79.27,90,,percent of total billed charges,,,74.87,85,,percent of total billed charges,,66.41,83.68, KIRSCHNER WIRE DIA .045 6IN,30184327,CDM,,,270,RC,inpatient,,90.72,90.72,,77.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,77.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,79.83,88,,percent of total billed charges,,,,,,,,,69.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.56,91,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,,,,,,,,,,,,,75.3,83,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,74.39,82,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,77.11,85,,percent of total billed charges,,68.4,86.18, KIRSCHNER WIRE DIA .062 9IN,30184328,CDM,,,270,RC,inpatient,,90.72,90.72,,77.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,77.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,79.83,88,,percent of total billed charges,,,,,,,,,69.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.56,91,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,,,,,,,,,,,,,75.3,83,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,74.39,82,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,77.11,85,,percent of total billed charges,,68.4,86.18, KIRSCHNER WIRE DIA .062 6IN,30184329,CDM,,,270,RC,inpatient,,90.72,90.72,,77.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,68.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,77.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,79.83,88,,percent of total billed charges,,,,,,,,,69.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,82.56,91,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,75.3,83,,percent of total billed charges,,,,,,,,,,,,,,,75.3,83,,percent of total billed charges,,,86.18,95,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,74.39,82,,percent of total billed charges,,,81.65,90,,percent of total billed charges,,,77.11,85,,percent of total billed charges,,68.4,86.18, SYNTHES KWIRE THREADED TIP 100MM X 1.6,30184330,CDM,,,270,RC,inpatient,,474.25,474.25,,402.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,357.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,403.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,417.34,88,,percent of total billed charges,,,,,,,,,362.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,431.57,91,,percent of total billed charges,,,450.54,95,,percent of total billed charges,,,393.63,83,,percent of total billed charges,,,393.63,83,,percent of total billed charges,,,,,,,,,,,,,,,393.63,83,,percent of total billed charges,,,450.54,95,,percent of total billed charges,,,426.83,90,,percent of total billed charges,,,426.83,90,,percent of total billed charges,,,388.89,82,,percent of total billed charges,,,426.83,90,,percent of total billed charges,,,403.11,85,,percent of total billed charges,,357.58,450.54, SYNTHES HOLDING CLAMP 1.6MM,30184331,CDM,,,270,RC,inpatient,,7160.4,7160.4,,6079.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5398.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6086.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6301.15,88,,percent of total billed charges,,,,,,,,,5470.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6515.96,91,,percent of total billed charges,,,6802.38,95,,percent of total billed charges,,,5943.13,83,,percent of total billed charges,,,5943.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5943.13,83,,percent of total billed charges,,,6802.38,95,,percent of total billed charges,,,6444.36,90,,percent of total billed charges,,,6444.36,90,,percent of total billed charges,,,5871.53,82,,percent of total billed charges,,,6444.36,90,,percent of total billed charges,,,6086.34,85,,percent of total billed charges,,5398.94,6802.38, SYNTHES CONNECTING CLAMP 3.0MM,30184332,CDM,,,270,RC,inpatient,,6657.63,6657.63,,5652.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5019.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5658.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5858.71,88,,percent of total billed charges,,,,,,,,,5086.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6058.44,91,,percent of total billed charges,,,6324.75,95,,percent of total billed charges,,,5525.83,83,,percent of total billed charges,,,5525.83,83,,percent of total billed charges,,,,,,,,,,,,,,,5525.83,83,,percent of total billed charges,,,6324.75,95,,percent of total billed charges,,,5991.87,90,,percent of total billed charges,,,5991.87,90,,percent of total billed charges,,,5459.26,82,,percent of total billed charges,,,5991.87,90,,percent of total billed charges,,,5658.99,85,,percent of total billed charges,,5019.85,6324.75, SYNTHES ROD CARBON FIBER 3.0 X 75MM,30184333,CDM,,,278,RC,inpatient,,446.25,446.25,,378.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,336.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,379.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,392.7,88,,percent of total billed charges,,,,,,,,,340.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,406.09,91,,percent of total billed charges,,,423.94,95,,percent of total billed charges,,,370.39,83,,percent of total billed charges,,,370.39,83,,percent of total billed charges,,,,,,,,,,,,,,,370.39,83,,percent of total billed charges,,,423.94,95,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,365.93,82,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,379.31,85,,percent of total billed charges,,336.47,423.94, ZIMMER DRILL BIT STRAIGHT SHANK 2.0MM,30184336,CDM,,,270,RC,inpatient,,224.03,224.03,,190.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,190.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,197.15,88,,percent of total billed charges,,,,,,,,,171.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.87,91,,percent of total billed charges,,,212.83,95,,percent of total billed charges,,,185.94,83,,percent of total billed charges,,,185.94,83,,percent of total billed charges,,,,,,,,,,,,,,,185.94,83,,percent of total billed charges,,,212.83,95,,percent of total billed charges,,,201.63,90,,percent of total billed charges,,,201.63,90,,percent of total billed charges,,,183.7,82,,percent of total billed charges,,,201.63,90,,percent of total billed charges,,,190.43,85,,percent of total billed charges,,168.92,212.83, STRYKER SHAVER LONG HIP,30184337,CDM,,,270,RC,inpatient,,641.59,641.59,,544.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,483.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,545.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,564.6,88,,percent of total billed charges,,,,,,,,,490.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,583.85,91,,percent of total billed charges,,,609.51,95,,percent of total billed charges,,,532.52,83,,percent of total billed charges,,,532.52,83,,percent of total billed charges,,,,,,,,,,,,,,,532.52,83,,percent of total billed charges,,,609.51,95,,percent of total billed charges,,,577.43,90,,percent of total billed charges,,,577.43,90,,percent of total billed charges,,,526.1,82,,percent of total billed charges,,,577.43,90,,percent of total billed charges,,,545.35,85,,percent of total billed charges,,483.76,609.51, SYNTHES PLATE LCP ONE-THIRD TUBLAR 7 HOL,30184338,CDM,,,278,RC,inpatient,,1613.3,1613.3,,1369.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1216.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1371.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1419.7,88,,percent of total billed charges,,,,,,,,,1232.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1468.1,91,,percent of total billed charges,,,1532.64,95,,percent of total billed charges,,,1339.04,83,,percent of total billed charges,,,1339.04,83,,percent of total billed charges,,,,,,,,,,,,,,,1339.04,83,,percent of total billed charges,,,1532.64,95,,percent of total billed charges,,,1451.97,90,,percent of total billed charges,,,1451.97,90,,percent of total billed charges,,,1322.91,82,,percent of total billed charges,,,1451.97,90,,percent of total billed charges,,,1371.31,85,,percent of total billed charges,,1216.43,1532.64, DEPUY STEM CORAIL KA8,30184342,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY STEM STD CEMENTED SUMMIT SZ 3,30184343,CDM,,,278,RC,inpatient,,25444.06,25444.06,,21602.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19184.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21627.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22390.77,88,,percent of total billed charges,,,,,,,,,19439.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23154.09,91,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,,,,,,,,,,,,,21118.57,83,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,20864.13,82,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,21627.45,85,,percent of total billed charges,,19184.82,24171.86, SYNTHES PLATE LCP 5 HOLE 99MM RIGHT,30184344,CDM,,,278,RC,inpatient,,6400.75,6400.75,,5434.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4826.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5440.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5632.66,88,,percent of total billed charges,,,,,,,,,4890.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5824.68,91,,percent of total billed charges,,,6080.71,95,,percent of total billed charges,,,5312.62,83,,percent of total billed charges,,,5312.62,83,,percent of total billed charges,,,,,,,,,,,,,,,5312.62,83,,percent of total billed charges,,,6080.71,95,,percent of total billed charges,,,5760.68,90,,percent of total billed charges,,,5760.68,90,,percent of total billed charges,,,5248.62,82,,percent of total billed charges,,,5760.68,90,,percent of total billed charges,,,5440.64,85,,percent of total billed charges,,4826.17,6080.71, SYNTHES SCREW CORTEX ST 3.5 X 45MM,30184345,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES PLATE DISTAL RADIUS 2.4MM VA 6HO,30184346,CDM,,,278,RC,inpatient,,10357.23,10357.23,,8793.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7809.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8803.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9114.36,88,,percent of total billed charges,,,,,,,,,7912.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9425.08,91,,percent of total billed charges,,,9839.37,95,,percent of total billed charges,,,8596.5,83,,percent of total billed charges,,,8596.5,83,,percent of total billed charges,,,,,,,,,,,,,,,8596.5,83,,percent of total billed charges,,,9839.37,95,,percent of total billed charges,,,9321.51,90,,percent of total billed charges,,,9321.51,90,,percent of total billed charges,,,8492.93,82,,percent of total billed charges,,,9321.51,90,,percent of total billed charges,,,8803.65,85,,percent of total billed charges,,7809.35,9839.37, SYNTHES SCREW LOCKING VA 2.4 X 22MM,30184347,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, SYNTHES SCREW CORTEX 2.7 X 16MM,30184348,CDM,,,278,RC,inpatient,,410.27,410.27,,348.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,309.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,348.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,361.04,88,,percent of total billed charges,,,,,,,,,313.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,373.35,91,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,340.52,83,,percent of total billed charges,,,,,,,,,,,,,,,340.52,83,,percent of total billed charges,,,389.76,95,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,336.42,82,,percent of total billed charges,,,369.24,90,,percent of total billed charges,,,348.73,85,,percent of total billed charges,,309.34,389.76, S&N SUTURE ANCHOR HEALICOIL 4.5MM,30184349,CDM,,,270,RC,inpatient,,2544.75,2544.75,,2160.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1918.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2163.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2239.38,88,,percent of total billed charges,,,,,,,,,1944.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2315.72,91,,percent of total billed charges,,,2417.51,95,,percent of total billed charges,,,2112.14,83,,percent of total billed charges,,,2112.14,83,,percent of total billed charges,,,,,,,,,,,,,,,2112.14,83,,percent of total billed charges,,,2417.51,95,,percent of total billed charges,,,2290.28,90,,percent of total billed charges,,,2290.28,90,,percent of total billed charges,,,2086.7,82,,percent of total billed charges,,,2290.28,90,,percent of total billed charges,,,2163.04,85,,percent of total billed charges,,1918.74,2417.51, S&N FIRSTPASS ST SUTURE PASSER,30184350,CDM,,,270,RC,inpatient,,3102.84,3102.84,,2634.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2339.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2637.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2730.5,88,,percent of total billed charges,,,,,,,,,2370.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2823.58,91,,percent of total billed charges,,,2947.7,95,,percent of total billed charges,,,2575.36,83,,percent of total billed charges,,,2575.36,83,,percent of total billed charges,,,,,,,,,,,,,,,2575.36,83,,percent of total billed charges,,,2947.7,95,,percent of total billed charges,,,2792.56,90,,percent of total billed charges,,,2792.56,90,,percent of total billed charges,,,2544.33,82,,percent of total billed charges,,,2792.56,90,,percent of total billed charges,,,2637.41,85,,percent of total billed charges,,2339.54,2947.7, S&N BLADE MENISCETOMY 3.0 SHARP,30184351,CDM,,,270,RC,inpatient,,329.18,329.18,,279.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,248.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,279.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,289.68,88,,percent of total billed charges,,,,,,,,,251.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,299.55,91,,percent of total billed charges,,,312.72,95,,percent of total billed charges,,,273.22,83,,percent of total billed charges,,,273.22,83,,percent of total billed charges,,,,,,,,,,,,,,,273.22,83,,percent of total billed charges,,,312.72,95,,percent of total billed charges,,,296.26,90,,percent of total billed charges,,,296.26,90,,percent of total billed charges,,,269.93,82,,percent of total billed charges,,,296.26,90,,percent of total billed charges,,,279.8,85,,percent of total billed charges,,248.2,312.72, S&N HIP DISTRACTOR RENTAL TRAY,30184352,CDM,,,270,RC,inpatient,,3867.5,3867.5,,3283.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2916.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3287.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3403.4,88,,percent of total billed charges,,,,,,,,,2954.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3519.43,91,,percent of total billed charges,,,3674.13,95,,percent of total billed charges,,,3210.03,83,,percent of total billed charges,,,3210.03,83,,percent of total billed charges,,,,,,,,,,,,,,,3210.03,83,,percent of total billed charges,,,3674.13,95,,percent of total billed charges,,,3480.75,90,,percent of total billed charges,,,3480.75,90,,percent of total billed charges,,,3171.35,82,,percent of total billed charges,,,3480.75,90,,percent of total billed charges,,,3287.38,85,,percent of total billed charges,,2916.1,3674.13, SYNTHES SCREW CANCELLOUS 4.0 X 28MM,30184357,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, SYNTHES PLATE 3.5LCP 5 HOLE 72MM,30184358,CDM,,,278,RC,inpatient,,2919.02,2919.02,,2478.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2200.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2481.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2568.74,88,,percent of total billed charges,,,,,,,,,2230.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2656.31,91,,percent of total billed charges,,,2773.07,95,,percent of total billed charges,,,2422.79,83,,percent of total billed charges,,,2422.79,83,,percent of total billed charges,,,,,,,,,,,,,,,2422.79,83,,percent of total billed charges,,,2773.07,95,,percent of total billed charges,,,2627.12,90,,percent of total billed charges,,,2627.12,90,,percent of total billed charges,,,2393.6,82,,percent of total billed charges,,,2627.12,90,,percent of total billed charges,,,2481.17,85,,percent of total billed charges,,2200.94,2773.07, DEPUY LINER NEUTRAL 32 X 50MM,30184359,CDM,,,278,RC,inpatient,,10422.17,10422.17,,8848.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7858.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8858.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9171.51,88,,percent of total billed charges,,,,,,,,,7962.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9484.17,91,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,8650.4,83,,percent of total billed charges,,,,,,,,,,,,,,,8650.4,83,,percent of total billed charges,,,9901.06,95,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8546.18,82,,percent of total billed charges,,,9379.95,90,,percent of total billed charges,,,8858.84,85,,percent of total billed charges,,7858.32,9901.06, DEPUY LINER 40 X 56MM +4 / 10DEGREE,30184360,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY HEAD 36MM +3,30184361,CDM,,,278,RC,inpatient,,8767.27,8767.27,,7443.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6610.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7452.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7715.2,88,,percent of total billed charges,,,,,,,,,6698.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7978.22,91,,percent of total billed charges,,,8328.91,95,,percent of total billed charges,,,7276.83,83,,percent of total billed charges,,,7276.83,83,,percent of total billed charges,,,,,,,,,,,,,,,7276.83,83,,percent of total billed charges,,,8328.91,95,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7189.16,82,,percent of total billed charges,,,7890.54,90,,percent of total billed charges,,,7452.18,85,,percent of total billed charges,,6610.52,8328.91, MEDTRONIC LEAD KIT VECTRIS SURESCAN,30184362,CDM,,,270,RC,inpatient,,14592.5,14592.5,,12389.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11002.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12403.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12841.4,88,,percent of total billed charges,,,,,,,,,11148.67,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13279.18,91,,percent of total billed charges,,,13862.88,95,,percent of total billed charges,,,12111.78,83,,percent of total billed charges,,,12111.78,83,,percent of total billed charges,,,,,,,,,,,,,,,12111.78,83,,percent of total billed charges,,,13862.88,95,,percent of total billed charges,,,13133.25,90,,percent of total billed charges,,,13133.25,90,,percent of total billed charges,,,11965.85,82,,percent of total billed charges,,,13133.25,90,,percent of total billed charges,,,12403.63,85,,percent of total billed charges,,11002.75,13862.88, MEDTRONIC NEURO STIMULATOR SURESSCAN SEN,30184363,CDM,,,278,RC,inpatient,,103350,103350,,87744.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,77925.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,87847.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,90948,88,,percent of total billed charges,,,,,,,,,78959.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,94048.5,91,,percent of total billed charges,,,98182.5,95,,percent of total billed charges,,,85780.5,83,,percent of total billed charges,,,85780.5,83,,percent of total billed charges,,,,,,,,,,,,,,,85780.5,83,,percent of total billed charges,,,98182.5,95,,percent of total billed charges,,,93015,90,,percent of total billed charges,,,93015,90,,percent of total billed charges,,,84747,82,,percent of total billed charges,,,93015,90,,percent of total billed charges,,,87847.5,85,,percent of total billed charges,,77925.9,98182.5, MEDTRONIC PATIENT PROGRAMMER,30184364,CDM,,,270,RC,inpatient,,6792.5,6792.5,,5766.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5121.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5773.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5977.4,88,,percent of total billed charges,,,,,,,,,5189.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6181.18,91,,percent of total billed charges,,,6452.88,95,,percent of total billed charges,,,5637.78,83,,percent of total billed charges,,,5637.78,83,,percent of total billed charges,,,,,,,,,,,,,,,5637.78,83,,percent of total billed charges,,,6452.88,95,,percent of total billed charges,,,6113.25,90,,percent of total billed charges,,,6113.25,90,,percent of total billed charges,,,5569.85,82,,percent of total billed charges,,,6113.25,90,,percent of total billed charges,,,5773.63,85,,percent of total billed charges,,5121.55,6452.88, MEDTRONIC PATIENT RECHARGER,30184365,CDM,,,270,RC,inpatient,,13000,13000,,11037,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9802,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11050,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11440,88,,percent of total billed charges,,,,,,,,,9932,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11830,91,,percent of total billed charges,,,12350,95,,percent of total billed charges,,,10790,83,,percent of total billed charges,,,10790,83,,percent of total billed charges,,,,,,,,,,,,,,,10790,83,,percent of total billed charges,,,12350,95,,percent of total billed charges,,,11700,90,,percent of total billed charges,,,11700,90,,percent of total billed charges,,,10660,82,,percent of total billed charges,,,11700,90,,percent of total billed charges,,,11050,85,,percent of total billed charges,,9802,12350, EYE LENS IMPLANT ALCON MTA4U0,30184366,CDM,,,278,RC,inpatient,,1917.5,1917.5,,1627.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1445.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1629.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1687.4,88,,percent of total billed charges,,,,,,,,,1464.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1744.93,91,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,,,,,,,,,,,,,1591.53,83,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1572.35,82,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1629.88,85,,percent of total billed charges,,1445.8,1821.63, ANTERIOR VITRECTOMY PACK 6 DP,30184367,CDM,,,270,RC,inpatient,,848.51,848.51,,720.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,639.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,721.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,746.69,88,,percent of total billed charges,,,,,,,,,648.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,772.14,91,,percent of total billed charges,,,806.08,95,,percent of total billed charges,,,704.26,83,,percent of total billed charges,,,704.26,83,,percent of total billed charges,,,,,,,,,,,,,,,704.26,83,,percent of total billed charges,,,806.08,95,,percent of total billed charges,,,763.66,90,,percent of total billed charges,,,763.66,90,,percent of total billed charges,,,695.78,82,,percent of total billed charges,,,763.66,90,,percent of total billed charges,,,721.23,85,,percent of total billed charges,,639.78,806.08, ZIMMER SAWBLADE OXF,30184369,CDM,,,270,RC,inpatient,,2522,2522,,2141.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1901.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2143.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2219.36,88,,percent of total billed charges,,,,,,,,,1926.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2295.02,91,,percent of total billed charges,,,2395.9,95,,percent of total billed charges,,,2093.26,83,,percent of total billed charges,,,2093.26,83,,percent of total billed charges,,,,,,,,,,,,,,,2093.26,83,,percent of total billed charges,,,2395.9,95,,percent of total billed charges,,,2269.8,90,,percent of total billed charges,,,2269.8,90,,percent of total billed charges,,,2068.04,82,,percent of total billed charges,,,2269.8,90,,percent of total billed charges,,,2143.7,85,,percent of total billed charges,,1901.59,2395.9, ZIMMER DRILL PINS 1/8 QUICK REL,30184370,CDM,,,270,RC,inpatient,,644,644,,546.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,485.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,547.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,566.72,88,,percent of total billed charges,,,,,,,,,492.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,586.04,91,,percent of total billed charges,,,611.8,95,,percent of total billed charges,,,534.52,83,,percent of total billed charges,,,534.52,83,,percent of total billed charges,,,,,,,,,,,,,,,534.52,83,,percent of total billed charges,,,611.8,95,,percent of total billed charges,,,579.6,90,,percent of total billed charges,,,579.6,90,,percent of total billed charges,,,528.08,82,,percent of total billed charges,,,579.6,90,,percent of total billed charges,,,547.4,85,,percent of total billed charges,,485.58,611.8, ZIMMER BEARING OXF LT LG SZ 4MM,30184371,CDM,,,270,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, ZIMMER TIBIA SZ E LM UNI,30184372,CDM,,,270,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, ZIMMER FEMUR LARGE OXF TWIN PED CMNTD,30184373,CDM,,,278,RC,inpatient,,20345,20345,,17272.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15340.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17293.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17903.6,88,,percent of total billed charges,,,,,,,,,15543.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18513.95,91,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,,,,,,,,,,,,,16886.35,83,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,16682.9,82,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,17293.25,85,,percent of total billed charges,,15340.13,19327.75, DEPUY MOP POROUS ALTREX/GRIPTON 36MM,30184375,CDM,,,278,RC,inpatient,,38243.21,38243.21,,32468.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28835.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32506.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33654.02,88,,percent of total billed charges,,,,,,,,,29217.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34801.32,91,,percent of total billed charges,,,36331.05,95,,percent of total billed charges,,,31741.86,83,,percent of total billed charges,,,31741.86,83,,percent of total billed charges,,,,,,,,,,,,,,,31741.86,83,,percent of total billed charges,,,36331.05,95,,percent of total billed charges,,,34418.89,90,,percent of total billed charges,,,34418.89,90,,percent of total billed charges,,,31359.43,82,,percent of total billed charges,,,34418.89,90,,percent of total billed charges,,,32506.73,85,,percent of total billed charges,,28835.38,36331.05, SYNTHES SCREW CORTEX ST 2.7MM,30184376,CDM,,,278,RC,inpatient,,386.75,386.75,,328.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,291.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,328.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,340.34,88,,percent of total billed charges,,,,,,,,,295.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,351.94,91,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,321,83,,percent of total billed charges,,,321,83,,percent of total billed charges,,,,,,,,,,,,,,,321,83,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,317.14,82,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,328.74,85,,percent of total billed charges,,291.61,367.41, SYNTHES DRILL BIT QC 2.7 X 100MM,30184377,CDM,,,278,RC,inpatient,,795.34,795.34,,675.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,599.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,676.04,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,699.9,88,,percent of total billed charges,,,,,,,,,607.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,723.76,91,,percent of total billed charges,,,755.57,95,,percent of total billed charges,,,660.13,83,,percent of total billed charges,,,660.13,83,,percent of total billed charges,,,,,,,,,,,,,,,660.13,83,,percent of total billed charges,,,755.57,95,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,652.18,82,,percent of total billed charges,,,715.81,90,,percent of total billed charges,,,676.04,85,,percent of total billed charges,,599.69,755.57, SYNTHES PLATE DISTAL RADIUS VA 2.4MM 7 H,30184378,CDM,,,278,RC,inpatient,,9210.18,9210.18,,7819.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6944.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7828.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8104.96,88,,percent of total billed charges,,,,,,,,,7036.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8381.26,91,,percent of total billed charges,,,8749.67,95,,percent of total billed charges,,,7644.45,83,,percent of total billed charges,,,7644.45,83,,percent of total billed charges,,,,,,,,,,,,,,,7644.45,83,,percent of total billed charges,,,8749.67,95,,percent of total billed charges,,,8289.16,90,,percent of total billed charges,,,8289.16,90,,percent of total billed charges,,,7552.35,82,,percent of total billed charges,,,8289.16,90,,percent of total billed charges,,,7828.65,85,,percent of total billed charges,,6944.48,8749.67, SYNTHES SCREW CORTEX 2.4 X 14MM,30184379,CDM,,,278,RC,inpatient,,599.69,599.69,,509.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,452.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,509.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,527.73,88,,percent of total billed charges,,,,,,,,,458.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,545.72,91,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,,,,,,,,,,,,,497.74,83,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,491.75,82,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,509.74,85,,percent of total billed charges,,452.17,569.71, SYNTHES SCREW CANNULATED 6.5 X 95MM,30184380,CDM,,,278,RC,inpatient,,2795.65,2795.65,,2373.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2107.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2376.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2460.17,88,,percent of total billed charges,,,,,,,,,2135.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2544.04,91,,percent of total billed charges,,,2655.87,95,,percent of total billed charges,,,2320.39,83,,percent of total billed charges,,,2320.39,83,,percent of total billed charges,,,,,,,,,,,,,,,2320.39,83,,percent of total billed charges,,,2655.87,95,,percent of total billed charges,,,2516.09,90,,percent of total billed charges,,,2516.09,90,,percent of total billed charges,,,2292.43,82,,percent of total billed charges,,,2516.09,90,,percent of total billed charges,,,2376.3,85,,percent of total billed charges,,2107.92,2655.87, SYNTHES SCREW LOCKING VA 44MM,30184381,CDM,,,278,RC,inpatient,,1469.65,1469.65,,1247.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1108.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1249.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1293.29,88,,percent of total billed charges,,,,,,,,,1122.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1337.38,91,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1219.81,83,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1205.11,82,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1249.2,85,,percent of total billed charges,,1108.12,1396.17, SYNTHES SCREW LOCKING VA 40MM,30184382,CDM,,,278,RC,inpatient,,1469.65,1469.65,,1247.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1108.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1249.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1293.29,88,,percent of total billed charges,,,,,,,,,1122.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1337.38,91,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1219.81,83,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1205.11,82,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1249.2,85,,percent of total billed charges,,1108.12,1396.17, SYNTHES SCREW LOCKING VA 36MM,30184383,CDM,,,278,RC,inpatient,,1469.65,1469.65,,1247.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1108.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1249.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1293.29,88,,percent of total billed charges,,,,,,,,,1122.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1337.38,91,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1219.81,83,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1205.11,82,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1249.2,85,,percent of total billed charges,,1108.12,1396.17, SYNTHES SCREW LOCKING VA 30MM,30184384,CDM,,,278,RC,inpatient,,1469.65,1469.65,,1247.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1108.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1249.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1293.29,88,,percent of total billed charges,,,,,,,,,1122.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1337.38,91,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1219.81,83,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1205.11,82,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1249.2,85,,percent of total billed charges,,1108.12,1396.17, SYNTHES SCREW LOCKING VA 28MM,30184385,CDM,,,278,RC,inpatient,,1469.65,1469.65,,1247.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1108.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1249.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1293.29,88,,percent of total billed charges,,,,,,,,,1122.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1337.38,91,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,1219.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1219.81,83,,percent of total billed charges,,,1396.17,95,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1205.11,82,,percent of total billed charges,,,1322.69,90,,percent of total billed charges,,,1249.2,85,,percent of total billed charges,,1108.12,1396.17, SYNTHES PLATE CALCANEAL,30184386,CDM,,,278,RC,inpatient,,10188.1,10188.1,,8649.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7681.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8659.89,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8965.53,88,,percent of total billed charges,,,,,,,,,7783.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9271.17,91,,percent of total billed charges,,,9678.7,95,,percent of total billed charges,,,8456.12,83,,percent of total billed charges,,,8456.12,83,,percent of total billed charges,,,,,,,,,,,,,,,8456.12,83,,percent of total billed charges,,,9678.7,95,,percent of total billed charges,,,9169.29,90,,percent of total billed charges,,,9169.29,90,,percent of total billed charges,,,8354.24,82,,percent of total billed charges,,,9169.29,90,,percent of total billed charges,,,8659.89,85,,percent of total billed charges,,7681.83,9678.7, ARTHREX BB-TAK THREADED,30184387,CDM,,,278,RC,inpatient,,595,595,,505.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,448.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,505.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,523.6,88,,percent of total billed charges,,,,,,,,,454.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,541.45,91,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,,,,,,,,,,,,,493.85,83,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,487.9,82,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,505.75,85,,percent of total billed charges,,448.63,565.25, ARTHREX DRILL BIT 2.4MM,30184388,CDM,,,278,RC,inpatient,,553,553,,469.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,416.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,470.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,486.64,88,,percent of total billed charges,,,,,,,,,422.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,503.23,91,,percent of total billed charges,,,525.35,95,,percent of total billed charges,,,458.99,83,,percent of total billed charges,,,458.99,83,,percent of total billed charges,,,,,,,,,,,,,,,458.99,83,,percent of total billed charges,,,525.35,95,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,453.46,82,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,470.05,85,,percent of total billed charges,,416.96,525.35, ARTHREX SCREW CORTEX LP 2.4 X 10MM,30184389,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW CORTEX LP 2.4 X 12MM,30184390,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW CORTEX LP 2.4 X 14MM,30184391,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW CORTEX LP 2.4 X 16MM,30184392,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW LOCKING LP 2.4 X 8MM,30184393,CDM,,,278,RC,inpatient,,875,875,,742.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,659.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,743.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,770,88,,percent of total billed charges,,,,,,,,,668.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,796.25,91,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,,,,,,,,,,,,,726.25,83,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,717.5,82,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,743.75,85,,percent of total billed charges,,659.75,831.25, ARTHREX SCREW LOCKING LP 2.4 X 10MM,30184394,CDM,,,278,RC,inpatient,,875,875,,742.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,659.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,743.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,770,88,,percent of total billed charges,,,,,,,,,668.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,796.25,91,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,,,,,,,,,,,,,726.25,83,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,717.5,82,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,743.75,85,,percent of total billed charges,,659.75,831.25, ARTHREX SCREW LOCKING LP 2.4 X 12MM,30184395,CDM,,,278,RC,inpatient,,875,875,,742.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,659.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,743.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,770,88,,percent of total billed charges,,,,,,,,,668.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,796.25,91,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,,,,,,,,,,,,,726.25,83,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,717.5,82,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,743.75,85,,percent of total billed charges,,659.75,831.25, ARTHREX SCREW LOCKING LP 2.4 X 14MM,30184396,CDM,,,278,RC,inpatient,,875,875,,742.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,659.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,743.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,770,88,,percent of total billed charges,,,,,,,,,668.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,796.25,91,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,726.25,83,,percent of total billed charges,,,,,,,,,,,,,,,726.25,83,,percent of total billed charges,,,831.25,95,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,717.5,82,,percent of total billed charges,,,787.5,90,,percent of total billed charges,,,743.75,85,,percent of total billed charges,,659.75,831.25, ARTHREX G-WIRE W/TRCR TIP .045 W/LASER,30184397,CDM,,,278,RC,inpatient,,120,120,,101.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,90.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,102,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,105.6,88,,percent of total billed charges,,,,,,,,,91.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,109.2,91,,percent of total billed charges,,,114,95,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,,,,,,,,,,,,,99.6,83,,percent of total billed charges,,,114,95,,percent of total billed charges,,,108,90,,percent of total billed charges,,,108,90,,percent of total billed charges,,,98.4,82,,percent of total billed charges,,,108,90,,percent of total billed charges,,,102,85,,percent of total billed charges,,90.48,114, ARTHREX DRILL BIT 1.7MM,30184398,CDM,,,278,RC,inpatient,,553,553,,469.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,416.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,470.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,486.64,88,,percent of total billed charges,,,,,,,,,422.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,503.23,91,,percent of total billed charges,,,525.35,95,,percent of total billed charges,,,458.99,83,,percent of total billed charges,,,458.99,83,,percent of total billed charges,,,,,,,,,,,,,,,458.99,83,,percent of total billed charges,,,525.35,95,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,453.46,82,,percent of total billed charges,,,497.7,90,,percent of total billed charges,,,470.05,85,,percent of total billed charges,,416.96,525.35, ARTHREX GUIDE WIRE W/TROCAR TIP .062,30184399,CDM,,,278,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2, ARTHREX PLATE LO-PRO STR 2.4MM 6 HOLE,30184400,CDM,,,278,RC,inpatient,,4517.5,4517.5,,3835.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3406.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3839.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3975.4,88,,percent of total billed charges,,,,,,,,,3451.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4110.93,91,,percent of total billed charges,,,4291.63,95,,percent of total billed charges,,,3749.53,83,,percent of total billed charges,,,3749.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3749.53,83,,percent of total billed charges,,,4291.63,95,,percent of total billed charges,,,4065.75,90,,percent of total billed charges,,,4065.75,90,,percent of total billed charges,,,3704.35,82,,percent of total billed charges,,,4065.75,90,,percent of total billed charges,,,3839.88,85,,percent of total billed charges,,3406.2,4291.63, ARTHREX PLATE LO-PRO STR 2.4MM 7 HOLE,30184401,CDM,,,278,RC,inpatient,,4517.5,4517.5,,3835.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3406.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3839.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3975.4,88,,percent of total billed charges,,,,,,,,,3451.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4110.93,91,,percent of total billed charges,,,4291.63,95,,percent of total billed charges,,,3749.53,83,,percent of total billed charges,,,3749.53,83,,percent of total billed charges,,,,,,,,,,,,,,,3749.53,83,,percent of total billed charges,,,4291.63,95,,percent of total billed charges,,,4065.75,90,,percent of total billed charges,,,4065.75,90,,percent of total billed charges,,,3704.35,82,,percent of total billed charges,,,4065.75,90,,percent of total billed charges,,,3839.88,85,,percent of total billed charges,,3406.2,4291.63, ARTHREX DRILL CANNULATED 3.5MM,30184402,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX BONE TAP CANNULATED 4.5MM,30184403,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX BONE TAP CANNULATED 5.5MM,30184404,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX GUIDEWIRE W/TRCR TIP .078 X8,30184405,CDM,,,278,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, ARTHREX SCREW PT THD LO-PRO T1 5.5 X 50M,30184406,CDM,,,278,RC,inpatient,,5167.5,5167.5,,4387.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3896.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4392.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4547.4,88,,percent of total billed charges,,,,,,,,,3947.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4702.43,91,,percent of total billed charges,,,4909.13,95,,percent of total billed charges,,,4289.03,83,,percent of total billed charges,,,4289.03,83,,percent of total billed charges,,,,,,,,,,,,,,,4289.03,83,,percent of total billed charges,,,4909.13,95,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4237.35,82,,percent of total billed charges,,,4650.75,90,,percent of total billed charges,,,4392.38,85,,percent of total billed charges,,3896.3,4909.13, S&N ULTRATAPE 2MM BLUE 38,30184407,CDM,,,270,RC,inpatient,,386.75,386.75,,328.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,291.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,328.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,340.34,88,,percent of total billed charges,,,,,,,,,295.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,351.94,91,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,321,83,,percent of total billed charges,,,321,83,,percent of total billed charges,,,,,,,,,,,,,,,321,83,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,317.14,82,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,328.74,85,,percent of total billed charges,,291.61,367.41, S&N HEALICOIL SA PK 5.5MM,30184408,CDM,,,270,RC,inpatient,,2015,2015,,1710.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1519.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1712.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1773.2,88,,percent of total billed charges,,,,,,,,,1539.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1833.65,91,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1672.45,83,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1652.3,82,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1712.75,85,,percent of total billed charges,,1519.31,1914.25, S&N MULTIFIX S PEEK 5.5MM,30184409,CDM,,,270,RC,inpatient,,2015,2015,,1710.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1519.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1712.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1773.2,88,,percent of total billed charges,,,,,,,,,1539.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1833.65,91,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,1672.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1672.45,83,,percent of total billed charges,,,1914.25,95,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1652.3,82,,percent of total billed charges,,,1813.5,90,,percent of total billed charges,,,1712.75,85,,percent of total billed charges,,1519.31,1914.25, S&N HEALICOIL PK 5.5MM W/UB2-CBR BLK UTP,30184410,CDM,,,270,RC,inpatient,,2269.8,2269.8,,1927.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1711.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1929.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1997.42,88,,percent of total billed charges,,,,,,,,,1734.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2065.52,91,,percent of total billed charges,,,2156.31,95,,percent of total billed charges,,,1883.93,83,,percent of total billed charges,,,1883.93,83,,percent of total billed charges,,,,,,,,,,,,,,,1883.93,83,,percent of total billed charges,,,2156.31,95,,percent of total billed charges,,,2042.82,90,,percent of total billed charges,,,2042.82,90,,percent of total billed charges,,,1861.24,82,,percent of total billed charges,,,2042.82,90,,percent of total billed charges,,,1929.33,85,,percent of total billed charges,,1711.43,2156.31, DEPUY STEM SUMMIT STD SZ 5,30184411,CDM,,,278,RC,inpatient,,35258.28,35258.28,,29934.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26584.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29969.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31027.29,88,,percent of total billed charges,,,,,,,,,26937.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32085.03,91,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,,,,,,,,,,,,,29264.37,83,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,28911.79,82,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,29969.54,85,,percent of total billed charges,,26584.74,33495.37, DEPUY FEMUR LPS PROXIMAL 15 DEG RT,30184412,CDM,,,278,RC,inpatient,,56410.06,56410.06,,47892.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,42533.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,47948.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,49640.85,88,,percent of total billed charges,,,,,,,,,43097.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,51333.15,91,,percent of total billed charges,,,53589.56,95,,percent of total billed charges,,,46820.35,83,,percent of total billed charges,,,46820.35,83,,percent of total billed charges,,,,,,,,,,,,,,,46820.35,83,,percent of total billed charges,,,53589.56,95,,percent of total billed charges,,,50769.05,90,,percent of total billed charges,,,50769.05,90,,percent of total billed charges,,,46256.25,82,,percent of total billed charges,,,50769.05,90,,percent of total billed charges,,,47948.55,85,,percent of total billed charges,,42533.19,53589.56, DEPUY OSTEOTOME RADIAL 14MM X 5,30184413,CDM,,,278,RC,inpatient,,5687.5,5687.5,,4828.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4288.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4834.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5005,88,,percent of total billed charges,,,,,,,,,4345.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5175.63,91,,percent of total billed charges,,,5403.13,95,,percent of total billed charges,,,4720.63,83,,percent of total billed charges,,,4720.63,83,,percent of total billed charges,,,,,,,,,,,,,,,4720.63,83,,percent of total billed charges,,,5403.13,95,,percent of total billed charges,,,5118.75,90,,percent of total billed charges,,,5118.75,90,,percent of total billed charges,,,4663.75,82,,percent of total billed charges,,,5118.75,90,,percent of total billed charges,,,4834.38,85,,percent of total billed charges,,4288.38,5403.13, DEPUY TREPHINES 14MM,30184414,CDM,,,278,RC,inpatient,,3549,3549,,3013.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2675.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3016.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3123.12,88,,percent of total billed charges,,,,,,,,,2711.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3229.59,91,,percent of total billed charges,,,3371.55,95,,percent of total billed charges,,,2945.67,83,,percent of total billed charges,,,2945.67,83,,percent of total billed charges,,,,,,,,,,,,,,,2945.67,83,,percent of total billed charges,,,3371.55,95,,percent of total billed charges,,,3194.1,90,,percent of total billed charges,,,3194.1,90,,percent of total billed charges,,,2910.18,82,,percent of total billed charges,,,3194.1,90,,percent of total billed charges,,,3016.65,85,,percent of total billed charges,,2675.95,3371.55, DEPUY TREPHINES 14.5MM,30184415,CDM,,,278,RC,inpatient,,3549,3549,,3013.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2675.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3016.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3123.12,88,,percent of total billed charges,,,,,,,,,2711.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3229.59,91,,percent of total billed charges,,,3371.55,95,,percent of total billed charges,,,2945.67,83,,percent of total billed charges,,,2945.67,83,,percent of total billed charges,,,,,,,,,,,,,,,2945.67,83,,percent of total billed charges,,,3371.55,95,,percent of total billed charges,,,3194.1,90,,percent of total billed charges,,,3194.1,90,,percent of total billed charges,,,2910.18,82,,percent of total billed charges,,,3194.1,90,,percent of total billed charges,,,3016.65,85,,percent of total billed charges,,2675.95,3371.55, S&N FEMUR OXINIUM PS SZ 5 RT,30184416,CDM,,,278,RC,inpatient,,32523.99,32523.99,,27612.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24523.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,27645.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,28621.11,88,,percent of total billed charges,,,,,,,,,24848.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,29596.83,91,,percent of total billed charges,,,30897.79,95,,percent of total billed charges,,,26994.91,83,,percent of total billed charges,,,26994.91,83,,percent of total billed charges,,,,,,,,,,,,,,,26994.91,83,,percent of total billed charges,,,30897.79,95,,percent of total billed charges,,,29271.59,90,,percent of total billed charges,,,29271.59,90,,percent of total billed charges,,,26669.67,82,,percent of total billed charges,,,29271.59,90,,percent of total billed charges,,,27645.39,85,,percent of total billed charges,,24523.09,30897.79, S&N LGN PS HIGH FLEX XLPE SZ 5-6 13MM,30184417,CDM,,,278,RC,inpatient,,11895,11895,,10098.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8968.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10110.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10467.6,88,,percent of total billed charges,,,,,,,,,9087.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10824.45,91,,percent of total billed charges,,,11300.25,95,,percent of total billed charges,,,9872.85,83,,percent of total billed charges,,,9872.85,83,,percent of total billed charges,,,,,,,,,,,,,,,9872.85,83,,percent of total billed charges,,,11300.25,95,,percent of total billed charges,,,10705.5,90,,percent of total billed charges,,,10705.5,90,,percent of total billed charges,,,9753.9,82,,percent of total billed charges,,,10705.5,90,,percent of total billed charges,,,10110.75,85,,percent of total billed charges,,8968.83,11300.25, S&N PLATE TIBIA BASE GENISIS II SZ 5 RT,30184418,CDM,,,278,RC,inpatient,,15593.11,15593.11,,13238.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11757.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13254.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13721.94,88,,percent of total billed charges,,,,,,,,,11913.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14189.73,91,,percent of total billed charges,,,14813.45,95,,percent of total billed charges,,,12942.28,83,,percent of total billed charges,,,12942.28,83,,percent of total billed charges,,,,,,,,,,,,,,,12942.28,83,,percent of total billed charges,,,14813.45,95,,percent of total billed charges,,,14033.8,90,,percent of total billed charges,,,14033.8,90,,percent of total billed charges,,,12786.35,82,,percent of total billed charges,,,14033.8,90,,percent of total billed charges,,,13254.14,85,,percent of total billed charges,,11757.2,14813.45, S&N GENESIS PIN & DRILL SET,30184419,CDM,,,270,RC,inpatient,,876.33,876.33,,744,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,660.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,744.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,771.17,88,,percent of total billed charges,,,,,,,,,669.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,797.46,91,,percent of total billed charges,,,832.51,95,,percent of total billed charges,,,727.35,83,,percent of total billed charges,,,727.35,83,,percent of total billed charges,,,,,,,,,,,,,,,727.35,83,,percent of total billed charges,,,832.51,95,,percent of total billed charges,,,788.7,90,,percent of total billed charges,,,788.7,90,,percent of total billed charges,,,718.59,82,,percent of total billed charges,,,788.7,90,,percent of total billed charges,,,744.88,85,,percent of total billed charges,,660.75,832.51, S&N FEMUR OXINIUM PS SZ 5 LT,30184420,CDM,,,278,RC,inpatient,,27300,27300,,23177.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,20584.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,23205,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,24024,88,,percent of total billed charges,,,,,,,,,20857.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,24843,91,,percent of total billed charges,,,25935,95,,percent of total billed charges,,,22659,83,,percent of total billed charges,,,22659,83,,percent of total billed charges,,,,,,,,,,,,,,,22659,83,,percent of total billed charges,,,25935,95,,percent of total billed charges,,,24570,90,,percent of total billed charges,,,24570,90,,percent of total billed charges,,,22386,82,,percent of total billed charges,,,24570,90,,percent of total billed charges,,,23205,85,,percent of total billed charges,,20584.2,25935, LEXION INSUFLOW,30184421,CDM,,,270,RC,inpatient,,595,595,,505.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,448.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,505.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,523.6,88,,percent of total billed charges,,,,,,,,,454.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,541.45,91,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,,,,,,,,,,,,,493.85,83,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,487.9,82,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,505.75,85,,percent of total billed charges,,448.63,565.25, DEPUY INSERT TCS RP 15MM SZ 5,30184422,CDM,,,278,RC,inpatient,,15465.58,15465.58,,13130.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11661.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13145.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13609.71,88,,percent of total billed charges,,,,,,,,,11815.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14073.68,91,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,12836.43,83,,percent of total billed charges,,,,,,,,,,,,,,,12836.43,83,,percent of total billed charges,,,14692.3,95,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,12681.78,82,,percent of total billed charges,,,13919.02,90,,percent of total billed charges,,,13145.74,85,,percent of total billed charges,,11661.05,14692.3, DEPUY FEMUR PS SIGMA LT SZ 6,30184423,CDM,,,278,RC,inpatient,,25162.48,25162.48,,21362.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18972.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21388.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22142.98,88,,percent of total billed charges,,,,,,,,,19224.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22897.86,91,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,20884.86,83,,percent of total billed charges,,,,,,,,,,,,,,,20884.86,83,,percent of total billed charges,,,23904.36,95,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,20633.23,82,,percent of total billed charges,,,22646.23,90,,percent of total billed charges,,,21388.11,85,,percent of total billed charges,,18972.51,23904.36, DEPUY INSERT RP 10MM SZ 6,30184424,CDM,,,278,RC,inpatient,,11480.69,11480.69,,9747.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8656.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9758.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10103.01,88,,percent of total billed charges,,,,,,,,,8771.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10447.43,91,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,9528.97,83,,percent of total billed charges,,,,,,,,,,,,,,,9528.97,83,,percent of total billed charges,,,10906.66,95,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9414.17,82,,percent of total billed charges,,,10332.62,90,,percent of total billed charges,,,9758.59,85,,percent of total billed charges,,8656.44,10906.66, ALLOSOURCE ANTERIOR TIBIALIS,30184425,CDM,,,278,RC,inpatient,,18396.24,18396.24,,15618.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13870.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15636.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16188.69,88,,percent of total billed charges,,,,,,,,,14054.73,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16740.58,91,,percent of total billed charges,,,17476.43,95,,percent of total billed charges,,,15268.88,83,,percent of total billed charges,,,15268.88,83,,percent of total billed charges,,,,,,,,,,,,,,,15268.88,83,,percent of total billed charges,,,17476.43,95,,percent of total billed charges,,,16556.62,90,,percent of total billed charges,,,16556.62,90,,percent of total billed charges,,,15084.92,82,,percent of total billed charges,,,16556.62,90,,percent of total billed charges,,,15636.8,85,,percent of total billed charges,,13870.76,17476.43, ESOPHYX2 2-LINK,30184426,CDM,,,270,RC,inpatient,,23237.5,23237.5,,19728.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17521.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19751.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20449,88,,percent of total billed charges,,,,,,,,,17753.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21146.13,91,,percent of total billed charges,,,22075.63,95,,percent of total billed charges,,,19287.13,83,,percent of total billed charges,,,19287.13,83,,percent of total billed charges,,,,,,,,,,,,,,,19287.13,83,,percent of total billed charges,,,22075.63,95,,percent of total billed charges,,,20913.75,90,,percent of total billed charges,,,20913.75,90,,percent of total billed charges,,,19054.75,82,,percent of total billed charges,,,20913.75,90,,percent of total billed charges,,,19751.88,85,,percent of total billed charges,,17521.08,22075.63, ZIMMER FEMUR OXFORD TWIN PEG,30184427,CDM,,,278,RC,inpatient,,20345,20345,,17272.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15340.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17293.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17903.6,88,,percent of total billed charges,,,,,,,,,15543.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18513.95,91,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,,,,,,,,,,,,,16886.35,83,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,16682.9,82,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,17293.25,85,,percent of total billed charges,,15340.13,19327.75, ZIMMER TIBIAL TRAY RT MEDIAL,30184428,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, ZIMMER BEARING ANATOMIC MENISCAL RT MEDI,30184429,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, DEPUY ATTUNE RP TOTAL KNEE,30184432,CDM,,,278,RC,inpatient,,37440,37440,,31786.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31824,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32947.2,88,,percent of total billed charges,,,,,,,,,28604.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34070.4,91,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,,,,,,,,,,,,,31075.2,83,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,30700.8,82,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,31824,85,,percent of total billed charges,,28229.76,35568, SYNTHES SCREW LOCKING S-T 3.5 X 28MM,30184433,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, SYNTHES SCREW LOCKING S-T 3.5 X 45MM,30184434,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, SYNTHES SCREW CORTEX 3.5 X 24MM,30184435,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CORTEX 3.5 X 28MM,30184436,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES K-WIRE 1.6MM 5MM THREAD,30184437,CDM,,,278,RC,inpatient,,195.46,195.46,,165.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,147.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,166.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,172,88,,percent of total billed charges,,,,,,,,,149.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,177.87,91,,percent of total billed charges,,,185.69,95,,percent of total billed charges,,,162.23,83,,percent of total billed charges,,,162.23,83,,percent of total billed charges,,,,,,,,,,,,,,,162.23,83,,percent of total billed charges,,,185.69,95,,percent of total billed charges,,,175.91,90,,percent of total billed charges,,,175.91,90,,percent of total billed charges,,,160.28,82,,percent of total billed charges,,,175.91,90,,percent of total billed charges,,,166.14,85,,percent of total billed charges,,147.38,185.69, DEPUY ATTUNE FB TOTAL KNEE,30184438,CDM,,,278,RC,inpatient,,37440,37440,,31786.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28229.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31824,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32947.2,88,,percent of total billed charges,,,,,,,,,28604.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34070.4,91,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,31075.2,83,,percent of total billed charges,,,,,,,,,,,,,,,31075.2,83,,percent of total billed charges,,,35568,95,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,30700.8,82,,percent of total billed charges,,,33696,90,,percent of total billed charges,,,31824,85,,percent of total billed charges,,28229.76,35568, DEPUY HEAD TAPER 28 +0 14/16,30184439,CDM,,,278,RC,inpatient,,7623.56,7623.56,,6472.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5748.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6480.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6708.73,88,,percent of total billed charges,,,,,,,,,5824.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6937.44,91,,percent of total billed charges,,,7242.38,95,,percent of total billed charges,,,6327.55,83,,percent of total billed charges,,,6327.55,83,,percent of total billed charges,,,,,,,,,,,,,,,6327.55,83,,percent of total billed charges,,,7242.38,95,,percent of total billed charges,,,6861.2,90,,percent of total billed charges,,,6861.2,90,,percent of total billed charges,,,6251.32,82,,percent of total billed charges,,,6861.2,90,,percent of total billed charges,,,6480.03,85,,percent of total billed charges,,5748.16,7242.38, ALLOSOURCE FIBULA RIGHT WHOLE,30184440,CDM,,,278,RC,inpatient,,10335,10335,,8774.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7792.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8784.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9094.8,88,,percent of total billed charges,,,,,,,,,7895.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9404.85,91,,percent of total billed charges,,,9818.25,95,,percent of total billed charges,,,8578.05,83,,percent of total billed charges,,,8578.05,83,,percent of total billed charges,,,,,,,,,,,,,,,8578.05,83,,percent of total billed charges,,,9818.25,95,,percent of total billed charges,,,9301.5,90,,percent of total billed charges,,,9301.5,90,,percent of total billed charges,,,8474.7,82,,percent of total billed charges,,,9301.5,90,,percent of total billed charges,,,8784.75,85,,percent of total billed charges,,7792.59,9818.25, DEPUY CAGE PROTROSIS 56 OD,30184441,CDM,,,278,RC,inpatient,,21625.7,21625.7,,18360.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16305.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18381.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19030.62,88,,percent of total billed charges,,,,,,,,,16522.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19679.39,91,,percent of total billed charges,,,20544.42,95,,percent of total billed charges,,,17949.33,83,,percent of total billed charges,,,17949.33,83,,percent of total billed charges,,,,,,,,,,,,,,,17949.33,83,,percent of total billed charges,,,20544.42,95,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,17733.07,82,,percent of total billed charges,,,19463.13,90,,percent of total billed charges,,,18381.85,85,,percent of total billed charges,,16305.78,20544.42, DEPUY SCREW BONE 15MM,30184442,CDM,,,278,RC,inpatient,,1539.72,1539.72,,1307.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1160.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1308.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1354.95,88,,percent of total billed charges,,,,,,,,,1176.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1401.15,91,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,1277.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1277.97,83,,percent of total billed charges,,,1462.73,95,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1262.57,82,,percent of total billed charges,,,1385.75,90,,percent of total billed charges,,,1308.76,85,,percent of total billed charges,,1160.95,1462.73, ARTHREX TIGHTROPE ABS BUTTON ROUND,30184443,CDM,,,278,RC,inpatient,,1391,1391,,1180.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1048.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1182.35,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1224.08,88,,percent of total billed charges,,,,,,,,,1062.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1265.81,91,,percent of total billed charges,,,1321.45,95,,percent of total billed charges,,,1154.53,83,,percent of total billed charges,,,1154.53,83,,percent of total billed charges,,,,,,,,,,,,,,,1154.53,83,,percent of total billed charges,,,1321.45,95,,percent of total billed charges,,,1251.9,90,,percent of total billed charges,,,1251.9,90,,percent of total billed charges,,,1140.62,82,,percent of total billed charges,,,1251.9,90,,percent of total billed charges,,,1182.35,85,,percent of total billed charges,,1048.81,1321.45, ARTHREX TIGHTROPE ABS IMPLANT OPEN,30184444,CDM,,,278,RC,inpatient,,1261,1261,,1070.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,950.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1071.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1109.68,88,,percent of total billed charges,,,,,,,,,963.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1147.51,91,,percent of total billed charges,,,1197.95,95,,percent of total billed charges,,,1046.63,83,,percent of total billed charges,,,1046.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1046.63,83,,percent of total billed charges,,,1197.95,95,,percent of total billed charges,,,1134.9,90,,percent of total billed charges,,,1134.9,90,,percent of total billed charges,,,1034.02,82,,percent of total billed charges,,,1134.9,90,,percent of total billed charges,,,1071.85,85,,percent of total billed charges,,950.79,1197.95, ARTHREX ACL TIGHTROPE RT,30184445,CDM,,,278,RC,inpatient,,2275,2275,,1931.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1715.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1933.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2002,88,,percent of total billed charges,,,,,,,,,1738.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2070.25,91,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,1888.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1888.25,83,,percent of total billed charges,,,2161.25,95,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1865.5,82,,percent of total billed charges,,,2047.5,90,,percent of total billed charges,,,1933.75,85,,percent of total billed charges,,1715.35,2161.25, DEPUY HEAD HUMERAL GLOBAL 40 X 15,30184446,CDM,,,278,RC,inpatient,,15528.76,15528.76,,13183.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11708.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13199.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13665.31,88,,percent of total billed charges,,,,,,,,,11863.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14131.17,91,,percent of total billed charges,,,14752.32,95,,percent of total billed charges,,,12888.87,83,,percent of total billed charges,,,12888.87,83,,percent of total billed charges,,,,,,,,,,,,,,,12888.87,83,,percent of total billed charges,,,14752.32,95,,percent of total billed charges,,,13975.88,90,,percent of total billed charges,,,13975.88,90,,percent of total billed charges,,,12733.58,82,,percent of total billed charges,,,13975.88,90,,percent of total billed charges,,,13199.45,85,,percent of total billed charges,,11708.69,14752.32, DEPUY BODY PROX ANATOMIC UNITE SZ 6/8,30184447,CDM,,,278,RC,inpatient,,12654.66,12654.66,,10743.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9541.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10756.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11136.1,88,,percent of total billed charges,,,,,,,,,9668.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11515.74,91,,percent of total billed charges,,,12021.93,95,,percent of total billed charges,,,10503.37,83,,percent of total billed charges,,,10503.37,83,,percent of total billed charges,,,,,,,,,,,,,,,10503.37,83,,percent of total billed charges,,,12021.93,95,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,10376.82,82,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,10756.46,85,,percent of total billed charges,,9541.61,12021.93, DEPUY STEM STD UNITE SZ 10,30184448,CDM,,,278,RC,inpatient,,26023.86,26023.86,,22094.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19621.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22120.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22901,88,,percent of total billed charges,,,,,,,,,19882.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23681.71,91,,percent of total billed charges,,,24722.67,95,,percent of total billed charges,,,21599.8,83,,percent of total billed charges,,,21599.8,83,,percent of total billed charges,,,,,,,,,,,,,,,21599.8,83,,percent of total billed charges,,,24722.67,95,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,21339.57,82,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,22120.28,85,,percent of total billed charges,,19621.99,24722.67, DEPUY BODY PROX ANATOMIC UNITE SZ 10,30184449,CDM,,,278,RC,inpatient,,12654.66,12654.66,,10743.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9541.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10756.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11136.1,88,,percent of total billed charges,,,,,,,,,9668.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11515.74,91,,percent of total billed charges,,,12021.93,95,,percent of total billed charges,,,10503.37,83,,percent of total billed charges,,,10503.37,83,,percent of total billed charges,,,,,,,,,,,,,,,10503.37,83,,percent of total billed charges,,,12021.93,95,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,10376.82,82,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,10756.46,85,,percent of total billed charges,,9541.61,12021.93, SYNTHES PLATE VOLAR DISTAL RADIUS 2.4MM,30184450,CDM,,,278,RC,inpatient,,9056,9056,,7688.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6828.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7697.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7969.28,88,,percent of total billed charges,,,,,,,,,6918.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8240.96,91,,percent of total billed charges,,,8603.2,95,,percent of total billed charges,,,7516.48,83,,percent of total billed charges,,,7516.48,83,,percent of total billed charges,,,,,,,,,,,,,,,7516.48,83,,percent of total billed charges,,,8603.2,95,,percent of total billed charges,,,8150.4,90,,percent of total billed charges,,,8150.4,90,,percent of total billed charges,,,7425.92,82,,percent of total billed charges,,,8150.4,90,,percent of total billed charges,,,7697.6,85,,percent of total billed charges,,6828.22,8603.2, SYNTHES SCREW CORTEX S-T 2.7 X 24MM,30184451,CDM,,,278,RC,inpatient,,386.75,386.75,,328.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,291.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,328.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,340.34,88,,percent of total billed charges,,,,,,,,,295.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,351.94,91,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,321,83,,percent of total billed charges,,,321,83,,percent of total billed charges,,,,,,,,,,,,,,,321,83,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,317.14,82,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,328.74,85,,percent of total billed charges,,291.61,367.41, SYNTHES SCREW CORTEX S-T 2.7 X 20MM,30184452,CDM,,,278,RC,inpatient,,386.75,386.75,,328.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,291.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,328.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,340.34,88,,percent of total billed charges,,,,,,,,,295.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,351.94,91,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,321,83,,percent of total billed charges,,,321,83,,percent of total billed charges,,,,,,,,,,,,,,,321,83,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,317.14,82,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,328.74,85,,percent of total billed charges,,291.61,367.41, SYNTHES SCREW LOCKING ANGLE 2.4 X 26MM,30184453,CDM,,,278,RC,inpatient,,1354.02,1354.02,,1149.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1020.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1150.92,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1191.54,88,,percent of total billed charges,,,,,,,,,1034.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1232.16,91,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,1123.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1123.84,83,,percent of total billed charges,,,1286.32,95,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1110.3,82,,percent of total billed charges,,,1218.62,90,,percent of total billed charges,,,1150.92,85,,percent of total billed charges,,1020.93,1286.32, ZIMMER HEAD FEMORAL 12/14 28MM +3.5,30184454,CDM,,,278,RC,inpatient,,7988.5,7988.5,,6782.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6023.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6790.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7029.88,88,,percent of total billed charges,,,,,,,,,6103.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7269.54,91,,percent of total billed charges,,,7589.08,95,,percent of total billed charges,,,6630.46,83,,percent of total billed charges,,,6630.46,83,,percent of total billed charges,,,,,,,,,,,,,,,6630.46,83,,percent of total billed charges,,,7589.08,95,,percent of total billed charges,,,7189.65,90,,percent of total billed charges,,,7189.65,90,,percent of total billed charges,,,6550.57,82,,percent of total billed charges,,,7189.65,90,,percent of total billed charges,,,6790.23,85,,percent of total billed charges,,6023.33,7589.08, ARTHREX REAMER LOW PROFILE 11MM,30184456,CDM,,,278,RC,inpatient,,1267.5,1267.5,,1076.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1077.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1115.4,88,,percent of total billed charges,,,,,,,,,968.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1153.43,91,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1052.03,83,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1039.35,82,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1077.38,85,,percent of total billed charges,,955.7,1204.13, ARTHREX TIGHTROPE BTB,30184457,CDM,,,278,RC,inpatient,,2762.5,2762.5,,2345.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2082.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2348.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2431,88,,percent of total billed charges,,,,,,,,,2110.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2513.88,91,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2292.88,83,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2265.25,82,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2348.13,85,,percent of total billed charges,,2082.93,2624.38, ARTHREXTRANS-TIB ACL W/SAWBLD KIT,30184458,CDM,,,278,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, ARTHREX CUTTER II FLIP 10.0 MM,30184459,CDM,,,278,RC,inpatient,,2112.5,2112.5,,1793.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1592.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1795.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1859,88,,percent of total billed charges,,,,,,,,,1613.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1922.38,91,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,,,,,,,,,,,,,1753.38,83,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1732.25,82,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1795.63,85,,percent of total billed charges,,1592.83,2006.88, ARTHREX FIBERSTICK 2-0 FIBERWIRE 2-0,30184460,CDM,,,278,RC,inpatient,,285,285,,241.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,242.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,250.8,88,,percent of total billed charges,,,,,,,,,217.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,259.35,91,,percent of total billed charges,,,270.75,95,,percent of total billed charges,,,236.55,83,,percent of total billed charges,,,236.55,83,,percent of total billed charges,,,,,,,,,,,,,,,236.55,83,,percent of total billed charges,,,270.75,95,,percent of total billed charges,,,256.5,90,,percent of total billed charges,,,256.5,90,,percent of total billed charges,,,233.7,82,,percent of total billed charges,,,256.5,90,,percent of total billed charges,,,242.25,85,,percent of total billed charges,,214.89,270.75, ARTHREX ANCHOR SUTURE BIO-SWVLK C,30184461,CDM,,,278,RC,inpatient,,2437.5,2437.5,,2069.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1837.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2071.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2145,88,,percent of total billed charges,,,,,,,,,1862.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2218.13,91,,percent of total billed charges,,,2315.63,95,,percent of total billed charges,,,2023.13,83,,percent of total billed charges,,,2023.13,83,,percent of total billed charges,,,,,,,,,,,,,,,2023.13,83,,percent of total billed charges,,,2315.63,95,,percent of total billed charges,,,2193.75,90,,percent of total billed charges,,,2193.75,90,,percent of total billed charges,,,1998.75,82,,percent of total billed charges,,,2193.75,90,,percent of total billed charges,,,2071.88,85,,percent of total billed charges,,1837.88,2315.63, ARTHREX REAMER LOW PROFILE 5MM,30184462,CDM,,,278,RC,inpatient,,1267.5,1267.5,,1076.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1077.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1115.4,88,,percent of total billed charges,,,,,,,,,968.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1153.43,91,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1052.03,83,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1039.35,82,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1077.38,85,,percent of total billed charges,,955.7,1204.13, SYNTHES PLATE ANTERIOR ARTHRODESIS ANKLE,30184463,CDM,,,278,RC,inpatient,,9641.13,9641.13,,8185.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7269.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8194.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8484.19,88,,percent of total billed charges,,,,,,,,,7365.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8773.43,91,,percent of total billed charges,,,9159.07,95,,percent of total billed charges,,,8002.14,83,,percent of total billed charges,,,8002.14,83,,percent of total billed charges,,,,,,,,,,,,,,,8002.14,83,,percent of total billed charges,,,9159.07,95,,percent of total billed charges,,,8677.02,90,,percent of total billed charges,,,8677.02,90,,percent of total billed charges,,,7905.73,82,,percent of total billed charges,,,8677.02,90,,percent of total billed charges,,,8194.96,85,,percent of total billed charges,,7269.41,9159.07, SYNTHES GUIDE WIRE NON THREADED 2.0MM,30184464,CDM,,,278,RC,inpatient,,398.65,398.65,,338.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,300.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,338.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,350.81,88,,percent of total billed charges,,,,,,,,,304.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,362.77,91,,percent of total billed charges,,,378.72,95,,percent of total billed charges,,,330.88,83,,percent of total billed charges,,,330.88,83,,percent of total billed charges,,,,,,,,,,,,,,,330.88,83,,percent of total billed charges,,,378.72,95,,percent of total billed charges,,,358.79,90,,percent of total billed charges,,,358.79,90,,percent of total billed charges,,,326.89,82,,percent of total billed charges,,,358.79,90,,percent of total billed charges,,,338.85,85,,percent of total billed charges,,300.58,378.72, SYNTHES SCREW CORTEX 4.5 X 32MM,30184465,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW CORTEX 4.5 X 34MM,30184466,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW CORTEX 4.5 X 46MM,30184467,CDM,,,278,RC,inpatient,,277.28,277.28,,235.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,209.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,235.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,244.01,88,,percent of total billed charges,,,,,,,,,211.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,252.32,91,,percent of total billed charges,,,263.42,95,,percent of total billed charges,,,230.14,83,,percent of total billed charges,,,230.14,83,,percent of total billed charges,,,,,,,,,,,,,,,230.14,83,,percent of total billed charges,,,263.42,95,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,227.37,82,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,235.69,85,,percent of total billed charges,,209.07,263.42, SYNTHES SCREW CORTEX 4.5 X 42MM,30184468,CDM,,,278,RC,inpatient,,277.28,277.28,,235.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,209.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,235.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,244.01,88,,percent of total billed charges,,,,,,,,,211.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,252.32,91,,percent of total billed charges,,,263.42,95,,percent of total billed charges,,,230.14,83,,percent of total billed charges,,,230.14,83,,percent of total billed charges,,,,,,,,,,,,,,,230.14,83,,percent of total billed charges,,,263.42,95,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,227.37,82,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,235.69,85,,percent of total billed charges,,209.07,263.42, SYNTHES SCREW CORTEX 4.5 X 50MM,30184469,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW LOCKING 5.0 X 42MM,30184470,CDM,,,278,RC,inpatient,,1453.66,1453.66,,1234.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1096.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1235.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1279.22,88,,percent of total billed charges,,,,,,,,,1110.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1322.83,91,,percent of total billed charges,,,1380.98,95,,percent of total billed charges,,,1206.54,83,,percent of total billed charges,,,1206.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1206.54,83,,percent of total billed charges,,,1380.98,95,,percent of total billed charges,,,1308.29,90,,percent of total billed charges,,,1308.29,90,,percent of total billed charges,,,1192,82,,percent of total billed charges,,,1308.29,90,,percent of total billed charges,,,1235.61,85,,percent of total billed charges,,1096.06,1380.98, DEPUY INSERT TC3 SZ 5 12.5MM,30184471,CDM,,,278,RC,inpatient,,23116.99,23116.99,,19626.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17430.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19649.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20342.95,88,,percent of total billed charges,,,,,,,,,17661.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21036.46,91,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,19187.1,83,,percent of total billed charges,,,,,,,,,,,,,,,19187.1,83,,percent of total billed charges,,,21961.14,95,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,18955.93,82,,percent of total billed charges,,,20805.29,90,,percent of total billed charges,,,19649.44,85,,percent of total billed charges,,17430.21,21961.14, ARTHREX CUTTER FLIP II 8.5MM,30184472,CDM,,,270,RC,inpatient,,2112.5,2112.5,,1793.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1592.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1795.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1859,88,,percent of total billed charges,,,,,,,,,1613.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1922.38,91,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,,,,,,,,,,,,,1753.38,83,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1732.25,82,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1795.63,85,,percent of total billed charges,,1592.83,2006.88, ARTHREX CUTTER FLIP II 9.0MM,30184473,CDM,,,270,RC,inpatient,,2112.5,2112.5,,1793.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1592.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1795.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1859,88,,percent of total billed charges,,,,,,,,,1613.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1922.38,91,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,,,,,,,,,,,,,1753.38,83,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1732.25,82,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1795.63,85,,percent of total billed charges,,1592.83,2006.88, ARTHREX REAMER LOW PROFILE 9.5MM,30184474,CDM,,,270,RC,inpatient,,1267.5,1267.5,,1076.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1077.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1115.4,88,,percent of total billed charges,,,,,,,,,968.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1153.43,91,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1052.03,83,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1039.35,82,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1077.38,85,,percent of total billed charges,,955.7,1204.13, ARTHREX TIGHTROPE ABS IMPLANT,30184475,CDM,,,278,RC,inpatient,,1196,1196,,1015.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,901.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1016.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1052.48,88,,percent of total billed charges,,,,,,,,,913.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1088.36,91,,percent of total billed charges,,,1136.2,95,,percent of total billed charges,,,992.68,83,,percent of total billed charges,,,992.68,83,,percent of total billed charges,,,,,,,,,,,,,,,992.68,83,,percent of total billed charges,,,1136.2,95,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,980.72,82,,percent of total billed charges,,,1076.4,90,,percent of total billed charges,,,1016.6,85,,percent of total billed charges,,901.78,1136.2, ARTHREX TIGERSTICK #2 TIGERWIRE,30184476,CDM,,,278,RC,inpatient,,500.5,500.5,,424.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,377.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,425.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,440.44,88,,percent of total billed charges,,,,,,,,,382.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,455.46,91,,percent of total billed charges,,,475.48,95,,percent of total billed charges,,,415.42,83,,percent of total billed charges,,,415.42,83,,percent of total billed charges,,,,,,,,,,,,,,,415.42,83,,percent of total billed charges,,,475.48,95,,percent of total billed charges,,,450.45,90,,percent of total billed charges,,,450.45,90,,percent of total billed charges,,,410.41,82,,percent of total billed charges,,,450.45,90,,percent of total billed charges,,,425.43,85,,percent of total billed charges,,377.38,475.48, ARTHREX FIBERWIRE #1 BLUE 38,30184477,CDM,,,278,RC,inpatient,,136,136,,115.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,102.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,115.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,119.68,88,,percent of total billed charges,,,,,,,,,103.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,123.76,91,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,112.88,83,,percent of total billed charges,,,,,,,,,,,,,,,112.88,83,,percent of total billed charges,,,129.2,95,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,111.52,82,,percent of total billed charges,,,122.4,90,,percent of total billed charges,,,115.6,85,,percent of total billed charges,,102.54,129.2, ARTHREX FIBERLOOP #2 BLUE,30184478,CDM,,,278,RC,inpatient,,500.5,500.5,,424.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,377.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,425.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,440.44,88,,percent of total billed charges,,,,,,,,,382.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,455.46,91,,percent of total billed charges,,,475.48,95,,percent of total billed charges,,,415.42,83,,percent of total billed charges,,,415.42,83,,percent of total billed charges,,,,,,,,,,,,,,,415.42,83,,percent of total billed charges,,,475.48,95,,percent of total billed charges,,,450.45,90,,percent of total billed charges,,,450.45,90,,percent of total billed charges,,,410.41,82,,percent of total billed charges,,,450.45,90,,percent of total billed charges,,,425.43,85,,percent of total billed charges,,377.38,475.48, APPLIED EPIX LAPAROSCOPIC GRASPER,30184479,CDM,,,270,RC,inpatient,,337.5,337.5,,286.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,254.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,286.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,297,88,,percent of total billed charges,,,,,,,,,257.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,307.13,91,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,280.13,83,,percent of total billed charges,,,,,,,,,,,,,,,280.13,83,,percent of total billed charges,,,320.63,95,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,276.75,82,,percent of total billed charges,,,303.75,90,,percent of total billed charges,,,286.88,85,,percent of total billed charges,,254.48,320.63, ZIMMER OXF BEARING LEFT MEDIAL MENISCAL,30184481,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, ZIMMER OXF FEMORAL MEDIUM PMA,30184482,CDM,,,278,RC,inpatient,,20345,20345,,17272.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15340.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17293.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17903.6,88,,percent of total billed charges,,,,,,,,,15543.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18513.95,91,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,,,,,,,,,,,,,16886.35,83,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,16682.9,82,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,17293.25,85,,percent of total billed charges,,15340.13,19327.75, ZIMMER TRAY TIBIAL LEFT MEDIAL,30184483,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, S&N FEMUR LEGION OX CONSTRAINED SZ 5 LT,30184484,CDM,,,278,RC,inpatient,,53956.5,53956.5,,45809.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,40683.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,45863.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,47481.72,88,,percent of total billed charges,,,,,,,,,41222.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,49100.42,91,,percent of total billed charges,,,51258.68,95,,percent of total billed charges,,,44783.9,83,,percent of total billed charges,,,44783.9,83,,percent of total billed charges,,,,,,,,,,,,,,,44783.9,83,,percent of total billed charges,,,51258.68,95,,percent of total billed charges,,,48560.85,90,,percent of total billed charges,,,48560.85,90,,percent of total billed charges,,,44244.33,82,,percent of total billed charges,,,48560.85,90,,percent of total billed charges,,,45863.03,85,,percent of total billed charges,,40683.2,51258.68, S&N TIBIA LT SZ 5,30184485,CDM,,,278,RC,inpatient,,14573,14573,,12372.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10988.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12387.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12824.24,88,,percent of total billed charges,,,,,,,,,11133.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13261.43,91,,percent of total billed charges,,,13844.35,95,,percent of total billed charges,,,12095.59,83,,percent of total billed charges,,,12095.59,83,,percent of total billed charges,,,,,,,,,,,,,,,12095.59,83,,percent of total billed charges,,,13844.35,95,,percent of total billed charges,,,13115.7,90,,percent of total billed charges,,,13115.7,90,,percent of total billed charges,,,11949.86,82,,percent of total billed charges,,,13115.7,90,,percent of total billed charges,,,12387.05,85,,percent of total billed charges,,10988.04,13844.35, S&N STEM 10 X 120MM,30184486,CDM,,,278,RC,inpatient,,9984,9984,,8476.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7527.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8486.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8785.92,88,,percent of total billed charges,,,,,,,,,7627.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9085.44,91,,percent of total billed charges,,,9484.8,95,,percent of total billed charges,,,8286.72,83,,percent of total billed charges,,,8286.72,83,,percent of total billed charges,,,,,,,,,,,,,,,8286.72,83,,percent of total billed charges,,,9484.8,95,,percent of total billed charges,,,8985.6,90,,percent of total billed charges,,,8985.6,90,,percent of total billed charges,,,8186.88,82,,percent of total billed charges,,,8985.6,90,,percent of total billed charges,,,8486.4,85,,percent of total billed charges,,7527.94,9484.8, S&N INSERT XLPE SZ 5/6,30184487,CDM,,,278,RC,inpatient,,15198.11,15198.11,,12903.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11459.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12918.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13374.34,88,,percent of total billed charges,,,,,,,,,11611.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13830.28,91,,percent of total billed charges,,,14438.2,95,,percent of total billed charges,,,12614.43,83,,percent of total billed charges,,,12614.43,83,,percent of total billed charges,,,,,,,,,,,,,,,12614.43,83,,percent of total billed charges,,,14438.2,95,,percent of total billed charges,,,13678.3,90,,percent of total billed charges,,,13678.3,90,,percent of total billed charges,,,12462.45,82,,percent of total billed charges,,,13678.3,90,,percent of total billed charges,,,12918.39,85,,percent of total billed charges,,11459.37,14438.2, DEPUY LINER 42MM +6,30184488,CDM,,,278,RC,inpatient,,10688.08,10688.08,,9074.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8058.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9084.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9405.51,88,,percent of total billed charges,,,,,,,,,8165.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9726.15,91,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,,,,,,,,,,,,,8871.11,83,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,8764.23,82,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9084.87,85,,percent of total billed charges,,8058.81,10153.68, STOPCOCK 3-WAY SWIVEL MALE LL,30184489,CDM,,,270,RC,inpatient,,4.14,4.14,,3.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3.64,88,,percent of total billed charges,,,,,,,,,3.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3.77,91,,percent of total billed charges,,,3.93,95,,percent of total billed charges,,,3.44,83,,percent of total billed charges,,,3.44,83,,percent of total billed charges,,,,,,,,,,,,,,,3.44,83,,percent of total billed charges,,,3.93,95,,percent of total billed charges,,,3.73,90,,percent of total billed charges,,,3.73,90,,percent of total billed charges,,,3.39,82,,percent of total billed charges,,,3.73,90,,percent of total billed charges,,,3.52,85,,percent of total billed charges,,3.12,3.93, STAPLER RELOAD ECHELON (BLUE),30184490,CDM,,,270,RC,inpatient,,1250.91,1250.91,,1062.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,943.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1063.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1100.8,88,,percent of total billed charges,,,,,,,,,955.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1138.33,91,,percent of total billed charges,,,1188.36,95,,percent of total billed charges,,,1038.26,83,,percent of total billed charges,,,1038.26,83,,percent of total billed charges,,,,,,,,,,,,,,,1038.26,83,,percent of total billed charges,,,1188.36,95,,percent of total billed charges,,,1125.82,90,,percent of total billed charges,,,1125.82,90,,percent of total billed charges,,,1025.75,82,,percent of total billed charges,,,1125.82,90,,percent of total billed charges,,,1063.27,85,,percent of total billed charges,,943.19,1188.36, STAPLER RELOAD ECHELON (WHITE),30184491,CDM,,,270,RC,inpatient,,1250.91,1250.91,,1062.02,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,943.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1063.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1100.8,88,,percent of total billed charges,,,,,,,,,955.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1138.33,91,,percent of total billed charges,,,1188.36,95,,percent of total billed charges,,,1038.26,83,,percent of total billed charges,,,1038.26,83,,percent of total billed charges,,,,,,,,,,,,,,,1038.26,83,,percent of total billed charges,,,1188.36,95,,percent of total billed charges,,,1125.82,90,,percent of total billed charges,,,1125.82,90,,percent of total billed charges,,,1025.75,82,,percent of total billed charges,,,1125.82,90,,percent of total billed charges,,,1063.27,85,,percent of total billed charges,,943.19,1188.36, STAPLER PWRD ECHELON FLEX 45MM,30184492,CDM,,,270,RC,inpatient,,2367.08,2367.08,,2009.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1784.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2012.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2083.03,88,,percent of total billed charges,,,,,,,,,1808.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2154.04,91,,percent of total billed charges,,,2248.73,95,,percent of total billed charges,,,1964.68,83,,percent of total billed charges,,,1964.68,83,,percent of total billed charges,,,,,,,,,,,,,,,1964.68,83,,percent of total billed charges,,,2248.73,95,,percent of total billed charges,,,2130.37,90,,percent of total billed charges,,,2130.37,90,,percent of total billed charges,,,1941.01,82,,percent of total billed charges,,,2130.37,90,,percent of total billed charges,,,2012.02,85,,percent of total billed charges,,1784.78,2248.73, DEPUY INSERT RP SZ 6 12MM,30184493,CDM,,,278,RC,inpatient,,16738.35,16738.35,,14210.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12620.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14227.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14729.75,88,,percent of total billed charges,,,,,,,,,12788.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15231.9,91,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,,,,,,,,,,,,,13892.83,83,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,13725.45,82,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,14227.6,85,,percent of total billed charges,,12620.72,15901.43, DEPUY TIBIA ATTUNE RP SZ 5,30184494,CDM,,,278,RC,inpatient,,21286.98,21286.98,,18072.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16050.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18093.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18732.54,88,,percent of total billed charges,,,,,,,,,16263.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19371.15,91,,percent of total billed charges,,,20222.63,95,,percent of total billed charges,,,17668.19,83,,percent of total billed charges,,,17668.19,83,,percent of total billed charges,,,,,,,,,,,,,,,17668.19,83,,percent of total billed charges,,,20222.63,95,,percent of total billed charges,,,19158.28,90,,percent of total billed charges,,,19158.28,90,,percent of total billed charges,,,17455.32,82,,percent of total billed charges,,,19158.28,90,,percent of total billed charges,,,18093.93,85,,percent of total billed charges,,16050.38,20222.63, DEPUY STEM ENDURANCE SZ 2,30184495,CDM,,,278,RC,inpatient,,24918.92,24918.92,,21156.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18788.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21181.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21928.65,88,,percent of total billed charges,,,,,,,,,19038.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22676.22,91,,percent of total billed charges,,,23672.97,95,,percent of total billed charges,,,20682.7,83,,percent of total billed charges,,,20682.7,83,,percent of total billed charges,,,,,,,,,,,,,,,20682.7,83,,percent of total billed charges,,,23672.97,95,,percent of total billed charges,,,22427.03,90,,percent of total billed charges,,,22427.03,90,,percent of total billed charges,,,20433.51,82,,percent of total billed charges,,,22427.03,90,,percent of total billed charges,,,21181.08,85,,percent of total billed charges,,18788.87,23672.97, ARTHREX SUTURE TAK BIOCOMPOSITE 3 X 14.5,30184496,CDM,,,278,RC,inpatient,,2112.5,2112.5,,1793.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1592.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1795.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1859,88,,percent of total billed charges,,,,,,,,,1613.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1922.38,91,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,,,,,,,,,,,,,1753.38,83,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1732.25,82,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1795.63,85,,percent of total billed charges,,1592.83,2006.88, ARTHREX SUTURE TAK DISPOSABLE KIT,30184497,CDM,,,278,RC,inpatient,,942.5,942.5,,800.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,710.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,801.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,829.4,88,,percent of total billed charges,,,,,,,,,720.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,857.68,91,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,,,,,,,,,,,,,782.28,83,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,772.85,82,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,801.13,85,,percent of total billed charges,,710.65,895.38, ALLOSOURCE CANCELLOUS CUBES 30ML,30184498,CDM,,,278,RC,inpatient,,5375.5,5375.5,,4563.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4053.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4569.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4730.44,88,,percent of total billed charges,,,,,,,,,4106.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4891.71,91,,percent of total billed charges,,,5106.73,95,,percent of total billed charges,,,4461.67,83,,percent of total billed charges,,,4461.67,83,,percent of total billed charges,,,,,,,,,,,,,,,4461.67,83,,percent of total billed charges,,,5106.73,95,,percent of total billed charges,,,4837.95,90,,percent of total billed charges,,,4837.95,90,,percent of total billed charges,,,4407.91,82,,percent of total billed charges,,,4837.95,90,,percent of total billed charges,,,4569.18,85,,percent of total billed charges,,4053.13,5106.73, DEPUY INSERT PS SZ 6 18MM,30184499,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, DEPUY BODY ANATOMIC PROXIMAL 16MM,30184500,CDM,,,278,RC,inpatient,,12654.66,12654.66,,10743.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9541.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10756.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11136.1,88,,percent of total billed charges,,,,,,,,,9668.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11515.74,91,,percent of total billed charges,,,12021.93,95,,percent of total billed charges,,,10503.37,83,,percent of total billed charges,,,10503.37,83,,percent of total billed charges,,,,,,,,,,,,,,,10503.37,83,,percent of total billed charges,,,12021.93,95,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,10376.82,82,,percent of total billed charges,,,11389.19,90,,percent of total billed charges,,,10756.46,85,,percent of total billed charges,,9541.61,12021.93, DEPUY STEM HUMERAL 16MM,30184501,CDM,,,278,RC,inpatient,,26023.86,26023.86,,22094.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19621.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22120.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22901,88,,percent of total billed charges,,,,,,,,,19882.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23681.71,91,,percent of total billed charges,,,24722.67,95,,percent of total billed charges,,,21599.8,83,,percent of total billed charges,,,21599.8,83,,percent of total billed charges,,,,,,,,,,,,,,,21599.8,83,,percent of total billed charges,,,24722.67,95,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,21339.57,82,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,22120.28,85,,percent of total billed charges,,19621.99,24722.67, DEPUY HEAD ECCENTRIC 52MM X 18MM,30184502,CDM,,,278,RC,inpatient,,17636.13,17636.13,,14973.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13297.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14990.71,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15519.79,88,,percent of total billed charges,,,,,,,,,13474,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16048.88,91,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,14637.99,83,,percent of total billed charges,,,,,,,,,,,,,,,14637.99,83,,percent of total billed charges,,,16754.32,95,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14461.63,82,,percent of total billed charges,,,15872.52,90,,percent of total billed charges,,,14990.71,85,,percent of total billed charges,,13297.64,16754.32, DEPUY GUIDE PINS BREAK AWAY,30184503,CDM,,,278,RC,inpatient,,1755,1755,,1490,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1323.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1491.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1544.4,88,,percent of total billed charges,,,,,,,,,1340.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1597.05,91,,percent of total billed charges,,,1667.25,95,,percent of total billed charges,,,1456.65,83,,percent of total billed charges,,,1456.65,83,,percent of total billed charges,,,,,,,,,,,,,,,1456.65,83,,percent of total billed charges,,,1667.25,95,,percent of total billed charges,,,1579.5,90,,percent of total billed charges,,,1579.5,90,,percent of total billed charges,,,1439.1,82,,percent of total billed charges,,,1579.5,90,,percent of total billed charges,,,1491.75,85,,percent of total billed charges,,1323.27,1667.25, BIS ADULT SENSOR,30184504,CDM,,,270,RC,inpatient,,185.59,185.59,,157.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,139.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,157.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,163.32,88,,percent of total billed charges,,,,,,,,,141.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,168.89,91,,percent of total billed charges,,,176.31,95,,percent of total billed charges,,,154.04,83,,percent of total billed charges,,,154.04,83,,percent of total billed charges,,,,,,,,,,,,,,,154.04,83,,percent of total billed charges,,,176.31,95,,percent of total billed charges,,,167.03,90,,percent of total billed charges,,,167.03,90,,percent of total billed charges,,,152.18,82,,percent of total billed charges,,,167.03,90,,percent of total billed charges,,,157.75,85,,percent of total billed charges,,139.93,176.31, SYNTHES WASHER 13MM,30184505,CDM,,,278,RC,inpatient,,324.6,324.6,,275.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,244.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,275.91,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,285.65,88,,percent of total billed charges,,,,,,,,,247.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,295.39,91,,percent of total billed charges,,,308.37,95,,percent of total billed charges,,,269.42,83,,percent of total billed charges,,,269.42,83,,percent of total billed charges,,,,,,,,,,,,,,,269.42,83,,percent of total billed charges,,,308.37,95,,percent of total billed charges,,,292.14,90,,percent of total billed charges,,,292.14,90,,percent of total billed charges,,,266.17,82,,percent of total billed charges,,,292.14,90,,percent of total billed charges,,,275.91,85,,percent of total billed charges,,244.75,308.37, STRYKER BURR TPS ELITE 3.0,30184506,CDM,,,270,RC,inpatient,,940.16,940.16,,798.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,708.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,799.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,827.34,88,,percent of total billed charges,,,,,,,,,718.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,855.55,91,,percent of total billed charges,,,893.15,95,,percent of total billed charges,,,780.33,83,,percent of total billed charges,,,780.33,83,,percent of total billed charges,,,,,,,,,,,,,,,780.33,83,,percent of total billed charges,,,893.15,95,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,770.93,82,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,799.14,85,,percent of total billed charges,,708.88,893.15, STRYKER BURR TPS ELITE HELICOIDAL RASP,30184507,CDM,,,270,RC,inpatient,,940.16,940.16,,798.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,708.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,799.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,827.34,88,,percent of total billed charges,,,,,,,,,718.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,855.55,91,,percent of total billed charges,,,893.15,95,,percent of total billed charges,,,780.33,83,,percent of total billed charges,,,780.33,83,,percent of total billed charges,,,,,,,,,,,,,,,780.33,83,,percent of total billed charges,,,893.15,95,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,770.93,82,,percent of total billed charges,,,846.14,90,,percent of total billed charges,,,799.14,85,,percent of total billed charges,,708.88,893.15, SURGICAL PATTIES 1/2 X 1/2,30184508,CDM,,,270,RC,inpatient,,20.18,20.18,,17.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17.15,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17.76,88,,percent of total billed charges,,,,,,,,,15.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18.36,91,,percent of total billed charges,,,19.17,95,,percent of total billed charges,,,16.75,83,,percent of total billed charges,,,16.75,83,,percent of total billed charges,,,,,,,,,,,,,,,16.75,83,,percent of total billed charges,,,19.17,95,,percent of total billed charges,,,18.16,90,,percent of total billed charges,,,18.16,90,,percent of total billed charges,,,16.55,82,,percent of total billed charges,,,18.16,90,,percent of total billed charges,,,17.15,85,,percent of total billed charges,,15.22,19.17, ZIMMER TIBIA TRAY OXF UNI SZ C,30184510,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, S&N SUTURE ULTRABRAID #2,30184511,CDM,,,270,RC,inpatient,,157.12,157.12,,133.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,118.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,133.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,138.27,88,,percent of total billed charges,,,,,,,,,120.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,142.98,91,,percent of total billed charges,,,149.26,95,,percent of total billed charges,,,130.41,83,,percent of total billed charges,,,130.41,83,,percent of total billed charges,,,,,,,,,,,,,,,130.41,83,,percent of total billed charges,,,149.26,95,,percent of total billed charges,,,141.41,90,,percent of total billed charges,,,141.41,90,,percent of total billed charges,,,128.84,82,,percent of total billed charges,,,141.41,90,,percent of total billed charges,,,133.55,85,,percent of total billed charges,,118.47,149.26, DEPUY FEMUR LPS XX-SMALL LEFT,30184512,CDM,,,278,RC,inpatient,,97092.39,97092.39,,82431.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,73207.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,82528.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,85441.3,88,,percent of total billed charges,,,,,,,,,74178.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,88354.07,91,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,80586.68,83,,percent of total billed charges,,,,,,,,,,,,,,,80586.68,83,,percent of total billed charges,,,92237.77,95,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,79615.76,82,,percent of total billed charges,,,87383.15,90,,percent of total billed charges,,,82528.53,85,,percent of total billed charges,,73207.66,92237.77, DEPUY SLEEVE LPS +10MM,30184513,CDM,,,278,RC,inpatient,,6309.03,6309.03,,5356.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4757.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5362.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5551.95,88,,percent of total billed charges,,,,,,,,,4820.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5741.22,91,,percent of total billed charges,,,5993.58,95,,percent of total billed charges,,,5236.49,83,,percent of total billed charges,,,5236.49,83,,percent of total billed charges,,,,,,,,,,,,,,,5236.49,83,,percent of total billed charges,,,5993.58,95,,percent of total billed charges,,,5678.13,90,,percent of total billed charges,,,5678.13,90,,percent of total billed charges,,,5173.4,82,,percent of total billed charges,,,5678.13,90,,percent of total billed charges,,,5362.68,85,,percent of total billed charges,,4757.01,5993.58, DEPUY INSERT XX-SMALL 16MM,30184514,CDM,,,278,RC,inpatient,,33343.12,33343.12,,28308.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25140.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28341.65,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29341.95,88,,percent of total billed charges,,,,,,,,,25474.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30342.24,91,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,27674.79,83,,percent of total billed charges,,,,,,,,,,,,,,,27674.79,83,,percent of total billed charges,,,31675.96,95,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,27341.36,82,,percent of total billed charges,,,30008.81,90,,percent of total billed charges,,,28341.65,85,,percent of total billed charges,,25140.71,31675.96, V-LOC ESTCH NON ABSORABLE 2-0,30184515,CDM,,,270,RC,inpatient,,740.88,740.88,,629.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,558.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,629.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,651.97,88,,percent of total billed charges,,,,,,,,,566.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,674.2,91,,percent of total billed charges,,,703.84,95,,percent of total billed charges,,,614.93,83,,percent of total billed charges,,,614.93,83,,percent of total billed charges,,,,,,,,,,,,,,,614.93,83,,percent of total billed charges,,,703.84,95,,percent of total billed charges,,,666.79,90,,percent of total billed charges,,,666.79,90,,percent of total billed charges,,,607.52,82,,percent of total billed charges,,,666.79,90,,percent of total billed charges,,,629.75,85,,percent of total billed charges,,558.62,703.84, V-LOC ESTICH 180 ABSORABLE 2-0,30184516,CDM,,,270,RC,inpatient,,810.55,810.55,,688.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,611.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,688.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,713.28,88,,percent of total billed charges,,,,,,,,,619.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,737.6,91,,percent of total billed charges,,,770.02,95,,percent of total billed charges,,,672.76,83,,percent of total billed charges,,,672.76,83,,percent of total billed charges,,,,,,,,,,,,,,,672.76,83,,percent of total billed charges,,,770.02,95,,percent of total billed charges,,,729.5,90,,percent of total billed charges,,,729.5,90,,percent of total billed charges,,,664.65,82,,percent of total billed charges,,,729.5,90,,percent of total billed charges,,,688.97,85,,percent of total billed charges,,611.15,770.02, CLIP HEM-O-LOK XL,30184518,CDM,,,270,RC,inpatient,,221.79,221.79,,188.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,167.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,188.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,195.18,88,,percent of total billed charges,,,,,,,,,169.45,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,201.83,91,,percent of total billed charges,,,210.7,95,,percent of total billed charges,,,184.09,83,,percent of total billed charges,,,184.09,83,,percent of total billed charges,,,,,,,,,,,,,,,184.09,83,,percent of total billed charges,,,210.7,95,,percent of total billed charges,,,199.61,90,,percent of total billed charges,,,199.61,90,,percent of total billed charges,,,181.87,82,,percent of total billed charges,,,199.61,90,,percent of total billed charges,,,188.52,85,,percent of total billed charges,,167.23,210.7, GYRUS VACURETTE STRAIGHT 8MM,30184519,CDM,,,270,RC,inpatient,,42.92,42.92,,36.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,32.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,36.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,37.77,88,,percent of total billed charges,,,,,,,,,32.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,39.06,91,,percent of total billed charges,,,40.77,95,,percent of total billed charges,,,35.62,83,,percent of total billed charges,,,35.62,83,,percent of total billed charges,,,,,,,,,,,,,,,35.62,83,,percent of total billed charges,,,40.77,95,,percent of total billed charges,,,38.63,90,,percent of total billed charges,,,38.63,90,,percent of total billed charges,,,35.19,82,,percent of total billed charges,,,38.63,90,,percent of total billed charges,,,36.48,85,,percent of total billed charges,,32.36,40.77, CONFORMIS UNI MEDIAL LEFT IMPLANT KIT,30184520,CDM,,,278,RC,inpatient,,39000,39000,,33111,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29406,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33150,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34320,88,,percent of total billed charges,,,,,,,,,29796,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35490,91,,percent of total billed charges,,,37050,95,,percent of total billed charges,,,32370,83,,percent of total billed charges,,,32370,83,,percent of total billed charges,,,,,,,,,,,,,,,32370,83,,percent of total billed charges,,,37050,95,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,31980,82,,percent of total billed charges,,,35100,90,,percent of total billed charges,,,33150,85,,percent of total billed charges,,29406,37050, PROGENIX PLUS 10CC,30184524,CDM,,,278,RC,inpatient,,10263.5,10263.5,,8713.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7738.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8723.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9031.88,88,,percent of total billed charges,,,,,,,,,7841.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9339.79,91,,percent of total billed charges,,,9750.33,95,,percent of total billed charges,,,8518.71,83,,percent of total billed charges,,,8518.71,83,,percent of total billed charges,,,,,,,,,,,,,,,8518.71,83,,percent of total billed charges,,,9750.33,95,,percent of total billed charges,,,9237.15,90,,percent of total billed charges,,,9237.15,90,,percent of total billed charges,,,8416.07,82,,percent of total billed charges,,,9237.15,90,,percent of total billed charges,,,8723.98,85,,percent of total billed charges,,7738.68,9750.33, MENTOR MEMORYGEL BREAST IMPLANT 4000 SMO,30184525,CDM,,,278,RC,inpatient,,6370,6370,,5408.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4802.98,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5414.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5605.6,88,,percent of total billed charges,,,,,,,,,4866.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5796.7,91,,percent of total billed charges,,,6051.5,95,,percent of total billed charges,,,5287.1,83,,percent of total billed charges,,,5287.1,83,,percent of total billed charges,,,,,,,,,,,,,,,5287.1,83,,percent of total billed charges,,,6051.5,95,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5223.4,82,,percent of total billed charges,,,5733,90,,percent of total billed charges,,,5414.5,85,,percent of total billed charges,,4802.98,6051.5, MENTOR MEMORYGEL SIZER HIGH PROFILE 450,30184526,CDM,,,270,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, EDGE INSULATED BLADE ELECTRODE 2.75,30184527,CDM,,,270,RC,inpatient,,62.69,62.69,,53.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,47.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,53.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,55.17,88,,percent of total billed charges,,,,,,,,,47.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,57.05,91,,percent of total billed charges,,,59.56,95,,percent of total billed charges,,,52.03,83,,percent of total billed charges,,,52.03,83,,percent of total billed charges,,,,,,,,,,,,,,,52.03,83,,percent of total billed charges,,,59.56,95,,percent of total billed charges,,,56.42,90,,percent of total billed charges,,,56.42,90,,percent of total billed charges,,,51.41,82,,percent of total billed charges,,,56.42,90,,percent of total billed charges,,,53.29,85,,percent of total billed charges,,47.27,59.56, STRYKER BUR PRECISION ROUND 4.0MM,30184528,CDM,,,270,RC,inpatient,,1665.17,1665.17,,1413.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1255.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1415.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1465.35,88,,percent of total billed charges,,,,,,,,,1272.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1515.3,91,,percent of total billed charges,,,1581.91,95,,percent of total billed charges,,,1382.09,83,,percent of total billed charges,,,1382.09,83,,percent of total billed charges,,,,,,,,,,,,,,,1382.09,83,,percent of total billed charges,,,1581.91,95,,percent of total billed charges,,,1498.65,90,,percent of total billed charges,,,1498.65,90,,percent of total billed charges,,,1365.44,82,,percent of total billed charges,,,1498.65,90,,percent of total billed charges,,,1415.39,85,,percent of total billed charges,,1255.54,1581.91, SCREW POLYAXIAL 7.0 X 50MM,30184530,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW POLYAXIAL 7.0 X 55MM,30184531,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, ROD 6.0 X 90MM,30184532,CDM,,,278,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, DEPUY WEDGE MBT 5MM SZ 5,30184535,CDM,,,278,RC,inpatient,,15761.79,15761.79,,13381.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11884.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13397.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13870.38,88,,percent of total billed charges,,,,,,,,,12042.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14343.23,91,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,13082.29,83,,percent of total billed charges,,,,,,,,,,,,,,,13082.29,83,,percent of total billed charges,,,14973.7,95,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,12924.67,82,,percent of total billed charges,,,14185.61,90,,percent of total billed charges,,,13397.52,85,,percent of total billed charges,,11884.39,14973.7, DEPUY CUP PINNACLE REVISION SZ 56,30184536,CDM,,,278,RC,inpatient,,33437.04,33437.04,,28388.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,25211.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28421.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29424.6,88,,percent of total billed charges,,,,,,,,,25545.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30427.71,91,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,27752.74,83,,percent of total billed charges,,,,,,,,,,,,,,,27752.74,83,,percent of total billed charges,,,31765.19,95,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,27418.37,82,,percent of total billed charges,,,30093.34,90,,percent of total billed charges,,,28421.48,85,,percent of total billed charges,,25211.53,31765.19, ARTHREX INSUFLATION TUBING,30184537,CDM,,,270,RC,inpatient,,567,567,,481.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,427.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,481.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,498.96,88,,percent of total billed charges,,,,,,,,,433.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,515.97,91,,percent of total billed charges,,,538.65,95,,percent of total billed charges,,,470.61,83,,percent of total billed charges,,,470.61,83,,percent of total billed charges,,,,,,,,,,,,,,,470.61,83,,percent of total billed charges,,,538.65,95,,percent of total billed charges,,,510.3,90,,percent of total billed charges,,,510.3,90,,percent of total billed charges,,,464.94,82,,percent of total billed charges,,,510.3,90,,percent of total billed charges,,,481.95,85,,percent of total billed charges,,427.52,538.65, ZIMMER NECK J MODULAR KINECTIV,30184539,CDM,,,278,RC,inpatient,,14475.5,14475.5,,12289.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10914.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12304.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12738.44,88,,percent of total billed charges,,,,,,,,,11059.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13172.71,91,,percent of total billed charges,,,13751.73,95,,percent of total billed charges,,,12014.67,83,,percent of total billed charges,,,12014.67,83,,percent of total billed charges,,,,,,,,,,,,,,,12014.67,83,,percent of total billed charges,,,13751.73,95,,percent of total billed charges,,,13027.95,90,,percent of total billed charges,,,13027.95,90,,percent of total billed charges,,,11869.91,82,,percent of total billed charges,,,13027.95,90,,percent of total billed charges,,,12304.18,85,,percent of total billed charges,,10914.53,13751.73, ZIMMER HEAD FEMORAL BIOLOX DELTA 32MM +0,30184540,CDM,,,278,RC,inpatient,,17946.5,17946.5,,15236.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13531.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15254.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15792.92,88,,percent of total billed charges,,,,,,,,,13711.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16331.32,91,,percent of total billed charges,,,17049.18,95,,percent of total billed charges,,,14895.6,83,,percent of total billed charges,,,14895.6,83,,percent of total billed charges,,,,,,,,,,,,,,,14895.6,83,,percent of total billed charges,,,17049.18,95,,percent of total billed charges,,,16151.85,90,,percent of total billed charges,,,16151.85,90,,percent of total billed charges,,,14716.13,82,,percent of total billed charges,,,16151.85,90,,percent of total billed charges,,,15254.53,85,,percent of total billed charges,,13531.66,17049.18, SAWBLADE CEMENTED OXF,30184541,CDM,,,270,RC,inpatient,,4992,4992,,4238.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3763.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4243.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4392.96,88,,percent of total billed charges,,,,,,,,,3813.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4542.72,91,,percent of total billed charges,,,4742.4,95,,percent of total billed charges,,,4143.36,83,,percent of total billed charges,,,4143.36,83,,percent of total billed charges,,,,,,,,,,,,,,,4143.36,83,,percent of total billed charges,,,4742.4,95,,percent of total billed charges,,,4492.8,90,,percent of total billed charges,,,4492.8,90,,percent of total billed charges,,,4093.44,82,,percent of total billed charges,,,4492.8,90,,percent of total billed charges,,,4243.2,85,,percent of total billed charges,,3763.97,4742.4, SAWBLADE KEEL CEMENTED OXF,30184542,CDM,,,270,RC,inpatient,,3445,3445,,2924.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2597.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2928.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3031.6,88,,percent of total billed charges,,,,,,,,,2631.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3134.95,91,,percent of total billed charges,,,3272.75,95,,percent of total billed charges,,,2859.35,83,,percent of total billed charges,,,2859.35,83,,percent of total billed charges,,,,,,,,,,,,,,,2859.35,83,,percent of total billed charges,,,3272.75,95,,percent of total billed charges,,,3100.5,90,,percent of total billed charges,,,3100.5,90,,percent of total billed charges,,,2824.9,82,,percent of total billed charges,,,3100.5,90,,percent of total billed charges,,,2928.25,85,,percent of total billed charges,,2597.53,3272.75, ZIMMER TIBIAL TRAY SZ B LM PMA OXF,30184543,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, ARTHREX CANNULA SMOOTH 7 X7 MM,30184545,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, ARTHREX SWIVELOCK CLOSED EYELET,30184546,CDM,,,270,RC,inpatient,,2600,2600,,2207.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1960.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2210,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2288,88,,percent of total billed charges,,,,,,,,,1986.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2366,91,,percent of total billed charges,,,2470,95,,percent of total billed charges,,,2158,83,,percent of total billed charges,,,2158,83,,percent of total billed charges,,,,,,,,,,,,,,,2158,83,,percent of total billed charges,,,2470,95,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2132,82,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2210,85,,percent of total billed charges,,1960.4,2470, ARTHREX TIGERTAPE,30184547,CDM,,,270,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, DEPUY STEM CORAIL KLS 15,30184548,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, ZIMMER TRAY TIBIAL UNI SZ C RM PMA,30184550,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, ZIMMER INSERT BEARING SZ 4 MD RT,30184551,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, SYNTHES SCREW CORTEX ST 2.0MM X 10MM,30184552,CDM,,,278,RC,inpatient,,476,476,,404.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,358.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,404.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,418.88,88,,percent of total billed charges,,,,,,,,,363.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,433.16,91,,percent of total billed charges,,,452.2,95,,percent of total billed charges,,,395.08,83,,percent of total billed charges,,,395.08,83,,percent of total billed charges,,,,,,,,,,,,,,,395.08,83,,percent of total billed charges,,,452.2,95,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,390.32,82,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,404.6,85,,percent of total billed charges,,358.9,452.2, SYNTHES SCREW CORTEX ST 2.0 X 20MM,30184553,CDM,,,278,RC,inpatient,,476,476,,404.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,358.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,404.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,418.88,88,,percent of total billed charges,,,,,,,,,363.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,433.16,91,,percent of total billed charges,,,452.2,95,,percent of total billed charges,,,395.08,83,,percent of total billed charges,,,395.08,83,,percent of total billed charges,,,,,,,,,,,,,,,395.08,83,,percent of total billed charges,,,452.2,95,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,390.32,82,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,404.6,85,,percent of total billed charges,,358.9,452.2, SYNTHES SCREW LOCKING ST 2.0 X 14MM,30184554,CDM,,,278,RC,inpatient,,1077.38,1077.38,,914.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,812.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,915.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,948.09,88,,percent of total billed charges,,,,,,,,,823.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,980.42,91,,percent of total billed charges,,,1023.51,95,,percent of total billed charges,,,894.23,83,,percent of total billed charges,,,894.23,83,,percent of total billed charges,,,,,,,,,,,,,,,894.23,83,,percent of total billed charges,,,1023.51,95,,percent of total billed charges,,,969.64,90,,percent of total billed charges,,,969.64,90,,percent of total billed charges,,,883.45,82,,percent of total billed charges,,,969.64,90,,percent of total billed charges,,,915.77,85,,percent of total billed charges,,812.34,1023.51, SYNTHES SCREW LOCKING ST 2.0 X 18MM,30184555,CDM,,,278,RC,inpatient,,1077.38,1077.38,,914.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,812.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,915.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,948.09,88,,percent of total billed charges,,,,,,,,,823.12,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,980.42,91,,percent of total billed charges,,,1023.51,95,,percent of total billed charges,,,894.23,83,,percent of total billed charges,,,894.23,83,,percent of total billed charges,,,,,,,,,,,,,,,894.23,83,,percent of total billed charges,,,1023.51,95,,percent of total billed charges,,,969.64,90,,percent of total billed charges,,,969.64,90,,percent of total billed charges,,,883.45,82,,percent of total billed charges,,,969.64,90,,percent of total billed charges,,,915.77,85,,percent of total billed charges,,812.34,1023.51, SYNTHES SHAFT LCP DISTAL RADIUS 5H,30184556,CDM,,,278,RC,inpatient,,15945.15,15945.15,,13537.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12022.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13553.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14031.73,88,,percent of total billed charges,,,,,,,,,12182.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14510.09,91,,percent of total billed charges,,,15147.89,95,,percent of total billed charges,,,13234.47,83,,percent of total billed charges,,,13234.47,83,,percent of total billed charges,,,,,,,,,,,,,,,13234.47,83,,percent of total billed charges,,,15147.89,95,,percent of total billed charges,,,14350.64,90,,percent of total billed charges,,,14350.64,90,,percent of total billed charges,,,13075.02,82,,percent of total billed charges,,,14350.64,90,,percent of total billed charges,,,13553.38,85,,percent of total billed charges,,12022.64,15147.89, SYNTHES PLATE LCP ULNA 2.0MM 7H,30184557,CDM,,,278,RC,inpatient,,7293,7293,,6191.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5498.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6199.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6417.84,88,,percent of total billed charges,,,,,,,,,5571.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6636.63,91,,percent of total billed charges,,,6928.35,95,,percent of total billed charges,,,6053.19,83,,percent of total billed charges,,,6053.19,83,,percent of total billed charges,,,,,,,,,,,,,,,6053.19,83,,percent of total billed charges,,,6928.35,95,,percent of total billed charges,,,6563.7,90,,percent of total billed charges,,,6563.7,90,,percent of total billed charges,,,5980.26,82,,percent of total billed charges,,,6563.7,90,,percent of total billed charges,,,6199.05,85,,percent of total billed charges,,5498.92,6928.35, SYNTHES SCREW LOCKING ST 2.4 X 16MM,30184558,CDM,,,278,RC,inpatient,,1166.43,1166.43,,990.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,879.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,991.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1026.46,88,,percent of total billed charges,,,,,,,,,891.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1061.45,91,,percent of total billed charges,,,1108.11,95,,percent of total billed charges,,,968.14,83,,percent of total billed charges,,,968.14,83,,percent of total billed charges,,,,,,,,,,,,,,,968.14,83,,percent of total billed charges,,,1108.11,95,,percent of total billed charges,,,1049.79,90,,percent of total billed charges,,,1049.79,90,,percent of total billed charges,,,956.47,82,,percent of total billed charges,,,1049.79,90,,percent of total billed charges,,,991.47,85,,percent of total billed charges,,879.49,1108.11, SYNTHES SCREW LOCKING ST 2.4 X 18MM,30184559,CDM,,,278,RC,inpatient,,1166.43,1166.43,,990.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,879.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,991.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1026.46,88,,percent of total billed charges,,,,,,,,,891.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1061.45,91,,percent of total billed charges,,,1108.11,95,,percent of total billed charges,,,968.14,83,,percent of total billed charges,,,968.14,83,,percent of total billed charges,,,,,,,,,,,,,,,968.14,83,,percent of total billed charges,,,1108.11,95,,percent of total billed charges,,,1049.79,90,,percent of total billed charges,,,1049.79,90,,percent of total billed charges,,,956.47,82,,percent of total billed charges,,,1049.79,90,,percent of total billed charges,,,991.47,85,,percent of total billed charges,,879.49,1108.11, SYNTHES SCREW LOCKING 2.4 X 20MM,30184560,CDM,,,278,RC,inpatient,,1099.48,1099.48,,933.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,829.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,934.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,967.54,88,,percent of total billed charges,,,,,,,,,840,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1000.53,91,,percent of total billed charges,,,1044.51,95,,percent of total billed charges,,,912.57,83,,percent of total billed charges,,,912.57,83,,percent of total billed charges,,,,,,,,,,,,,,,912.57,83,,percent of total billed charges,,,1044.51,95,,percent of total billed charges,,,989.53,90,,percent of total billed charges,,,989.53,90,,percent of total billed charges,,,901.57,82,,percent of total billed charges,,,989.53,90,,percent of total billed charges,,,934.56,85,,percent of total billed charges,,829.01,1044.51, SYNTHES SCREW LOCKING ST 2.4 X 14MM,30184561,CDM,,,278,RC,inpatient,,1099.48,1099.48,,933.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,829.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,934.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,967.54,88,,percent of total billed charges,,,,,,,,,840,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1000.53,91,,percent of total billed charges,,,1044.51,95,,percent of total billed charges,,,912.57,83,,percent of total billed charges,,,912.57,83,,percent of total billed charges,,,,,,,,,,,,,,,912.57,83,,percent of total billed charges,,,1044.51,95,,percent of total billed charges,,,989.53,90,,percent of total billed charges,,,989.53,90,,percent of total billed charges,,,901.57,82,,percent of total billed charges,,,989.53,90,,percent of total billed charges,,,934.56,85,,percent of total billed charges,,829.01,1044.51, ALLOSOURCE CANCELLOUS CHIPS 30CC,30184562,CDM,,,278,RC,inpatient,,3399.5,3399.5,,2886.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2563.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2889.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2991.56,88,,percent of total billed charges,,,,,,,,,2597.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3093.55,91,,percent of total billed charges,,,3229.53,95,,percent of total billed charges,,,2821.59,83,,percent of total billed charges,,,2821.59,83,,percent of total billed charges,,,,,,,,,,,,,,,2821.59,83,,percent of total billed charges,,,3229.53,95,,percent of total billed charges,,,3059.55,90,,percent of total billed charges,,,3059.55,90,,percent of total billed charges,,,2787.59,82,,percent of total billed charges,,,3059.55,90,,percent of total billed charges,,,2889.58,85,,percent of total billed charges,,2563.22,3229.53, STRYKER PENCIL SMOKE EVAC,30184563,CDM,,,270,RC,inpatient,,225,225,,191.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,169.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,191.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198,88,,percent of total billed charges,,,,,,,,,171.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,204.75,91,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,,,,,,,,,,,,,186.75,83,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,184.5,82,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,191.25,85,,percent of total billed charges,,169.65,213.75, DEPUY INSERT ATTUNE RP 14MM SZ 6,30184564,CDM,,,278,RC,inpatient,,16738.35,16738.35,,14210.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12620.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14227.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14729.75,88,,percent of total billed charges,,,,,,,,,12788.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15231.9,91,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,,,,,,,,,,,,,13892.83,83,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,13725.45,82,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,14227.6,85,,percent of total billed charges,,12620.72,15901.43, STRYKER GEL DBM 5CC,30184566,CDM,,,278,RC,inpatient,,8247.2,8247.2,,7001.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6218.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7010.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7257.54,88,,percent of total billed charges,,,,,,,,,6300.86,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7504.95,91,,percent of total billed charges,,,7834.84,95,,percent of total billed charges,,,6845.18,83,,percent of total billed charges,,,6845.18,83,,percent of total billed charges,,,,,,,,,,,,,,,6845.18,83,,percent of total billed charges,,,7834.84,95,,percent of total billed charges,,,7422.48,90,,percent of total billed charges,,,7422.48,90,,percent of total billed charges,,,6762.7,82,,percent of total billed charges,,,7422.48,90,,percent of total billed charges,,,7010.12,85,,percent of total billed charges,,6218.39,7834.84, ARTHREX IMPLANT SYSTEM SPEED BRIDGE SELF,30184567,CDM,,,278,RC,inpatient,,11570,11570,,9822.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8723.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9834.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10181.6,88,,percent of total billed charges,,,,,,,,,8839.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10528.7,91,,percent of total billed charges,,,10991.5,95,,percent of total billed charges,,,9603.1,83,,percent of total billed charges,,,9603.1,83,,percent of total billed charges,,,,,,,,,,,,,,,9603.1,83,,percent of total billed charges,,,10991.5,95,,percent of total billed charges,,,10413,90,,percent of total billed charges,,,10413,90,,percent of total billed charges,,,9487.4,82,,percent of total billed charges,,,10413,90,,percent of total billed charges,,,9834.5,85,,percent of total billed charges,,8723.78,10991.5, DEPUY BODY RECLAIM PROXIMAL 20 X85,30184568,CDM,,,278,RC,inpatient,,38548.77,38548.77,,32727.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29065.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32766.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33922.92,88,,percent of total billed charges,,,,,,,,,29451.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35079.38,91,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,31995.48,83,,percent of total billed charges,,,,,,,,,,,,,,,31995.48,83,,percent of total billed charges,,,36621.33,95,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,31609.99,82,,percent of total billed charges,,,34693.89,90,,percent of total billed charges,,,32766.45,85,,percent of total billed charges,,29065.77,36621.33, DEPUY STEM RECLAIM DISTAL 14 X 190,30184569,CDM,,,278,RC,inpatient,,31338.78,31338.78,,26606.62,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23629.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26637.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27578.13,88,,percent of total billed charges,,,,,,,,,23942.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28518.29,91,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,26011.19,83,,percent of total billed charges,,,,,,,,,,,,,,,26011.19,83,,percent of total billed charges,,,29771.84,95,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,25697.8,82,,percent of total billed charges,,,28204.9,90,,percent of total billed charges,,,26637.96,85,,percent of total billed charges,,23629.44,29771.84, STRYKER BOWL MIXVAC 3,30184570,CDM,,,270,RC,inpatient,,362.36,362.36,,307.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,273.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,308.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,318.88,88,,percent of total billed charges,,,,,,,,,276.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,329.75,91,,percent of total billed charges,,,344.24,95,,percent of total billed charges,,,300.76,83,,percent of total billed charges,,,300.76,83,,percent of total billed charges,,,,,,,,,,,,,,,300.76,83,,percent of total billed charges,,,344.24,95,,percent of total billed charges,,,326.12,90,,percent of total billed charges,,,326.12,90,,percent of total billed charges,,,297.14,82,,percent of total billed charges,,,326.12,90,,percent of total billed charges,,,308.01,85,,percent of total billed charges,,273.22,344.24, MEDTRONIC GRAFTON 1CC PUTTY,30184571,CDM,,,270,RC,inpatient,,1488.5,1488.5,,1263.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1122.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1265.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1309.88,88,,percent of total billed charges,,,,,,,,,1137.21,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1354.54,91,,percent of total billed charges,,,1414.08,95,,percent of total billed charges,,,1235.46,83,,percent of total billed charges,,,1235.46,83,,percent of total billed charges,,,,,,,,,,,,,,,1235.46,83,,percent of total billed charges,,,1414.08,95,,percent of total billed charges,,,1339.65,90,,percent of total billed charges,,,1339.65,90,,percent of total billed charges,,,1220.57,82,,percent of total billed charges,,,1339.65,90,,percent of total billed charges,,,1265.23,85,,percent of total billed charges,,1122.33,1414.08, ZIMMER BEARING LEFT MEDIAL LARGE 3MM,30184572,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, SYNTHES TFN LEFT 11MM 130DEG X 360,30184573,CDM,,,278,RC,inpatient,,21149.7,21149.7,,17956.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15946.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17977.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18611.74,88,,percent of total billed charges,,,,,,,,,16158.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19246.23,91,,percent of total billed charges,,,20092.22,95,,percent of total billed charges,,,17554.25,83,,percent of total billed charges,,,17554.25,83,,percent of total billed charges,,,,,,,,,,,,,,,17554.25,83,,percent of total billed charges,,,20092.22,95,,percent of total billed charges,,,19034.73,90,,percent of total billed charges,,,19034.73,90,,percent of total billed charges,,,17342.75,82,,percent of total billed charges,,,19034.73,90,,percent of total billed charges,,,17977.25,85,,percent of total billed charges,,15946.87,20092.22, SYNTHES BALDE HELICAL 85MM,30184574,CDM,,,270,RC,inpatient,,6630,6630,,5628.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4999.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5635.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5834.4,88,,percent of total billed charges,,,,,,,,,5065.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6033.3,91,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,,,,,,,,,,,,,5502.9,83,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5436.6,82,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5635.5,85,,percent of total billed charges,,4999.02,6298.5, SYNTHES DRILL BIT 4.2MM X 145,30184575,CDM,,,270,RC,inpatient,,2227.36,2227.36,,1891.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1679.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1893.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1960.08,88,,percent of total billed charges,,,,,,,,,1701.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2026.9,91,,percent of total billed charges,,,2115.99,95,,percent of total billed charges,,,1848.71,83,,percent of total billed charges,,,1848.71,83,,percent of total billed charges,,,,,,,,,,,,,,,1848.71,83,,percent of total billed charges,,,2115.99,95,,percent of total billed charges,,,2004.62,90,,percent of total billed charges,,,2004.62,90,,percent of total billed charges,,,1826.44,82,,percent of total billed charges,,,2004.62,90,,percent of total billed charges,,,1893.26,85,,percent of total billed charges,,1679.43,2115.99, SYNTHES SCREW LOCKING 5.0 X 46MM,30184576,CDM,,,278,RC,inpatient,,2250.82,2250.82,,1910.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1697.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1913.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1980.72,88,,percent of total billed charges,,,,,,,,,1719.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2048.25,91,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1868.18,83,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1845.67,82,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1913.2,85,,percent of total billed charges,,1697.12,2138.28, SYNTHES SCREW LOCKING 5.0MM X 42MM,30184577,CDM,,,278,RC,inpatient,,2121.6,2121.6,,1801.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1599.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1803.36,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1867.01,88,,percent of total billed charges,,,,,,,,,1620.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1930.66,91,,percent of total billed charges,,,2015.52,95,,percent of total billed charges,,,1760.93,83,,percent of total billed charges,,,1760.93,83,,percent of total billed charges,,,,,,,,,,,,,,,1760.93,83,,percent of total billed charges,,,2015.52,95,,percent of total billed charges,,,1909.44,90,,percent of total billed charges,,,1909.44,90,,percent of total billed charges,,,1739.71,82,,percent of total billed charges,,,1909.44,90,,percent of total billed charges,,,1803.36,85,,percent of total billed charges,,1599.69,2015.52, HOLMIUM LASER FEE,30184578,CDM,,,270,RC,inpatient,,4712.5,4712.5,,4000.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3553.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4005.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4147,88,,percent of total billed charges,,,,,,,,,3600.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4288.38,91,,percent of total billed charges,,,4476.88,95,,percent of total billed charges,,,3911.38,83,,percent of total billed charges,,,3911.38,83,,percent of total billed charges,,,,,,,,,,,,,,,3911.38,83,,percent of total billed charges,,,4476.88,95,,percent of total billed charges,,,4241.25,90,,percent of total billed charges,,,4241.25,90,,percent of total billed charges,,,3864.25,82,,percent of total billed charges,,,4241.25,90,,percent of total billed charges,,,4005.63,85,,percent of total billed charges,,3553.23,4476.88, HOLMIUM LASER FIBER 200MC,30184579,CDM,,,270,RC,inpatient,,1625,1625,,1379.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1225.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1381.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1430,88,,percent of total billed charges,,,,,,,,,1241.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1478.75,91,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1348.75,83,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1332.5,82,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1381.25,85,,percent of total billed charges,,1225.25,1543.75, ARTHREX HEATED INSULFATION TUBING,30184580,CDM,,,270,RC,inpatient,,303.75,303.75,,257.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,229.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,258.19,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,267.3,88,,percent of total billed charges,,,,,,,,,232.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,276.41,91,,percent of total billed charges,,,288.56,95,,percent of total billed charges,,,252.11,83,,percent of total billed charges,,,252.11,83,,percent of total billed charges,,,,,,,,,,,,,,,252.11,83,,percent of total billed charges,,,288.56,95,,percent of total billed charges,,,273.38,90,,percent of total billed charges,,,273.38,90,,percent of total billed charges,,,249.08,82,,percent of total billed charges,,,273.38,90,,percent of total billed charges,,,258.19,85,,percent of total billed charges,,229.03,288.56, ALLOSOURCE SEMI-T SINGLE STRAND TENDON,30184581,CDM,,,278,RC,inpatient,,5720,5720,,4856.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4312.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4862,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5033.6,88,,percent of total billed charges,,,,,,,,,4370.08,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5205.2,91,,percent of total billed charges,,,5434,95,,percent of total billed charges,,,4747.6,83,,percent of total billed charges,,,4747.6,83,,percent of total billed charges,,,,,,,,,,,,,,,4747.6,83,,percent of total billed charges,,,5434,95,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,4690.4,82,,percent of total billed charges,,,5148,90,,percent of total billed charges,,,4862,85,,percent of total billed charges,,4312.88,5434, ARTHREX BIOCOMPOSITE IMPLANT SYSTEM MPFL,30184582,CDM,,,278,RC,inpatient,,9665.5,9665.5,,8206.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7287.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8215.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8505.64,88,,percent of total billed charges,,,,,,,,,7384.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8795.61,91,,percent of total billed charges,,,9182.23,95,,percent of total billed charges,,,8022.37,83,,percent of total billed charges,,,8022.37,83,,percent of total billed charges,,,,,,,,,,,,,,,8022.37,83,,percent of total billed charges,,,9182.23,95,,percent of total billed charges,,,8698.95,90,,percent of total billed charges,,,8698.95,90,,percent of total billed charges,,,7925.71,82,,percent of total billed charges,,,8698.95,90,,percent of total billed charges,,,8215.68,85,,percent of total billed charges,,7287.79,9182.23, SPINECRAFT OR10 12 X 15 X 6MM,30184583,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, SPINECRAFT SCREW FIXED 4.0 X 14MM,30184584,CDM,,,278,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, SPINECRAFT VELOX 1 LEVE 14MM,30184585,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, STRYKER NEEDLE VENOM CURVED 100MM 20G,30184586,CDM,,,270,RC,inpatient,,511.28,511.28,,434.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,385.51,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,434.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,449.93,88,,percent of total billed charges,,,,,,,,,390.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,465.26,91,,percent of total billed charges,,,485.72,95,,percent of total billed charges,,,424.36,83,,percent of total billed charges,,,424.36,83,,percent of total billed charges,,,,,,,,,,,,,,,424.36,83,,percent of total billed charges,,,485.72,95,,percent of total billed charges,,,460.15,90,,percent of total billed charges,,,460.15,90,,percent of total billed charges,,,419.25,82,,percent of total billed charges,,,460.15,90,,percent of total billed charges,,,434.59,85,,percent of total billed charges,,385.51,485.72, DEPUY BIPOLAR 28ID X 40 OD,30184587,CDM,,,278,RC,inpatient,,5424.97,5424.97,,4605.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4090.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4611.22,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4773.97,88,,percent of total billed charges,,,,,,,,,4144.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4936.72,91,,percent of total billed charges,,,5153.72,95,,percent of total billed charges,,,4502.73,83,,percent of total billed charges,,,4502.73,83,,percent of total billed charges,,,,,,,,,,,,,,,4502.73,83,,percent of total billed charges,,,5153.72,95,,percent of total billed charges,,,4882.47,90,,percent of total billed charges,,,4882.47,90,,percent of total billed charges,,,4448.48,82,,percent of total billed charges,,,4882.47,90,,percent of total billed charges,,,4611.22,85,,percent of total billed charges,,4090.43,5153.72, FLOSEAL FAST PREP 5ML,30184588,CDM,,,270,RC,inpatient,,1503.59,1503.59,,1276.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1133.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1278.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1323.16,88,,percent of total billed charges,,,,,,,,,1148.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1368.27,91,,percent of total billed charges,,,1428.41,95,,percent of total billed charges,,,1247.98,83,,percent of total billed charges,,,1247.98,83,,percent of total billed charges,,,,,,,,,,,,,,,1247.98,83,,percent of total billed charges,,,1428.41,95,,percent of total billed charges,,,1353.23,90,,percent of total billed charges,,,1353.23,90,,percent of total billed charges,,,1232.94,82,,percent of total billed charges,,,1353.23,90,,percent of total billed charges,,,1278.05,85,,percent of total billed charges,,1133.71,1428.41, DEPUY INSERT PFC 8MM SZ 3,30184589,CDM,,,278,RC,inpatient,,11969.75,11969.75,,10162.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9025.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10174.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10533.38,88,,percent of total billed charges,,,,,,,,,9144.89,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10892.47,91,,percent of total billed charges,,,11371.26,95,,percent of total billed charges,,,9934.89,83,,percent of total billed charges,,,9934.89,83,,percent of total billed charges,,,,,,,,,,,,,,,9934.89,83,,percent of total billed charges,,,11371.26,95,,percent of total billed charges,,,10772.78,90,,percent of total billed charges,,,10772.78,90,,percent of total billed charges,,,9815.2,82,,percent of total billed charges,,,10772.78,90,,percent of total billed charges,,,10174.29,85,,percent of total billed charges,,9025.19,11371.26, DEPUY LINER ALTRIX 40 X 60MM,30184590,CDM,,,278,RC,inpatient,,14377.35,14377.35,,12206.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10840.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12220.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12652.07,88,,percent of total billed charges,,,,,,,,,10984.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13083.39,91,,percent of total billed charges,,,13658.48,95,,percent of total billed charges,,,11933.2,83,,percent of total billed charges,,,11933.2,83,,percent of total billed charges,,,,,,,,,,,,,,,11933.2,83,,percent of total billed charges,,,13658.48,95,,percent of total billed charges,,,12939.62,90,,percent of total billed charges,,,12939.62,90,,percent of total billed charges,,,11789.43,82,,percent of total billed charges,,,12939.62,90,,percent of total billed charges,,,12220.75,85,,percent of total billed charges,,10840.52,13658.48, DEPUY STEM SUMMIT SZ 2,30184592,CDM,,,278,RC,inpatient,,35258.28,35258.28,,29934.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26584.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,29969.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31027.29,88,,percent of total billed charges,,,,,,,,,26937.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32085.03,91,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,29264.37,83,,percent of total billed charges,,,,,,,,,,,,,,,29264.37,83,,percent of total billed charges,,,33495.37,95,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,28911.79,82,,percent of total billed charges,,,31732.45,90,,percent of total billed charges,,,29969.54,85,,percent of total billed charges,,26584.74,33495.37, ALLOSOURCE CORTICAL STRUT 29CM,30184593,CDM,,,278,RC,inpatient,,4563,4563,,3873.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3440.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3878.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4015.44,88,,percent of total billed charges,,,,,,,,,3486.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4152.33,91,,percent of total billed charges,,,4334.85,95,,percent of total billed charges,,,3787.29,83,,percent of total billed charges,,,3787.29,83,,percent of total billed charges,,,,,,,,,,,,,,,3787.29,83,,percent of total billed charges,,,4334.85,95,,percent of total billed charges,,,4106.7,90,,percent of total billed charges,,,4106.7,90,,percent of total billed charges,,,3741.66,82,,percent of total billed charges,,,4106.7,90,,percent of total billed charges,,,3878.55,85,,percent of total billed charges,,3440.5,4334.85, GRAFT PRESTITCHED 9MM DIAMETER 220MM LEN,30184594,CDM,,,278,RC,inpatient,,15112.5,15112.5,,12830.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11394.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12845.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13299,88,,percent of total billed charges,,,,,,,,,11545.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13752.38,91,,percent of total billed charges,,,14356.88,95,,percent of total billed charges,,,12543.38,83,,percent of total billed charges,,,12543.38,83,,percent of total billed charges,,,,,,,,,,,,,,,12543.38,83,,percent of total billed charges,,,14356.88,95,,percent of total billed charges,,,13601.25,90,,percent of total billed charges,,,13601.25,90,,percent of total billed charges,,,12392.25,82,,percent of total billed charges,,,13601.25,90,,percent of total billed charges,,,12845.63,85,,percent of total billed charges,,11394.83,14356.88, DEPUY SEGMENTAL COMPONENT 30MM,30184595,CDM,,,278,RC,inpatient,,18773.5,18773.5,,15938.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14155.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15957.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16520.68,88,,percent of total billed charges,,,,,,,,,14342.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17083.89,91,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,,,,,,,,,,,,,15582.01,83,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15394.27,82,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15957.48,85,,percent of total billed charges,,14155.22,17834.83, MESH HERNIA PRE CUT 6 X 13CM,30184596,CDM,,,278,RC,inpatient,,476,476,,404.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,358.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,404.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,418.88,88,,percent of total billed charges,,,,,,,,,363.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,433.16,91,,percent of total billed charges,,,452.2,95,,percent of total billed charges,,,395.08,83,,percent of total billed charges,,,395.08,83,,percent of total billed charges,,,,,,,,,,,,,,,395.08,83,,percent of total billed charges,,,452.2,95,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,390.32,82,,percent of total billed charges,,,428.4,90,,percent of total billed charges,,,404.6,85,,percent of total billed charges,,358.9,452.2, ARTHREX PLATE MTP LOW PROFILE STANDARD,30184597,CDM,,,278,RC,inpatient,,5817.5,5817.5,,4939.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4386.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4944.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5119.4,88,,percent of total billed charges,,,,,,,,,4444.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5293.93,91,,percent of total billed charges,,,5526.63,95,,percent of total billed charges,,,4828.53,83,,percent of total billed charges,,,4828.53,83,,percent of total billed charges,,,,,,,,,,,,,,,4828.53,83,,percent of total billed charges,,,5526.63,95,,percent of total billed charges,,,5235.75,90,,percent of total billed charges,,,5235.75,90,,percent of total billed charges,,,4770.35,82,,percent of total billed charges,,,5235.75,90,,percent of total billed charges,,,4944.88,85,,percent of total billed charges,,4386.4,5526.63, ARTHREX PLATE MTP LOW PROFILE STANDARD R,30184598,CDM,,,278,RC,inpatient,,5200,5200,,4414.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3920.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4420,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4576,88,,percent of total billed charges,,,,,,,,,3972.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4732,91,,percent of total billed charges,,,4940,95,,percent of total billed charges,,,4316,83,,percent of total billed charges,,,4316,83,,percent of total billed charges,,,,,,,,,,,,,,,4316,83,,percent of total billed charges,,,4940,95,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4264,82,,percent of total billed charges,,,4680,90,,percent of total billed charges,,,4420,85,,percent of total billed charges,,3920.8,4940, ARTHREX SCREW LOCKING CORTICAL 3MM X 12M,30184599,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW LOCKING CORTICAL 3MM X 16M,30184601,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW LOCKING CORTICAL 3MM X 18M,30184602,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW LOCKING CORTICAL 3MM X 20M,30184603,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW LOCKING CORTICAL 3MM X 24M,30184604,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW CORTICAL 3MM X 14MM,30184605,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW CORTICAL 3MM X 18MM,30184606,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, ARTHREX SCREW PT CANNULATED 3MM X 28MM,30184607,CDM,,,278,RC,inpatient,,840,840,,713.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,633.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,714,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,739.2,88,,percent of total billed charges,,,,,,,,,641.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,764.4,91,,percent of total billed charges,,,798,95,,percent of total billed charges,,,697.2,83,,percent of total billed charges,,,697.2,83,,percent of total billed charges,,,,,,,,,,,,,,,697.2,83,,percent of total billed charges,,,798,95,,percent of total billed charges,,,756,90,,percent of total billed charges,,,756,90,,percent of total billed charges,,,688.8,82,,percent of total billed charges,,,756,90,,percent of total billed charges,,,714,85,,percent of total billed charges,,633.36,798, ARTHREX DRILL BIT 2MM,30184608,CDM,,,278,RC,inpatient,,595,595,,505.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,448.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,505.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,523.6,88,,percent of total billed charges,,,,,,,,,454.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,541.45,91,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,,,,,,,,,,,,,493.85,83,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,487.9,82,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,505.75,85,,percent of total billed charges,,448.63,565.25, ARTHREX DRILL BIT CANNULATED 2MM,30184609,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX K-WIRE .045,30184610,CDM,,,270,RC,inpatient,,59.5,59.5,,50.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.36,88,,percent of total billed charges,,,,,,,,,45.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,54.15,91,,percent of total billed charges,,,56.53,95,,percent of total billed charges,,,49.39,83,,percent of total billed charges,,,49.39,83,,percent of total billed charges,,,,,,,,,,,,,,,49.39,83,,percent of total billed charges,,,56.53,95,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,48.79,82,,percent of total billed charges,,,53.55,90,,percent of total billed charges,,,50.58,85,,percent of total billed charges,,44.86,56.53, STRYKER PROXIMAL INTERPHALANGEAL IMPLANT,30184612,CDM,,,278,RC,inpatient,,17252,17252,,14646.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13008.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14664.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15181.76,88,,percent of total billed charges,,,,,,,,,13180.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15699.32,91,,percent of total billed charges,,,16389.4,95,,percent of total billed charges,,,14319.16,83,,percent of total billed charges,,,14319.16,83,,percent of total billed charges,,,,,,,,,,,,,,,14319.16,83,,percent of total billed charges,,,16389.4,95,,percent of total billed charges,,,15526.8,90,,percent of total billed charges,,,15526.8,90,,percent of total billed charges,,,14146.64,82,,percent of total billed charges,,,15526.8,90,,percent of total billed charges,,,14664.2,85,,percent of total billed charges,,13008.01,16389.4, ARTHREX SCREW BIOCOMPOSITE 10 X 28MM,30184614,CDM,,,278,RC,inpatient,,1527.5,1527.5,,1296.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1151.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1298.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1344.2,88,,percent of total billed charges,,,,,,,,,1167.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1390.03,91,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,,,,,,,,,,,,,1267.83,83,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1252.55,82,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1298.38,85,,percent of total billed charges,,1151.74,1451.13, ARTHREX REAMER 10MM,30184615,CDM,,,278,RC,inpatient,,1092,1092,,927.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,823.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,928.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,960.96,88,,percent of total billed charges,,,,,,,,,834.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,993.72,91,,percent of total billed charges,,,1037.4,95,,percent of total billed charges,,,906.36,83,,percent of total billed charges,,,906.36,83,,percent of total billed charges,,,,,,,,,,,,,,,906.36,83,,percent of total billed charges,,,1037.4,95,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,895.44,82,,percent of total billed charges,,,982.8,90,,percent of total billed charges,,,928.2,85,,percent of total billed charges,,823.37,1037.4, S&N FAST-FIX 360 STRAIGHT NDL DELIVERY S,30184616,CDM,,,270,RC,inpatient,,3177.46,3177.46,,2697.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2395.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2700.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2796.16,88,,percent of total billed charges,,,,,,,,,2427.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2891.49,91,,percent of total billed charges,,,3018.59,95,,percent of total billed charges,,,2637.29,83,,percent of total billed charges,,,2637.29,83,,percent of total billed charges,,,,,,,,,,,,,,,2637.29,83,,percent of total billed charges,,,3018.59,95,,percent of total billed charges,,,2859.71,90,,percent of total billed charges,,,2859.71,90,,percent of total billed charges,,,2605.52,82,,percent of total billed charges,,,2859.71,90,,percent of total billed charges,,,2700.84,85,,percent of total billed charges,,2395.8,3018.59, S&N FAST-FIX 360 CURVED NDL DELIVERY SYS,30184617,CDM,,,270,RC,inpatient,,3177.46,3177.46,,2697.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2395.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2700.84,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2796.16,88,,percent of total billed charges,,,,,,,,,2427.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2891.49,91,,percent of total billed charges,,,3018.59,95,,percent of total billed charges,,,2637.29,83,,percent of total billed charges,,,2637.29,83,,percent of total billed charges,,,,,,,,,,,,,,,2637.29,83,,percent of total billed charges,,,3018.59,95,,percent of total billed charges,,,2859.71,90,,percent of total billed charges,,,2859.71,90,,percent of total billed charges,,,2605.52,82,,percent of total billed charges,,,2859.71,90,,percent of total billed charges,,,2700.84,85,,percent of total billed charges,,2395.8,3018.59, S&N FAST-FIX 360 CANNULA KPSC & SLOTTED,30184618,CDM,,,270,RC,inpatient,,977.15,977.15,,829.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,736.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,830.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,859.89,88,,percent of total billed charges,,,,,,,,,746.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,889.21,91,,percent of total billed charges,,,928.29,95,,percent of total billed charges,,,811.03,83,,percent of total billed charges,,,811.03,83,,percent of total billed charges,,,,,,,,,,,,,,,811.03,83,,percent of total billed charges,,,928.29,95,,percent of total billed charges,,,879.44,90,,percent of total billed charges,,,879.44,90,,percent of total billed charges,,,801.26,82,,percent of total billed charges,,,879.44,90,,percent of total billed charges,,,830.58,85,,percent of total billed charges,,736.77,928.29, STRYKER BUR SWANSON PILOT POINT 3.0MM,30184619,CDM,,,270,RC,inpatient,,368.06,368.06,,312.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,277.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,312.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,323.89,88,,percent of total billed charges,,,,,,,,,281.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,334.93,91,,percent of total billed charges,,,349.66,95,,percent of total billed charges,,,305.49,83,,percent of total billed charges,,,305.49,83,,percent of total billed charges,,,,,,,,,,,,,,,305.49,83,,percent of total billed charges,,,349.66,95,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,301.81,82,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,312.85,85,,percent of total billed charges,,277.52,349.66, STRYKER BUR SWANSON PILOT POINT 2.0MM,30184620,CDM,,,270,RC,inpatient,,368.06,368.06,,312.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,277.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,312.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,323.89,88,,percent of total billed charges,,,,,,,,,281.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,334.93,91,,percent of total billed charges,,,349.66,95,,percent of total billed charges,,,305.49,83,,percent of total billed charges,,,305.49,83,,percent of total billed charges,,,,,,,,,,,,,,,305.49,83,,percent of total billed charges,,,349.66,95,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,301.81,82,,percent of total billed charges,,,331.25,90,,percent of total billed charges,,,312.85,85,,percent of total billed charges,,277.52,349.66, COSEAL SURGICAL SEALANT,30184622,CDM,,,270,RC,inpatient,,3903.97,3903.97,,3314.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2943.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3318.37,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3435.49,88,,percent of total billed charges,,,,,,,,,2982.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3552.61,91,,percent of total billed charges,,,3708.77,95,,percent of total billed charges,,,3240.3,83,,percent of total billed charges,,,3240.3,83,,percent of total billed charges,,,,,,,,,,,,,,,3240.3,83,,percent of total billed charges,,,3708.77,95,,percent of total billed charges,,,3513.57,90,,percent of total billed charges,,,3513.57,90,,percent of total billed charges,,,3201.26,82,,percent of total billed charges,,,3513.57,90,,percent of total billed charges,,,3318.37,85,,percent of total billed charges,,2943.59,3708.77, MITEK MINI QUICKANCHOR PLUS #0 SUTURE,30184623,CDM,,,270,RC,inpatient,,3185,3185,,2704.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2401.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2707.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2802.8,88,,percent of total billed charges,,,,,,,,,2433.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2898.35,91,,percent of total billed charges,,,3025.75,95,,percent of total billed charges,,,2643.55,83,,percent of total billed charges,,,2643.55,83,,percent of total billed charges,,,,,,,,,,,,,,,2643.55,83,,percent of total billed charges,,,3025.75,95,,percent of total billed charges,,,2866.5,90,,percent of total billed charges,,,2866.5,90,,percent of total billed charges,,,2611.7,82,,percent of total billed charges,,,2866.5,90,,percent of total billed charges,,,2707.25,85,,percent of total billed charges,,2401.49,3025.75, JRF TENDON ALLOGRAFT GRACILIS 4MM X 23CM,30184624,CDM,,,278,RC,inpatient,,8391.5,8391.5,,7124.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6327.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7132.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7384.52,88,,percent of total billed charges,,,,,,,,,6411.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7636.27,91,,percent of total billed charges,,,7971.93,95,,percent of total billed charges,,,6964.95,83,,percent of total billed charges,,,6964.95,83,,percent of total billed charges,,,,,,,,,,,,,,,6964.95,83,,percent of total billed charges,,,7971.93,95,,percent of total billed charges,,,7552.35,90,,percent of total billed charges,,,7552.35,90,,percent of total billed charges,,,6881.03,82,,percent of total billed charges,,,7552.35,90,,percent of total billed charges,,,7132.78,85,,percent of total billed charges,,6327.19,7971.93, SYNTHES SCREW CORTEX ST 2.4MM T8 STARDRI,30184627,CDM,,,278,RC,inpatient,,565.25,565.25,,479.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,426.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,480.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,497.42,88,,percent of total billed charges,,,,,,,,,431.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,514.38,91,,percent of total billed charges,,,536.99,95,,percent of total billed charges,,,469.16,83,,percent of total billed charges,,,469.16,83,,percent of total billed charges,,,,,,,,,,,,,,,469.16,83,,percent of total billed charges,,,536.99,95,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,463.51,82,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,480.46,85,,percent of total billed charges,,426.2,536.99, DEPUY INSERT RP STAB 6MM,30184628,CDM,,,278,RC,inpatient,,16738.35,16738.35,,14210.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12620.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14227.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14729.75,88,,percent of total billed charges,,,,,,,,,12788.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15231.9,91,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,,,,,,,,,,,,,13892.83,83,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,13725.45,82,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,14227.6,85,,percent of total billed charges,,12620.72,15901.43, STRYKER ANTIBIOTIC BONE CEMENT,30184629,CDM,,,278,RC,inpatient,,2748.2,2748.2,,2333.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2072.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2335.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2418.42,88,,percent of total billed charges,,,,,,,,,2099.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2500.86,91,,percent of total billed charges,,,2610.79,95,,percent of total billed charges,,,2281.01,83,,percent of total billed charges,,,2281.01,83,,percent of total billed charges,,,,,,,,,,,,,,,2281.01,83,,percent of total billed charges,,,2610.79,95,,percent of total billed charges,,,2473.38,90,,percent of total billed charges,,,2473.38,90,,percent of total billed charges,,,2253.52,82,,percent of total billed charges,,,2473.38,90,,percent of total billed charges,,,2335.97,85,,percent of total billed charges,,2072.14,2610.79, ARTHREX BIO-COMP SWVLK SP 5.5X24.5MM,30184630,CDM,,,270,RC,inpatient,,2730,2730,,2317.77,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2058.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2320.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2402.4,88,,percent of total billed charges,,,,,,,,,2085.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2484.3,91,,percent of total billed charges,,,2593.5,95,,percent of total billed charges,,,2265.9,83,,percent of total billed charges,,,2265.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2265.9,83,,percent of total billed charges,,,2593.5,95,,percent of total billed charges,,,2457,90,,percent of total billed charges,,,2457,90,,percent of total billed charges,,,2238.6,82,,percent of total billed charges,,,2457,90,,percent of total billed charges,,,2320.5,85,,percent of total billed charges,,2058.42,2593.5, ARTHREX FIBERLINK,30184631,CDM,,,270,RC,inpatient,,595,595,,505.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,448.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,505.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,523.6,88,,percent of total billed charges,,,,,,,,,454.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,541.45,91,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,493.85,83,,percent of total billed charges,,,,,,,,,,,,,,,493.85,83,,percent of total billed charges,,,565.25,95,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,487.9,82,,percent of total billed charges,,,535.5,90,,percent of total billed charges,,,505.75,85,,percent of total billed charges,,448.63,565.25, ARTHREX GEMINI SR8,30184632,CDM,,,270,RC,inpatient,,240,240,,203.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,180.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,204,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,211.2,88,,percent of total billed charges,,,,,,,,,183.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,218.4,91,,percent of total billed charges,,,228,95,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,,,,,,,,,,,,,199.2,83,,percent of total billed charges,,,228,95,,percent of total billed charges,,,216,90,,percent of total billed charges,,,216,90,,percent of total billed charges,,,196.8,82,,percent of total billed charges,,,216,90,,percent of total billed charges,,,204,85,,percent of total billed charges,,180.96,228, SPINECRAFT SCREW VELOX VARIABLE 4.0 X 14,30184634,CDM,,,278,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, SPINECRAFT CAGE ORIO W/PEEK 12X15X8MM,30184635,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, SPINECRAFT DRILL BIT 12MM,30184636,CDM,,,278,RC,inpatient,,2210,2210,,1876.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1666.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1878.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1944.8,88,,percent of total billed charges,,,,,,,,,1688.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2011.1,91,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1834.3,83,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1812.2,82,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1878.5,85,,percent of total billed charges,,1666.34,2099.5, SYNTHES PLATE LCP DISTAL FIBIA 2.7 X 3.5,30184637,CDM,,,278,RC,inpatient,,6500.39,6500.39,,5518.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720.34,88,,percent of total billed charges,,,,,,,,,4966.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915.35,91,,percent of total billed charges,,,6175.37,95,,percent of total billed charges,,,5395.32,83,,percent of total billed charges,,,5395.32,83,,percent of total billed charges,,,,,,,,,,,,,,,5395.32,83,,percent of total billed charges,,,6175.37,95,,percent of total billed charges,,,5850.35,90,,percent of total billed charges,,,5850.35,90,,percent of total billed charges,,,5330.32,82,,percent of total billed charges,,,5850.35,90,,percent of total billed charges,,,5525.33,85,,percent of total billed charges,,4901.29,6175.37, SYNTHES SCREW CORTEX 3.5MM,30184638,CDM,,,278,RC,inpatient,,267.75,267.75,,227.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,201.88,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,227.59,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,235.62,88,,percent of total billed charges,,,,,,,,,204.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,243.65,91,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,222.23,83,,percent of total billed charges,,,,,,,,,,,,,,,222.23,83,,percent of total billed charges,,,254.36,95,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,219.56,82,,percent of total billed charges,,,240.98,90,,percent of total billed charges,,,227.59,85,,percent of total billed charges,,201.88,254.36, SYNTHES SCREW CANNCELLOUS 4.0MM,30184639,CDM,,,278,RC,inpatient,,223.13,223.13,,189.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,168.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,189.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,196.35,88,,percent of total billed charges,,,,,,,,,170.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,203.05,91,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,185.2,83,,percent of total billed charges,,,,,,,,,,,,,,,185.2,83,,percent of total billed charges,,,211.97,95,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,182.97,82,,percent of total billed charges,,,200.82,90,,percent of total billed charges,,,189.66,85,,percent of total billed charges,,168.24,211.97, MESH PERFIX PLUG SMALL,30184640,CDM,,,278,RC,inpatient,,1727.05,1727.05,,1466.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1302.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1467.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1519.8,88,,percent of total billed charges,,,,,,,,,1319.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1571.62,91,,percent of total billed charges,,,1640.7,95,,percent of total billed charges,,,1433.45,83,,percent of total billed charges,,,1433.45,83,,percent of total billed charges,,,,,,,,,,,,,,,1433.45,83,,percent of total billed charges,,,1640.7,95,,percent of total billed charges,,,1554.35,90,,percent of total billed charges,,,1554.35,90,,percent of total billed charges,,,1416.18,82,,percent of total billed charges,,,1554.35,90,,percent of total billed charges,,,1467.99,85,,percent of total billed charges,,1302.2,1640.7, DEPUY HEAD BIPOLAR 28X46,30184641,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, DEPUY BIPOLAR PRIMARY CAP,30184642,CDM,,,278,RC,inpatient,,31200,31200,,26488.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23524.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26520,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27456,88,,percent of total billed charges,,,,,,,,,23836.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28392,91,,percent of total billed charges,,,29640,95,,percent of total billed charges,,,25896,83,,percent of total billed charges,,,25896,83,,percent of total billed charges,,,,,,,,,,,,,,,25896,83,,percent of total billed charges,,,29640,95,,percent of total billed charges,,,28080,90,,percent of total billed charges,,,28080,90,,percent of total billed charges,,,25584,82,,percent of total billed charges,,,28080,90,,percent of total billed charges,,,26520,85,,percent of total billed charges,,23524.8,29640, ARTHREX SCREW BC INTER-FERENCE 10X23,30184643,CDM,,,278,RC,inpatient,,1527.5,1527.5,,1296.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1151.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1298.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1344.2,88,,percent of total billed charges,,,,,,,,,1167.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1390.03,91,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,1267.83,83,,percent of total billed charges,,,,,,,,,,,,,,,1267.83,83,,percent of total billed charges,,,1451.13,95,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1252.55,82,,percent of total billed charges,,,1374.75,90,,percent of total billed charges,,,1298.38,85,,percent of total billed charges,,1151.74,1451.13, ARTHREX SCREW PT 3.0 X 38MM,30184644,CDM,,,278,RC,inpatient,,840,840,,713.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,633.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,714,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,739.2,88,,percent of total billed charges,,,,,,,,,641.76,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,764.4,91,,percent of total billed charges,,,798,95,,percent of total billed charges,,,697.2,83,,percent of total billed charges,,,697.2,83,,percent of total billed charges,,,,,,,,,,,,,,,697.2,83,,percent of total billed charges,,,798,95,,percent of total billed charges,,,756,90,,percent of total billed charges,,,756,90,,percent of total billed charges,,,688.8,82,,percent of total billed charges,,,756,90,,percent of total billed charges,,,714,85,,percent of total billed charges,,633.36,798, ARTHREX SCREW CORTICAL 3.0 X 16MM,30184645,CDM,,,278,RC,inpatient,,770,770,,653.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,580.58,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,654.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,677.6,88,,percent of total billed charges,,,,,,,,,588.28,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,700.7,91,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,639.1,83,,percent of total billed charges,,,,,,,,,,,,,,,639.1,83,,percent of total billed charges,,,731.5,95,,percent of total billed charges,,,693,90,,percent of total billed charges,,,693,90,,percent of total billed charges,,,631.4,82,,percent of total billed charges,,,693,90,,percent of total billed charges,,,654.5,85,,percent of total billed charges,,580.58,731.5, SCREW POLYAXIAL 6.5 X 50MM,30184646,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW POLYAXIAL 6.5 X 55MM,30184647,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW POLYAXIAL 6.5 X 60MM,30184648,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW POLYAXIAL 7.5 X 55MM,30184649,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW SET,30184650,CDM,,,278,RC,inpatient,,700,700,,594.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,527.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,595,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,616,88,,percent of total billed charges,,,,,,,,,534.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,637,91,,percent of total billed charges,,,665,95,,percent of total billed charges,,,581,83,,percent of total billed charges,,,581,83,,percent of total billed charges,,,,,,,,,,,,,,,581,83,,percent of total billed charges,,,665,95,,percent of total billed charges,,,630,90,,percent of total billed charges,,,630,90,,percent of total billed charges,,,574,82,,percent of total billed charges,,,630,90,,percent of total billed charges,,,595,85,,percent of total billed charges,,527.8,665, ROD 6.0 X 440MM,30184651,CDM,,,278,RC,inpatient,,3900,3900,,3311.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2940.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3315,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3432,88,,percent of total billed charges,,,,,,,,,2979.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3549,91,,percent of total billed charges,,,3705,95,,percent of total billed charges,,,3237,83,,percent of total billed charges,,,3237,83,,percent of total billed charges,,,,,,,,,,,,,,,3237,83,,percent of total billed charges,,,3705,95,,percent of total billed charges,,,3510,90,,percent of total billed charges,,,3510,90,,percent of total billed charges,,,3198,82,,percent of total billed charges,,,3510,90,,percent of total billed charges,,,3315,85,,percent of total billed charges,,2940.6,3705, PEEK HORNET 25 X 11 X 9MM 0DEG,30184652,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, PEEK HORNET 25 X 11 X 11MM 0DEG,30184653,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, ARTHREX BUTTON ABS 8 X 12,30184654,CDM,,,278,RC,inpatient,,929.5,929.5,,789.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,700.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,790.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,817.96,88,,percent of total billed charges,,,,,,,,,710.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,845.85,91,,percent of total billed charges,,,883.03,95,,percent of total billed charges,,,771.49,83,,percent of total billed charges,,,771.49,83,,percent of total billed charges,,,,,,,,,,,,,,,771.49,83,,percent of total billed charges,,,883.03,95,,percent of total billed charges,,,836.55,90,,percent of total billed charges,,,836.55,90,,percent of total billed charges,,,762.19,82,,percent of total billed charges,,,836.55,90,,percent of total billed charges,,,790.08,85,,percent of total billed charges,,700.84,883.03, SPINECRAFT PLATE VELOX 48MM 3 LEVELS,30184655,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, MESH VITA RECTANGLE 12X12,30184656,CDM,,,270,RC,inpatient,,1160.25,1160.25,,985.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,874.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,986.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1021.02,88,,percent of total billed charges,,,,,,,,,886.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1055.83,91,,percent of total billed charges,,,1102.24,95,,percent of total billed charges,,,963.01,83,,percent of total billed charges,,,963.01,83,,percent of total billed charges,,,,,,,,,,,,,,,963.01,83,,percent of total billed charges,,,1102.24,95,,percent of total billed charges,,,1044.23,90,,percent of total billed charges,,,1044.23,90,,percent of total billed charges,,,951.41,82,,percent of total billed charges,,,1044.23,90,,percent of total billed charges,,,986.21,85,,percent of total billed charges,,874.83,1102.24, MESH MOSAIC 15CM ROUND,30184657,CDM,,,270,RC,inpatient,,3524.89,3524.89,,2992.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2657.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2996.16,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3101.9,88,,percent of total billed charges,,,,,,,,,2693.02,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3207.65,91,,percent of total billed charges,,,3348.65,95,,percent of total billed charges,,,2925.66,83,,percent of total billed charges,,,2925.66,83,,percent of total billed charges,,,,,,,,,,,,,,,2925.66,83,,percent of total billed charges,,,3348.65,95,,percent of total billed charges,,,3172.4,90,,percent of total billed charges,,,3172.4,90,,percent of total billed charges,,,2890.41,82,,percent of total billed charges,,,3172.4,90,,percent of total billed charges,,,2996.16,85,,percent of total billed charges,,2657.77,3348.65, MESH MOSAIC 4X6 OBLONG,30184658,CDM,,,270,RC,inpatient,,2150.01,2150.01,,1825.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1621.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1827.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1892.01,88,,percent of total billed charges,,,,,,,,,1642.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1956.51,91,,percent of total billed charges,,,2042.51,95,,percent of total billed charges,,,1784.51,83,,percent of total billed charges,,,1784.51,83,,percent of total billed charges,,,,,,,,,,,,,,,1784.51,83,,percent of total billed charges,,,2042.51,95,,percent of total billed charges,,,1935.01,90,,percent of total billed charges,,,1935.01,90,,percent of total billed charges,,,1763.01,82,,percent of total billed charges,,,1935.01,90,,percent of total billed charges,,,1827.51,85,,percent of total billed charges,,1621.11,2042.51, DEPUY FEMUR ATTUNE PS 9 RIGHT,30184659,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, DEPUY SUMMIT STD CEMENTED SZ 4,30184662,CDM,,,278,RC,inpatient,,25444.06,25444.06,,21602.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19184.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21627.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22390.77,88,,percent of total billed charges,,,,,,,,,19439.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23154.09,91,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,,,,,,,,,,,,,21118.57,83,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,20864.13,82,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,21627.45,85,,percent of total billed charges,,19184.82,24171.86, DEPUY PRIMARY BIPOLAR CAP,30184663,CDM,,,278,RC,inpatient,,31200,31200,,26488.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23524.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26520,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27456,88,,percent of total billed charges,,,,,,,,,23836.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28392,91,,percent of total billed charges,,,29640,95,,percent of total billed charges,,,25896,83,,percent of total billed charges,,,25896,83,,percent of total billed charges,,,,,,,,,,,,,,,25896,83,,percent of total billed charges,,,29640,95,,percent of total billed charges,,,28080,90,,percent of total billed charges,,,28080,90,,percent of total billed charges,,,25584,82,,percent of total billed charges,,,28080,90,,percent of total billed charges,,,26520,85,,percent of total billed charges,,23524.8,29640, SCREW POLYAXIAL 6.5 X 40MM,30184664,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW RESUCTION 6.5 X 50MM,30184665,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, ROD LORDOSES 6.0 X 50MM,30184666,CDM,,,278,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, PEEK CORTINA 9 X 25 X 9MM,30184667,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, SCREW POLYAXIAL 6.5 X 45MM,30184668,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, PEEK HORNET 11 X 25 X 11 MM 0 DEG,30184669,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, SYNTHES PLATE DISTAL RADIUS 7X3,30184671,CDM,,,278,RC,inpatient,,9762.68,9762.68,,8288.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7361.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8298.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8591.16,88,,percent of total billed charges,,,,,,,,,7458.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8884.04,91,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,,,,,,,,,,,,,8103.02,83,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8005.4,82,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8298.28,85,,percent of total billed charges,,7361.06,9274.55, SYNTHES SCREW CORTEX 2.4 X 30MM,30184672,CDM,,,278,RC,inpatient,,565.25,565.25,,479.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,426.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,480.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,497.42,88,,percent of total billed charges,,,,,,,,,431.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,514.38,91,,percent of total billed charges,,,536.99,95,,percent of total billed charges,,,469.16,83,,percent of total billed charges,,,469.16,83,,percent of total billed charges,,,,,,,,,,,,,,,469.16,83,,percent of total billed charges,,,536.99,95,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,463.51,82,,percent of total billed charges,,,508.73,90,,percent of total billed charges,,,480.46,85,,percent of total billed charges,,426.2,536.99, SYNTHES PLATE T DORSAL 2.4MM VA,30184673,CDM,,,278,RC,inpatient,,6226.68,6226.68,,5286.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4694.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5292.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5479.48,88,,percent of total billed charges,,,,,,,,,4757.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5666.28,91,,percent of total billed charges,,,5915.35,95,,percent of total billed charges,,,5168.14,83,,percent of total billed charges,,,5168.14,83,,percent of total billed charges,,,,,,,,,,,,,,,5168.14,83,,percent of total billed charges,,,5915.35,95,,percent of total billed charges,,,5604.01,90,,percent of total billed charges,,,5604.01,90,,percent of total billed charges,,,5105.88,82,,percent of total billed charges,,,5604.01,90,,percent of total billed charges,,,5292.68,85,,percent of total billed charges,,4694.92,5915.35, STRYKER CEMENT TOWER REVOLUTION,30184674,CDM,,,270,RC,inpatient,,674.98,674.98,,573.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,508.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,573.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,593.98,88,,percent of total billed charges,,,,,,,,,515.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,614.23,91,,percent of total billed charges,,,641.23,95,,percent of total billed charges,,,560.23,83,,percent of total billed charges,,,560.23,83,,percent of total billed charges,,,,,,,,,,,,,,,560.23,83,,percent of total billed charges,,,641.23,95,,percent of total billed charges,,,607.48,90,,percent of total billed charges,,,607.48,90,,percent of total billed charges,,,553.48,82,,percent of total billed charges,,,607.48,90,,percent of total billed charges,,,573.73,85,,percent of total billed charges,,508.93,641.23, MEDIVATORS ENDOCUFF GREEN - ADULT,30184675,CDM,,,270,RC,inpatient,,225,225,,191.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,169.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,191.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,198,88,,percent of total billed charges,,,,,,,,,171.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,204.75,91,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,186.75,83,,percent of total billed charges,,,,,,,,,,,,,,,186.75,83,,percent of total billed charges,,,213.75,95,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,184.5,82,,percent of total billed charges,,,202.5,90,,percent of total billed charges,,,191.25,85,,percent of total billed charges,,169.65,213.75, DEPUY FEMUR SIGMA SZ 4N RIGHT,30184677,CDM,,,278,RC,inpatient,,23868.72,23868.72,,20264.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17997.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20288.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21004.47,88,,percent of total billed charges,,,,,,,,,18235.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21720.54,91,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,,,,,,,,,,,,,19811.04,83,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,19572.35,82,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,20288.41,85,,percent of total billed charges,,17997.01,22675.28, DEPUY GLENOID SZ 40,30184678,CDM,,,278,RC,inpatient,,17098.9,17098.9,,14516.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12892.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14534.07,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15047.03,88,,percent of total billed charges,,,,,,,,,13063.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15560,91,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,14192.09,83,,percent of total billed charges,,,,,,,,,,,,,,,14192.09,83,,percent of total billed charges,,,16243.96,95,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14021.1,82,,percent of total billed charges,,,15389.01,90,,percent of total billed charges,,,14534.07,85,,percent of total billed charges,,12892.57,16243.96, NEUROMONITORING SPECIALTYCARE,30184679,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, DEPUY SUMMIT CEMENTED SZ 5 STD,30184682,CDM,,,278,RC,inpatient,,25444.06,25444.06,,21602.01,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19184.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21627.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22390.77,88,,percent of total billed charges,,,,,,,,,19439.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23154.09,91,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,21118.57,83,,percent of total billed charges,,,,,,,,,,,,,,,21118.57,83,,percent of total billed charges,,,24171.86,95,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,20864.13,82,,percent of total billed charges,,,22899.65,90,,percent of total billed charges,,,21627.45,85,,percent of total billed charges,,19184.82,24171.86, DEPUY STEM CENTRALIZER 12MM,30184683,CDM,,,278,RC,inpatient,,904.8,904.8,,768.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,682.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,769.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,796.22,88,,percent of total billed charges,,,,,,,,,691.27,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,823.37,91,,percent of total billed charges,,,859.56,95,,percent of total billed charges,,,750.98,83,,percent of total billed charges,,,750.98,83,,percent of total billed charges,,,,,,,,,,,,,,,750.98,83,,percent of total billed charges,,,859.56,95,,percent of total billed charges,,,814.32,90,,percent of total billed charges,,,814.32,90,,percent of total billed charges,,,741.94,82,,percent of total billed charges,,,814.32,90,,percent of total billed charges,,,769.08,85,,percent of total billed charges,,682.22,859.56, BRACE INNOVATOR DLX+ COOL,30184684,CDM,,,270,RC,inpatient,,641.27,641.27,,544.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,483.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,545.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,564.32,88,,percent of total billed charges,,,,,,,,,489.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,583.56,91,,percent of total billed charges,,,609.21,95,,percent of total billed charges,,,532.25,83,,percent of total billed charges,,,532.25,83,,percent of total billed charges,,,,,,,,,,,,,,,532.25,83,,percent of total billed charges,,,609.21,95,,percent of total billed charges,,,577.14,90,,percent of total billed charges,,,577.14,90,,percent of total billed charges,,,525.84,82,,percent of total billed charges,,,577.14,90,,percent of total billed charges,,,545.08,85,,percent of total billed charges,,483.52,609.21, SYNTHES DRILL TIP WIRE 2.5 X 300MM,30184685,CDM,,,270,RC,inpatient,,714,714,,606.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,538.36,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,606.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,628.32,88,,percent of total billed charges,,,,,,,,,545.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,649.74,91,,percent of total billed charges,,,678.3,95,,percent of total billed charges,,,592.62,83,,percent of total billed charges,,,592.62,83,,percent of total billed charges,,,,,,,,,,,,,,,592.62,83,,percent of total billed charges,,,678.3,95,,percent of total billed charges,,,642.6,90,,percent of total billed charges,,,642.6,90,,percent of total billed charges,,,585.48,82,,percent of total billed charges,,,642.6,90,,percent of total billed charges,,,606.9,85,,percent of total billed charges,,538.36,678.3, SYNTHES DRILL BIT CANNULATED 4.3MM,30184686,CDM,,,278,RC,inpatient,,3364.73,3364.73,,2856.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2537.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2860.02,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2960.96,88,,percent of total billed charges,,,,,,,,,2570.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3061.9,91,,percent of total billed charges,,,3196.49,95,,percent of total billed charges,,,2792.73,83,,percent of total billed charges,,,2792.73,83,,percent of total billed charges,,,,,,,,,,,,,,,2792.73,83,,percent of total billed charges,,,3196.49,95,,percent of total billed charges,,,3028.26,90,,percent of total billed charges,,,3028.26,90,,percent of total billed charges,,,2759.08,82,,percent of total billed charges,,,3028.26,90,,percent of total billed charges,,,2860.02,85,,percent of total billed charges,,2537.01,3196.49, SYNTHES K-WIRE THREADED 2.0MM,30184687,CDM,,,278,RC,inpatient,,410.55,410.55,,348.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,309.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,348.97,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,361.28,88,,percent of total billed charges,,,,,,,,,313.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,373.6,91,,percent of total billed charges,,,390.02,95,,percent of total billed charges,,,340.76,83,,percent of total billed charges,,,340.76,83,,percent of total billed charges,,,,,,,,,,,,,,,340.76,83,,percent of total billed charges,,,390.02,95,,percent of total billed charges,,,369.5,90,,percent of total billed charges,,,369.5,90,,percent of total billed charges,,,336.65,82,,percent of total billed charges,,,369.5,90,,percent of total billed charges,,,348.97,85,,percent of total billed charges,,309.55,390.02, SYNTHES SCREW LOCKING 5 X 80MM ANGLED,30184688,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES SCREW LOCKING 5 X 46MM ANGLED,30184689,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES SCREW LOCKING 5 X 44MM ANGLED,30184690,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES SCREW LOCKING 5 X 40MM ANGLED,30184691,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES SCREW LOCKING 5 X 20MM ANGLED,30184692,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES PLATE VA 4.5MM 16 HOLE CONDYLAR,30184693,CDM,,,278,RC,inpatient,,21171.8,21171.8,,17974.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15963.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17996.03,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18631.18,88,,percent of total billed charges,,,,,,,,,16175.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19266.34,91,,percent of total billed charges,,,20113.21,95,,percent of total billed charges,,,17572.59,83,,percent of total billed charges,,,17572.59,83,,percent of total billed charges,,,,,,,,,,,,,,,17572.59,83,,percent of total billed charges,,,20113.21,95,,percent of total billed charges,,,19054.62,90,,percent of total billed charges,,,19054.62,90,,percent of total billed charges,,,17360.88,82,,percent of total billed charges,,,19054.62,90,,percent of total billed charges,,,17996.03,85,,percent of total billed charges,,15963.54,20113.21, DEPUY FEMUR SIGMA PS SZ 5 LEFT,30184694,CDM,,,278,RC,inpatient,,23868.72,23868.72,,20264.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17997.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20288.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21004.47,88,,percent of total billed charges,,,,,,,,,18235.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21720.54,91,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,19811.04,83,,percent of total billed charges,,,,,,,,,,,,,,,19811.04,83,,percent of total billed charges,,,22675.28,95,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,19572.35,82,,percent of total billed charges,,,21481.85,90,,percent of total billed charges,,,20288.41,85,,percent of total billed charges,,17997.01,22675.28, ZIMMER OXF TIBIAL BEARING MEDIUM,30184695,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, DEPUY LINER ALTRX +4 NEUT 36 X 62,30184696,CDM,,,278,RC,inpatient,,14161.81,14161.81,,12023.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10678,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12037.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12462.39,88,,percent of total billed charges,,,,,,,,,10819.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12887.25,91,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,,,,,,,,,,,,,11754.3,83,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,11612.68,82,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12037.54,85,,percent of total billed charges,,10678,13453.72, SYNTHES SCREW CORTEX 2.4 X 30MM,30184697,CDM,,,278,RC,inpatient,,472.5,472.5,,401.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,356.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,401.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,415.8,88,,percent of total billed charges,,,,,,,,,360.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,429.98,91,,percent of total billed charges,,,448.88,95,,percent of total billed charges,,,392.18,83,,percent of total billed charges,,,392.18,83,,percent of total billed charges,,,,,,,,,,,,,,,392.18,83,,percent of total billed charges,,,448.88,95,,percent of total billed charges,,,425.25,90,,percent of total billed charges,,,425.25,90,,percent of total billed charges,,,387.45,82,,percent of total billed charges,,,425.25,90,,percent of total billed charges,,,401.63,85,,percent of total billed charges,,356.27,448.88, SYNTHES SCREW CORTEX 2.4 X 12MM,30184698,CDM,,,278,RC,inpatient,,599.69,599.69,,509.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,452.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,509.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,527.73,88,,percent of total billed charges,,,,,,,,,458.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,545.72,91,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,,,,,,,,,,,,,497.74,83,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,491.75,82,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,509.74,85,,percent of total billed charges,,452.17,569.71, HOOD PROTECTOR FOREIGN BODY,30184699,CDM,,,270,RC,inpatient,,283.8,283.8,,240.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,213.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.74,88,,percent of total billed charges,,,,,,,,,216.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.26,91,,percent of total billed charges,,,269.61,95,,percent of total billed charges,,,235.55,83,,percent of total billed charges,,,235.55,83,,percent of total billed charges,,,,,,,,,,,,,,,235.55,83,,percent of total billed charges,,,269.61,95,,percent of total billed charges,,,255.42,90,,percent of total billed charges,,,255.42,90,,percent of total billed charges,,,232.72,82,,percent of total billed charges,,,255.42,90,,percent of total billed charges,,,241.23,85,,percent of total billed charges,,213.99,269.61, ENDOSCOPIC SPRAY SET 360DEG APPLICATOR,30184703,CDM,,,270,RC,inpatient,,931.36,931.36,,790.72,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,702.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,791.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,819.6,88,,percent of total billed charges,,,,,,,,,711.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,847.54,91,,percent of total billed charges,,,884.79,95,,percent of total billed charges,,,773.03,83,,percent of total billed charges,,,773.03,83,,percent of total billed charges,,,,,,,,,,,,,,,773.03,83,,percent of total billed charges,,,884.79,95,,percent of total billed charges,,,838.22,90,,percent of total billed charges,,,838.22,90,,percent of total billed charges,,,763.72,82,,percent of total billed charges,,,838.22,90,,percent of total billed charges,,,791.66,85,,percent of total billed charges,,702.25,884.79, TISSEEL SPRAY SET,30184704,CDM,,,270,RC,inpatient,,368.48,368.48,,312.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,277.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,313.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,324.26,88,,percent of total billed charges,,,,,,,,,281.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,335.32,91,,percent of total billed charges,,,350.06,95,,percent of total billed charges,,,305.84,83,,percent of total billed charges,,,305.84,83,,percent of total billed charges,,,,,,,,,,,,,,,305.84,83,,percent of total billed charges,,,350.06,95,,percent of total billed charges,,,331.63,90,,percent of total billed charges,,,331.63,90,,percent of total billed charges,,,302.15,82,,percent of total billed charges,,,331.63,90,,percent of total billed charges,,,313.21,85,,percent of total billed charges,,277.83,350.06, SYNTHES SCREW CORTEX S-T 2.4X12MM STERIL,30184705,CDM,,,278,RC,inpatient,,827.05,827.05,,702.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,623.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,702.99,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,727.8,88,,percent of total billed charges,,,,,,,,,631.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,752.62,91,,percent of total billed charges,,,785.7,95,,percent of total billed charges,,,686.45,83,,percent of total billed charges,,,686.45,83,,percent of total billed charges,,,,,,,,,,,,,,,686.45,83,,percent of total billed charges,,,785.7,95,,percent of total billed charges,,,744.35,90,,percent of total billed charges,,,744.35,90,,percent of total billed charges,,,678.18,82,,percent of total billed charges,,,744.35,90,,percent of total billed charges,,,702.99,85,,percent of total billed charges,,623.6,785.7, SYNTHES SCREW CORTEX S-T 2.4X24MM,30184706,CDM,,,278,RC,inpatient,,599.69,599.69,,509.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,452.17,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,509.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,527.73,88,,percent of total billed charges,,,,,,,,,458.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,545.72,91,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,497.74,83,,percent of total billed charges,,,,,,,,,,,,,,,497.74,83,,percent of total billed charges,,,569.71,95,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,491.75,82,,percent of total billed charges,,,539.72,90,,percent of total billed charges,,,509.74,85,,percent of total billed charges,,452.17,569.71, ZIMMER NECK MODULAR SZ R,30184708,CDM,,,278,RC,inpatient,,15060.5,15060.5,,12786.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11355.62,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12801.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13253.24,88,,percent of total billed charges,,,,,,,,,11506.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13705.06,91,,percent of total billed charges,,,14307.48,95,,percent of total billed charges,,,12500.22,83,,percent of total billed charges,,,12500.22,83,,percent of total billed charges,,,,,,,,,,,,,,,12500.22,83,,percent of total billed charges,,,14307.48,95,,percent of total billed charges,,,13554.45,90,,percent of total billed charges,,,13554.45,90,,percent of total billed charges,,,12349.61,82,,percent of total billed charges,,,13554.45,90,,percent of total billed charges,,,12801.43,85,,percent of total billed charges,,11355.62,14307.48, DEPUY LINER 40 X 60 N,30184709,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY STEM CORAIL KLA,30184710,CDM,,,278,RC,inpatient,,38427.68,38427.68,,32625.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28974.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,32663.53,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,33816.36,88,,percent of total billed charges,,,,,,,,,29358.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34969.19,91,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,31894.97,83,,percent of total billed charges,,,,,,,,,,,,,,,31894.97,83,,percent of total billed charges,,,36506.3,95,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,31510.7,82,,percent of total billed charges,,,34584.91,90,,percent of total billed charges,,,32663.53,85,,percent of total billed charges,,28974.47,36506.3, DEPUY HEAD SROM 32MM +0,30184711,CDM,,,278,RC,inpatient,,6061.9,6061.9,,5146.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4570.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5152.62,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5334.47,88,,percent of total billed charges,,,,,,,,,4631.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5516.33,91,,percent of total billed charges,,,5758.81,95,,percent of total billed charges,,,5031.38,83,,percent of total billed charges,,,5031.38,83,,percent of total billed charges,,,,,,,,,,,,,,,5031.38,83,,percent of total billed charges,,,5758.81,95,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,4970.76,82,,percent of total billed charges,,,5455.71,90,,percent of total billed charges,,,5152.62,85,,percent of total billed charges,,4570.67,5758.81, SYNTHES DRILL BIT 4.5MM QUICK CONNECT,30184712,CDM,,,270,RC,inpatient,,782.74,782.74,,664.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,590.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,665.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,688.81,88,,percent of total billed charges,,,,,,,,,598.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,712.29,91,,percent of total billed charges,,,743.6,95,,percent of total billed charges,,,649.67,83,,percent of total billed charges,,,649.67,83,,percent of total billed charges,,,,,,,,,,,,,,,649.67,83,,percent of total billed charges,,,743.6,95,,percent of total billed charges,,,704.47,90,,percent of total billed charges,,,704.47,90,,percent of total billed charges,,,641.85,82,,percent of total billed charges,,,704.47,90,,percent of total billed charges,,,665.33,85,,percent of total billed charges,,590.19,743.6, SPINECRAFT CAGE ORIO W/PEEK 7MM,30184713,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, SPINECRAFT PLATE VELOX 1 LEVE 12MM,30184714,CDM,,,278,RC,inpatient,,7150,7150,,6070.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5391.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6077.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6292,88,,percent of total billed charges,,,,,,,,,5462.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6506.5,91,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,,,,,,,,,,,,,5934.5,83,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,5863,82,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6077.5,85,,percent of total billed charges,,5391.1,6792.5, SYNTHES BLADE HELICAL TFNA 100MM,30184715,CDM,,,278,RC,inpatient,,6630,6630,,5628.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4999.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5635.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5834.4,88,,percent of total billed charges,,,,,,,,,5065.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6033.3,91,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,,,,,,,,,,,,,5502.9,83,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5436.6,82,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5635.5,85,,percent of total billed charges,,4999.02,6298.5, SYNTHES TFNA 12MM X 400MM 130DEG RT,30184716,CDM,,,278,RC,inpatient,,21149.7,21149.7,,17956.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15946.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17977.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18611.74,88,,percent of total billed charges,,,,,,,,,16158.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19246.23,91,,percent of total billed charges,,,20092.22,95,,percent of total billed charges,,,17554.25,83,,percent of total billed charges,,,17554.25,83,,percent of total billed charges,,,,,,,,,,,,,,,17554.25,83,,percent of total billed charges,,,20092.22,95,,percent of total billed charges,,,19034.73,90,,percent of total billed charges,,,19034.73,90,,percent of total billed charges,,,17342.75,82,,percent of total billed charges,,,19034.73,90,,percent of total billed charges,,,17977.25,85,,percent of total billed charges,,15946.87,20092.22, SYNTHES COUNTERSINK 2.7MM,30184717,CDM,,,278,RC,inpatient,,2640.95,2640.95,,2242.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1991.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2244.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2324.04,88,,percent of total billed charges,,,,,,,,,2017.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2403.26,91,,percent of total billed charges,,,2508.9,95,,percent of total billed charges,,,2191.99,83,,percent of total billed charges,,,2191.99,83,,percent of total billed charges,,,,,,,,,,,,,,,2191.99,83,,percent of total billed charges,,,2508.9,95,,percent of total billed charges,,,2376.86,90,,percent of total billed charges,,,2376.86,90,,percent of total billed charges,,,2165.58,82,,percent of total billed charges,,,2376.86,90,,percent of total billed charges,,,2244.81,85,,percent of total billed charges,,1991.28,2508.9, SYNTHES SCREW CORTEX 2.7 X 28MM,30184718,CDM,,,278,RC,inpatient,,386.75,386.75,,328.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,291.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,328.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,340.34,88,,percent of total billed charges,,,,,,,,,295.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,351.94,91,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,321,83,,percent of total billed charges,,,321,83,,percent of total billed charges,,,,,,,,,,,,,,,321,83,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,317.14,82,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,328.74,85,,percent of total billed charges,,291.61,367.41, ZIMMER INSERT BEARING SZ 4 SM RT,30184720,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, DEPUY SCREW LOCKING 24MM,30184721,CDM,,,278,RC,inpatient,,2237.76,2237.76,,1899.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1687.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1902.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1969.23,88,,percent of total billed charges,,,,,,,,,1709.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2036.36,91,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,1857.34,83,,percent of total billed charges,,,,,,,,,,,,,,,1857.34,83,,percent of total billed charges,,,2125.87,95,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1834.96,82,,percent of total billed charges,,,2013.98,90,,percent of total billed charges,,,1902.1,85,,percent of total billed charges,,1687.27,2125.87, SYNTHES CLAMP HOLDING 1.25MM,30184723,CDM,,,270,RC,inpatient,,7160.4,7160.4,,6079.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5398.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6086.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6301.15,88,,percent of total billed charges,,,,,,,,,5470.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6515.96,91,,percent of total billed charges,,,6802.38,95,,percent of total billed charges,,,5943.13,83,,percent of total billed charges,,,5943.13,83,,percent of total billed charges,,,,,,,,,,,,,,,5943.13,83,,percent of total billed charges,,,6802.38,95,,percent of total billed charges,,,6444.36,90,,percent of total billed charges,,,6444.36,90,,percent of total billed charges,,,5871.53,82,,percent of total billed charges,,,6444.36,90,,percent of total billed charges,,,6086.34,85,,percent of total billed charges,,5398.94,6802.38, SYNTHES ROD CARBON 3.0 X 60MM,30184724,CDM,,,270,RC,inpatient,,446.25,446.25,,378.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,336.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,379.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,392.7,88,,percent of total billed charges,,,,,,,,,340.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,406.09,91,,percent of total billed charges,,,423.94,95,,percent of total billed charges,,,370.39,83,,percent of total billed charges,,,370.39,83,,percent of total billed charges,,,,,,,,,,,,,,,370.39,83,,percent of total billed charges,,,423.94,95,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,365.93,82,,percent of total billed charges,,,401.63,90,,percent of total billed charges,,,379.31,85,,percent of total billed charges,,336.47,423.94, SYNTHES KWIRE THREADED TIP 1.25 X 100MM,30184725,CDM,,,270,RC,inpatient,,474.22,474.22,,402.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,357.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,403.09,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,417.31,88,,percent of total billed charges,,,,,,,,,362.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,431.54,91,,percent of total billed charges,,,450.51,95,,percent of total billed charges,,,393.6,83,,percent of total billed charges,,,393.6,83,,percent of total billed charges,,,,,,,,,,,,,,,393.6,83,,percent of total billed charges,,,450.51,95,,percent of total billed charges,,,426.8,90,,percent of total billed charges,,,426.8,90,,percent of total billed charges,,,388.86,82,,percent of total billed charges,,,426.8,90,,percent of total billed charges,,,403.09,85,,percent of total billed charges,,357.56,450.51, ROD LORDOSES 6.0 X 60MM,30184726,CDM,,,278,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, DEPUY INSERT AOX RP 5MM,30184727,CDM,,,278,RC,inpatient,,16738.35,16738.35,,14210.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12620.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14227.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14729.75,88,,percent of total billed charges,,,,,,,,,12788.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15231.9,91,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,,,,,,,,,,,,,13892.83,83,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,13725.45,82,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,14227.6,85,,percent of total billed charges,,12620.72,15901.43, PROCLAIM 7 ELITE CONTROL SYSTEM,30184731,CDM,,,278,RC,inpatient,,143000,143000,,121407,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,107822,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,121550,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,125840,88,,percent of total billed charges,,,,,,,,,109252,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,130130,91,,percent of total billed charges,,,135850,95,,percent of total billed charges,,,118690,83,,percent of total billed charges,,,118690,83,,percent of total billed charges,,,,,,,,,,,,,,,118690,83,,percent of total billed charges,,,135850,95,,percent of total billed charges,,,128700,90,,percent of total billed charges,,,128700,90,,percent of total billed charges,,,117260,82,,percent of total billed charges,,,128700,90,,percent of total billed charges,,,121550,85,,percent of total billed charges,,107822,135850, DEPUY INSERT RP SZ 6 10MM,30184732,CDM,,,278,RC,inpatient,,16738.35,16738.35,,14210.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12620.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14227.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14729.75,88,,percent of total billed charges,,,,,,,,,12788.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15231.9,91,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,,,,,,,,,,,,,13892.83,83,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,13725.45,82,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,14227.6,85,,percent of total billed charges,,12620.72,15901.43, STRYKER FEMORAL HD 28MM 0+,30184733,CDM,,,278,RC,inpatient,,6715.8,6715.8,,5701.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5063.71,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5708.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5909.9,88,,percent of total billed charges,,,,,,,,,5130.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6111.38,91,,percent of total billed charges,,,6380.01,95,,percent of total billed charges,,,5574.11,83,,percent of total billed charges,,,5574.11,83,,percent of total billed charges,,,,,,,,,,,,,,,5574.11,83,,percent of total billed charges,,,6380.01,95,,percent of total billed charges,,,6044.22,90,,percent of total billed charges,,,6044.22,90,,percent of total billed charges,,,5506.96,82,,percent of total billed charges,,,6044.22,90,,percent of total billed charges,,,5708.43,85,,percent of total billed charges,,5063.71,6380.01, SYNTHES SCREW CORTEX S-T 2.7X10MM,30184736,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X14MM,30184737,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES PLATE LCP 6-HOLE 3.5MM 85MM,30184738,CDM,,,278,RC,inpatient,,2928.25,2928.25,,2486.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2207.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2489.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2576.86,88,,percent of total billed charges,,,,,,,,,2237.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2664.71,91,,percent of total billed charges,,,2781.84,95,,percent of total billed charges,,,2430.45,83,,percent of total billed charges,,,2430.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2430.45,83,,percent of total billed charges,,,2781.84,95,,percent of total billed charges,,,2635.43,90,,percent of total billed charges,,,2635.43,90,,percent of total billed charges,,,2401.17,82,,percent of total billed charges,,,2635.43,90,,percent of total billed charges,,,2489.01,85,,percent of total billed charges,,2207.9,2781.84, SYNTHES COUNTERSINK,30184739,CDM,,,278,RC,inpatient,,2640.95,2640.95,,2242.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1991.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2244.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2324.04,88,,percent of total billed charges,,,,,,,,,2017.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2403.26,91,,percent of total billed charges,,,2508.9,95,,percent of total billed charges,,,2191.99,83,,percent of total billed charges,,,2191.99,83,,percent of total billed charges,,,,,,,,,,,,,,,2191.99,83,,percent of total billed charges,,,2508.9,95,,percent of total billed charges,,,2376.86,90,,percent of total billed charges,,,2376.86,90,,percent of total billed charges,,,2165.58,82,,percent of total billed charges,,,2376.86,90,,percent of total billed charges,,,2244.81,85,,percent of total billed charges,,1991.28,2508.9, S&N DRILL BIT SHORT 2.7MM W/QC,30184740,CDM,,,278,RC,inpatient,,994.5,994.5,,844.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,749.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,845.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,875.16,88,,percent of total billed charges,,,,,,,,,759.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,905,91,,percent of total billed charges,,,944.78,95,,percent of total billed charges,,,825.44,83,,percent of total billed charges,,,825.44,83,,percent of total billed charges,,,,,,,,,,,,,,,825.44,83,,percent of total billed charges,,,944.78,95,,percent of total billed charges,,,895.05,90,,percent of total billed charges,,,895.05,90,,percent of total billed charges,,,815.49,82,,percent of total billed charges,,,895.05,90,,percent of total billed charges,,,845.33,85,,percent of total billed charges,,749.85,944.78, S&N PLATE 7 HOLE RT 107MM,30184741,CDM,,,278,RC,inpatient,,7702.5,7702.5,,6539.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5807.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6547.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6778.2,88,,percent of total billed charges,,,,,,,,,5884.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7009.28,91,,percent of total billed charges,,,7317.38,95,,percent of total billed charges,,,6393.08,83,,percent of total billed charges,,,6393.08,83,,percent of total billed charges,,,,,,,,,,,,,,,6393.08,83,,percent of total billed charges,,,7317.38,95,,percent of total billed charges,,,6932.25,90,,percent of total billed charges,,,6932.25,90,,percent of total billed charges,,,6316.05,82,,percent of total billed charges,,,6932.25,90,,percent of total billed charges,,,6547.13,85,,percent of total billed charges,,5807.69,7317.38, S&N SCREW CORTEX 2.7MM S-T 16MM,30184742,CDM,,,278,RC,inpatient,,233.1,233.1,,197.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,175.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,198.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,205.13,88,,percent of total billed charges,,,,,,,,,178.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,212.12,91,,percent of total billed charges,,,221.45,95,,percent of total billed charges,,,193.47,83,,percent of total billed charges,,,193.47,83,,percent of total billed charges,,,,,,,,,,,,,,,193.47,83,,percent of total billed charges,,,221.45,95,,percent of total billed charges,,,209.79,90,,percent of total billed charges,,,209.79,90,,percent of total billed charges,,,191.14,82,,percent of total billed charges,,,209.79,90,,percent of total billed charges,,,198.14,85,,percent of total billed charges,,175.76,221.45, S&N SCREW CORTEX 2.7MM S-T 18MM,30184743,CDM,,,278,RC,inpatient,,286.13,286.13,,242.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,215.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,243.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,251.79,88,,percent of total billed charges,,,,,,,,,218.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,260.38,91,,percent of total billed charges,,,271.82,95,,percent of total billed charges,,,237.49,83,,percent of total billed charges,,,237.49,83,,percent of total billed charges,,,,,,,,,,,,,,,237.49,83,,percent of total billed charges,,,271.82,95,,percent of total billed charges,,,257.52,90,,percent of total billed charges,,,257.52,90,,percent of total billed charges,,,234.63,82,,percent of total billed charges,,,257.52,90,,percent of total billed charges,,,243.21,85,,percent of total billed charges,,215.74,271.82, S&N SCREW CORTEX 2.7MM S-T 20MM,30184744,CDM,,,278,RC,inpatient,,217.88,217.88,,184.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,164.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,185.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,191.73,88,,percent of total billed charges,,,,,,,,,166.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,198.27,91,,percent of total billed charges,,,206.99,95,,percent of total billed charges,,,180.84,83,,percent of total billed charges,,,180.84,83,,percent of total billed charges,,,,,,,,,,,,,,,180.84,83,,percent of total billed charges,,,206.99,95,,percent of total billed charges,,,196.09,90,,percent of total billed charges,,,196.09,90,,percent of total billed charges,,,178.66,82,,percent of total billed charges,,,196.09,90,,percent of total billed charges,,,185.2,85,,percent of total billed charges,,164.28,206.99, S&N SCREW LOCKING 3.5MM X 10MM,30184745,CDM,,,278,RC,inpatient,,1352,1352,,1147.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1019.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1149.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1189.76,88,,percent of total billed charges,,,,,,,,,1032.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1230.32,91,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,1122.16,83,,percent of total billed charges,,,,,,,,,,,,,,,1122.16,83,,percent of total billed charges,,,1284.4,95,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1108.64,82,,percent of total billed charges,,,1216.8,90,,percent of total billed charges,,,1149.2,85,,percent of total billed charges,,1019.41,1284.4, S&N SCREW LOCKING 3.5MM X 12MM,30184746,CDM,,,278,RC,inpatient,,1035.84,1035.84,,879.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,781.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,880.46,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,911.54,88,,percent of total billed charges,,,,,,,,,791.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,942.61,91,,percent of total billed charges,,,984.05,95,,percent of total billed charges,,,859.75,83,,percent of total billed charges,,,859.75,83,,percent of total billed charges,,,,,,,,,,,,,,,859.75,83,,percent of total billed charges,,,984.05,95,,percent of total billed charges,,,932.26,90,,percent of total billed charges,,,932.26,90,,percent of total billed charges,,,849.39,82,,percent of total billed charges,,,932.26,90,,percent of total billed charges,,,880.46,85,,percent of total billed charges,,781.02,984.05, S&N SCREW CORTEX S-T 3.5MM X 16MM,30184747,CDM,,,278,RC,inpatient,,213.83,213.83,,181.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,161.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,181.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,188.17,88,,percent of total billed charges,,,,,,,,,163.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,194.59,91,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,,,,,,,,,,,,,177.48,83,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,175.34,82,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,181.76,85,,percent of total billed charges,,161.23,203.14, S&N SCREW CORTEX S-T 3.5MM X 18MM,30184748,CDM,,,278,RC,inpatient,,213.83,213.83,,181.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,161.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,181.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,188.17,88,,percent of total billed charges,,,,,,,,,163.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,194.59,91,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,,,,,,,,,,,,,177.48,83,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,175.34,82,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,181.76,85,,percent of total billed charges,,161.23,203.14, S&N SCREW CORTEX S-T 3.5MM X 12MM,30184749,CDM,,,278,RC,inpatient,,278.25,278.25,,236.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,209.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,236.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,244.86,88,,percent of total billed charges,,,,,,,,,212.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,253.21,91,,percent of total billed charges,,,264.34,95,,percent of total billed charges,,,230.95,83,,percent of total billed charges,,,230.95,83,,percent of total billed charges,,,,,,,,,,,,,,,230.95,83,,percent of total billed charges,,,264.34,95,,percent of total billed charges,,,250.43,90,,percent of total billed charges,,,250.43,90,,percent of total billed charges,,,228.17,82,,percent of total billed charges,,,250.43,90,,percent of total billed charges,,,236.51,85,,percent of total billed charges,,209.8,264.34, S&N SCREW CORTEX S-T 3.5MM X 42MM,30184750,CDM,,,278,RC,inpatient,,213.83,213.83,,181.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,161.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,181.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,188.17,88,,percent of total billed charges,,,,,,,,,163.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,194.59,91,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,,,,,,,,,,,,,177.48,83,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,175.34,82,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,181.76,85,,percent of total billed charges,,161.23,203.14, S&N SCREW CORTEX S-T 3.5MM X 40MM,30184751,CDM,,,278,RC,inpatient,,213.83,213.83,,181.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,161.23,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,181.76,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,188.17,88,,percent of total billed charges,,,,,,,,,163.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,194.59,91,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,177.48,83,,percent of total billed charges,,,,,,,,,,,,,,,177.48,83,,percent of total billed charges,,,203.14,95,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,175.34,82,,percent of total billed charges,,,192.45,90,,percent of total billed charges,,,181.76,85,,percent of total billed charges,,161.23,203.14, S&N DRILL BIT SHORT 3.5MM W/QC,30184752,CDM,,,278,RC,inpatient,,1378,1378,,1169.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1039.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1171.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1212.64,88,,percent of total billed charges,,,,,,,,,1052.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1253.98,91,,percent of total billed charges,,,1309.1,95,,percent of total billed charges,,,1143.74,83,,percent of total billed charges,,,1143.74,83,,percent of total billed charges,,,,,,,,,,,,,,,1143.74,83,,percent of total billed charges,,,1309.1,95,,percent of total billed charges,,,1240.2,90,,percent of total billed charges,,,1240.2,90,,percent of total billed charges,,,1129.96,82,,percent of total billed charges,,,1240.2,90,,percent of total billed charges,,,1171.3,85,,percent of total billed charges,,1039.01,1309.1, S&N DRILL BIT 2.0MM W/QC,30184753,CDM,,,278,RC,inpatient,,994.5,994.5,,844.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,749.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,845.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,875.16,88,,percent of total billed charges,,,,,,,,,759.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,905,91,,percent of total billed charges,,,944.78,95,,percent of total billed charges,,,825.44,83,,percent of total billed charges,,,825.44,83,,percent of total billed charges,,,,,,,,,,,,,,,825.44,83,,percent of total billed charges,,,944.78,95,,percent of total billed charges,,,895.05,90,,percent of total billed charges,,,895.05,90,,percent of total billed charges,,,815.49,82,,percent of total billed charges,,,895.05,90,,percent of total billed charges,,,845.33,85,,percent of total billed charges,,749.85,944.78, SPINECRAFT PLATE VELOX 30MM 2 LEVELS,30184754,CDM,,,278,RC,inpatient,,7150,7150,,6070.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5391.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6077.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6292,88,,percent of total billed charges,,,,,,,,,5462.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6506.5,91,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,,,,,,,,,,,,,5934.5,83,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,5863,82,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6077.5,85,,percent of total billed charges,,5391.1,6792.5, SPINECRAFT PLATE VELOX 32MM 2 LEVELS,30184755,CDM,,,278,RC,inpatient,,7150,7150,,6070.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5391.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6077.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6292,88,,percent of total billed charges,,,,,,,,,5462.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6506.5,91,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,,,,,,,,,,,,,5934.5,83,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,5863,82,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6077.5,85,,percent of total billed charges,,5391.1,6792.5, STRYKER NAIL GAMMA 11X180X125 DEG,30184756,CDM,,,278,RC,inpatient,,13727.55,13727.55,,11654.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10350.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11668.42,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12080.24,88,,percent of total billed charges,,,,,,,,,10487.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12492.07,91,,percent of total billed charges,,,13041.17,95,,percent of total billed charges,,,11393.87,83,,percent of total billed charges,,,11393.87,83,,percent of total billed charges,,,,,,,,,,,,,,,11393.87,83,,percent of total billed charges,,,13041.17,95,,percent of total billed charges,,,12354.8,90,,percent of total billed charges,,,12354.8,90,,percent of total billed charges,,,11256.59,82,,percent of total billed charges,,,12354.8,90,,percent of total billed charges,,,11668.42,85,,percent of total billed charges,,10350.57,13041.17, STRYKER SCREW LAG 10.5 X 85MM,30184757,CDM,,,278,RC,inpatient,,5200.33,5200.33,,4415.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3921.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4420.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4576.29,88,,percent of total billed charges,,,,,,,,,3973.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4732.3,91,,percent of total billed charges,,,4940.31,95,,percent of total billed charges,,,4316.27,83,,percent of total billed charges,,,4316.27,83,,percent of total billed charges,,,,,,,,,,,,,,,4316.27,83,,percent of total billed charges,,,4940.31,95,,percent of total billed charges,,,4680.3,90,,percent of total billed charges,,,4680.3,90,,percent of total billed charges,,,4264.27,82,,percent of total billed charges,,,4680.3,90,,percent of total billed charges,,,4420.28,85,,percent of total billed charges,,3921.05,4940.31, STRYKER SCREW LOCKING 5 X 35MM,30184758,CDM,,,278,RC,inpatient,,1774,1774,,1506.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1337.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1507.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1561.12,88,,percent of total billed charges,,,,,,,,,1355.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1614.34,91,,percent of total billed charges,,,1685.3,95,,percent of total billed charges,,,1472.42,83,,percent of total billed charges,,,1472.42,83,,percent of total billed charges,,,,,,,,,,,,,,,1472.42,83,,percent of total billed charges,,,1685.3,95,,percent of total billed charges,,,1596.6,90,,percent of total billed charges,,,1596.6,90,,percent of total billed charges,,,1454.68,82,,percent of total billed charges,,,1596.6,90,,percent of total billed charges,,,1507.9,85,,percent of total billed charges,,1337.6,1685.3, STRYKER K-WIRE 3 X 285MM,30184759,CDM,,,278,RC,inpatient,,1251.25,1251.25,,1062.31,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,943.44,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1063.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1101.1,88,,percent of total billed charges,,,,,,,,,955.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1138.64,91,,percent of total billed charges,,,1188.69,95,,percent of total billed charges,,,1038.54,83,,percent of total billed charges,,,1038.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1038.54,83,,percent of total billed charges,,,1188.69,95,,percent of total billed charges,,,1126.13,90,,percent of total billed charges,,,1126.13,90,,percent of total billed charges,,,1026.03,82,,percent of total billed charges,,,1126.13,90,,percent of total billed charges,,,1063.56,85,,percent of total billed charges,,943.44,1188.69, STRYKER DRILL 4.2 X 300MM,30184760,CDM,,,278,RC,inpatient,,1886.89,1886.89,,1601.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1422.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1603.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1660.46,88,,percent of total billed charges,,,,,,,,,1441.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1717.07,91,,percent of total billed charges,,,1792.55,95,,percent of total billed charges,,,1566.12,83,,percent of total billed charges,,,1566.12,83,,percent of total billed charges,,,,,,,,,,,,,,,1566.12,83,,percent of total billed charges,,,1792.55,95,,percent of total billed charges,,,1698.2,90,,percent of total billed charges,,,1698.2,90,,percent of total billed charges,,,1547.25,82,,percent of total billed charges,,,1698.2,90,,percent of total billed charges,,,1603.86,85,,percent of total billed charges,,1422.72,1792.55, STAPLER RELOAD 45 W/TRU-STAPLE TECH,30184761,CDM,,,270,RC,inpatient,,2850.28,2850.28,,2419.89,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2149.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2422.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2508.25,88,,percent of total billed charges,,,,,,,,,2177.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2593.75,91,,percent of total billed charges,,,2707.77,95,,percent of total billed charges,,,2365.73,83,,percent of total billed charges,,,2365.73,83,,percent of total billed charges,,,,,,,,,,,,,,,2365.73,83,,percent of total billed charges,,,2707.77,95,,percent of total billed charges,,,2565.25,90,,percent of total billed charges,,,2565.25,90,,percent of total billed charges,,,2337.23,82,,percent of total billed charges,,,2565.25,90,,percent of total billed charges,,,2422.74,85,,percent of total billed charges,,2149.11,2707.77, STAPLER RELOAD 60MM W/TRI-STAPLE,30184762,CDM,,,270,RC,inpatient,,3033.51,3033.51,,2575.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2287.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2578.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2669.49,88,,percent of total billed charges,,,,,,,,,2317.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2760.49,91,,percent of total billed charges,,,2881.83,95,,percent of total billed charges,,,2517.81,83,,percent of total billed charges,,,2517.81,83,,percent of total billed charges,,,,,,,,,,,,,,,2517.81,83,,percent of total billed charges,,,2881.83,95,,percent of total billed charges,,,2730.16,90,,percent of total billed charges,,,2730.16,90,,percent of total billed charges,,,2487.48,82,,percent of total billed charges,,,2730.16,90,,percent of total billed charges,,,2578.48,85,,percent of total billed charges,,2287.27,2881.83, STAPLER GIA 4 HANDLE,30184763,CDM,,,270,RC,inpatient,,2345.74,2345.74,,1991.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1768.69,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1993.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2064.25,88,,percent of total billed charges,,,,,,,,,1792.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2134.62,91,,percent of total billed charges,,,2228.45,95,,percent of total billed charges,,,1946.96,83,,percent of total billed charges,,,1946.96,83,,percent of total billed charges,,,,,,,,,,,,,,,1946.96,83,,percent of total billed charges,,,2228.45,95,,percent of total billed charges,,,2111.17,90,,percent of total billed charges,,,2111.17,90,,percent of total billed charges,,,1923.51,82,,percent of total billed charges,,,2111.17,90,,percent of total billed charges,,,1993.88,85,,percent of total billed charges,,1768.69,2228.45, S&N BLADE SERRATED 3.0,30184764,CDM,,,270,RC,inpatient,,329.18,329.18,,279.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,248.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,279.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,289.68,88,,percent of total billed charges,,,,,,,,,251.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,299.55,91,,percent of total billed charges,,,312.72,95,,percent of total billed charges,,,273.22,83,,percent of total billed charges,,,273.22,83,,percent of total billed charges,,,,,,,,,,,,,,,273.22,83,,percent of total billed charges,,,312.72,95,,percent of total billed charges,,,296.26,90,,percent of total billed charges,,,296.26,90,,percent of total billed charges,,,269.93,82,,percent of total billed charges,,,296.26,90,,percent of total billed charges,,,279.8,85,,percent of total billed charges,,248.2,312.72, S&N HIP CANNULA 7X110 CLEAR TRAC,30184765,CDM,,,270,RC,inpatient,,239.33,239.33,,203.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,180.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,203.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,210.61,88,,percent of total billed charges,,,,,,,,,182.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,217.79,91,,percent of total billed charges,,,227.36,95,,percent of total billed charges,,,198.64,83,,percent of total billed charges,,,198.64,83,,percent of total billed charges,,,,,,,,,,,,,,,198.64,83,,percent of total billed charges,,,227.36,95,,percent of total billed charges,,,215.4,90,,percent of total billed charges,,,215.4,90,,percent of total billed charges,,,196.25,82,,percent of total billed charges,,,215.4,90,,percent of total billed charges,,,203.43,85,,percent of total billed charges,,180.45,227.36, S&N HIP SYSTEM GENERAL UC,30184766,CDM,,,270,RC,inpatient,,3867.5,3867.5,,3283.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2916.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3287.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3403.4,88,,percent of total billed charges,,,,,,,,,2954.77,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3519.43,91,,percent of total billed charges,,,3674.13,95,,percent of total billed charges,,,3210.03,83,,percent of total billed charges,,,3210.03,83,,percent of total billed charges,,,,,,,,,,,,,,,3210.03,83,,percent of total billed charges,,,3674.13,95,,percent of total billed charges,,,3480.75,90,,percent of total billed charges,,,3480.75,90,,percent of total billed charges,,,3171.35,82,,percent of total billed charges,,,3480.75,90,,percent of total billed charges,,,3287.38,85,,percent of total billed charges,,2916.1,3674.13, ZIMMER TRABECULAR METAL OSTEONECROSIS,30184767,CDM,,,278,RC,inpatient,,22109.62,22109.62,,18771.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16670.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18793.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19456.47,88,,percent of total billed charges,,,,,,,,,16891.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20119.75,91,,percent of total billed charges,,,21004.14,95,,percent of total billed charges,,,18350.98,83,,percent of total billed charges,,,18350.98,83,,percent of total billed charges,,,,,,,,,,,,,,,18350.98,83,,percent of total billed charges,,,21004.14,95,,percent of total billed charges,,,19898.66,90,,percent of total billed charges,,,19898.66,90,,percent of total billed charges,,,18129.89,82,,percent of total billed charges,,,19898.66,90,,percent of total billed charges,,,18793.18,85,,percent of total billed charges,,16670.65,21004.14, CONFORMIS INSERT KIT POLY 6MM,30184768,CDM,,,278,RC,inpatient,,8417.5,8417.5,,7146.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6346.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7154.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7407.4,88,,percent of total billed charges,,,,,,,,,6430.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7659.93,91,,percent of total billed charges,,,7996.63,95,,percent of total billed charges,,,6986.53,83,,percent of total billed charges,,,6986.53,83,,percent of total billed charges,,,,,,,,,,,,,,,6986.53,83,,percent of total billed charges,,,7996.63,95,,percent of total billed charges,,,7575.75,90,,percent of total billed charges,,,7575.75,90,,percent of total billed charges,,,6902.35,82,,percent of total billed charges,,,7575.75,90,,percent of total billed charges,,,7154.88,85,,percent of total billed charges,,6346.8,7996.63, ZIMMER DRILL BIT 3.2MM,30184769,CDM,,,270,RC,inpatient,,230.7,230.7,,195.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,173.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,196.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,203.02,88,,percent of total billed charges,,,,,,,,,176.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,209.94,91,,percent of total billed charges,,,219.17,95,,percent of total billed charges,,,191.48,83,,percent of total billed charges,,,191.48,83,,percent of total billed charges,,,,,,,,,,,,,,,191.48,83,,percent of total billed charges,,,219.17,95,,percent of total billed charges,,,207.63,90,,percent of total billed charges,,,207.63,90,,percent of total billed charges,,,189.17,82,,percent of total billed charges,,,207.63,90,,percent of total billed charges,,,196.1,85,,percent of total billed charges,,173.95,219.17, SCREW REDUCTION 6.5 X 45MM,30184770,CDM,,,278,RC,inpatient,,8775,8775,,7449.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6616.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7458.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7722,88,,percent of total billed charges,,,,,,,,,6704.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7985.25,91,,percent of total billed charges,,,8336.25,95,,percent of total billed charges,,,7283.25,83,,percent of total billed charges,,,7283.25,83,,percent of total billed charges,,,,,,,,,,,,,,,7283.25,83,,percent of total billed charges,,,8336.25,95,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7195.5,82,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7458.75,85,,percent of total billed charges,,6616.35,8336.25, SCREW POLYAXIAL 7.5 X 50MM,30184771,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, ROD LORDOSED 70MM,30184772,CDM,,,278,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, PEEK CORTINA 8 X 25 X 9MM 0 DEG,30184773,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, BARD POWERPORT MRI IMIPLANTABLE PORT,30184775,CDM,,,270,RC,inpatient,,5674.5,5674.5,,4817.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4278.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4823.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4993.56,88,,percent of total billed charges,,,,,,,,,4335.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5163.8,91,,percent of total billed charges,,,5390.78,95,,percent of total billed charges,,,4709.84,83,,percent of total billed charges,,,4709.84,83,,percent of total billed charges,,,,,,,,,,,,,,,4709.84,83,,percent of total billed charges,,,5390.78,95,,percent of total billed charges,,,5107.05,90,,percent of total billed charges,,,5107.05,90,,percent of total billed charges,,,4653.09,82,,percent of total billed charges,,,5107.05,90,,percent of total billed charges,,,4823.33,85,,percent of total billed charges,,4278.57,5390.78, SPINECRAFT PEEK CERVICAL OR10 5MM,30184776,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, SPINECRAFT PEEK CERVICAL OR10 4MM,30184777,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, SYNTHES SCREW LOCKING 2.7X10MM,30184778,CDM,,,278,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, SYNTHES SCREW LOCKING 2.7X22MM,30184779,CDM,,,278,RC,inpatient,,1143.87,1143.87,,971.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,862.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,972.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1006.61,88,,percent of total billed charges,,,,,,,,,873.92,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1040.92,91,,percent of total billed charges,,,1086.68,95,,percent of total billed charges,,,949.41,83,,percent of total billed charges,,,949.41,83,,percent of total billed charges,,,,,,,,,,,,,,,949.41,83,,percent of total billed charges,,,1086.68,95,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,937.97,82,,percent of total billed charges,,,1029.48,90,,percent of total billed charges,,,972.29,85,,percent of total billed charges,,862.48,1086.68, ZIMMER TIBIA UNI SZ E,30184780,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, ZIMMER BEARING LG RT SZ 3,30184781,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, SYNTHES SCREW CORTEX S-T 2.7X18MM,30184787,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X20MM,30184788,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW CORTEX S-T 2.7X22MM,30184789,CDM,,,278,RC,inpatient,,441.84,441.84,,375.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,333.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,375.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,388.82,88,,percent of total billed charges,,,,,,,,,337.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,402.07,91,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,366.73,83,,percent of total billed charges,,,,,,,,,,,,,,,366.73,83,,percent of total billed charges,,,419.75,95,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,362.31,82,,percent of total billed charges,,,397.66,90,,percent of total billed charges,,,375.56,85,,percent of total billed charges,,333.15,419.75, SYNTHES SCREW LOCKING 2.7X12MM,30184790,CDM,,,278,RC,inpatient,,1178.13,1178.13,,1000.23,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,888.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1001.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1036.75,88,,percent of total billed charges,,,,,,,,,900.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1072.1,91,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,977.85,83,,percent of total billed charges,,,,,,,,,,,,,,,977.85,83,,percent of total billed charges,,,1119.22,95,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,966.07,82,,percent of total billed charges,,,1060.32,90,,percent of total billed charges,,,1001.41,85,,percent of total billed charges,,888.31,1119.22, SYNTHES DRILL BIT CANNULATED 7.3MM,30184791,CDM,,,278,RC,inpatient,,4270.83,4270.83,,3625.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3220.21,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3630.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3758.33,88,,percent of total billed charges,,,,,,,,,3262.91,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3886.46,91,,percent of total billed charges,,,4057.29,95,,percent of total billed charges,,,3544.79,83,,percent of total billed charges,,,3544.79,83,,percent of total billed charges,,,,,,,,,,,,,,,3544.79,83,,percent of total billed charges,,,4057.29,95,,percent of total billed charges,,,3843.75,90,,percent of total billed charges,,,3843.75,90,,percent of total billed charges,,,3502.08,82,,percent of total billed charges,,,3843.75,90,,percent of total billed charges,,,3630.21,85,,percent of total billed charges,,3220.21,4057.29, CARBOJET CO2 TUBESET W/HANDPIECE,30184792,CDM,,,270,RC,inpatient,,1748.5,1748.5,,1484.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1318.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1486.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1538.68,88,,percent of total billed charges,,,,,,,,,1335.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1591.14,91,,percent of total billed charges,,,1661.08,95,,percent of total billed charges,,,1451.26,83,,percent of total billed charges,,,1451.26,83,,percent of total billed charges,,,,,,,,,,,,,,,1451.26,83,,percent of total billed charges,,,1661.08,95,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1433.77,82,,percent of total billed charges,,,1573.65,90,,percent of total billed charges,,,1486.23,85,,percent of total billed charges,,1318.37,1661.08, SYNTHES BLADE HELICAL TFNA 95MM,30184793,CDM,,,278,RC,inpatient,,6630,6630,,5628.87,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4999.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5635.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5834.4,88,,percent of total billed charges,,,,,,,,,5065.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6033.3,91,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,5502.9,83,,percent of total billed charges,,,,,,,,,,,,,,,5502.9,83,,percent of total billed charges,,,6298.5,95,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5436.6,82,,percent of total billed charges,,,5967,90,,percent of total billed charges,,,5635.5,85,,percent of total billed charges,,4999.02,6298.5, SYNTHES TFNA 11MM X 130DEG,30184794,CDM,,,278,RC,inpatient,,16019.38,16019.38,,13600.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12078.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13616.47,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14097.05,88,,percent of total billed charges,,,,,,,,,12238.81,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14577.64,91,,percent of total billed charges,,,15218.41,95,,percent of total billed charges,,,13296.09,83,,percent of total billed charges,,,13296.09,83,,percent of total billed charges,,,,,,,,,,,,,,,13296.09,83,,percent of total billed charges,,,15218.41,95,,percent of total billed charges,,,14417.44,90,,percent of total billed charges,,,14417.44,90,,percent of total billed charges,,,13135.89,82,,percent of total billed charges,,,14417.44,90,,percent of total billed charges,,,13616.47,85,,percent of total billed charges,,12078.61,15218.41, SYNTHES SCREW LOCKING 5.0MM X 22MM,30184795,CDM,,,278,RC,inpatient,,2185.24,2185.24,,1855.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1647.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1857.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1923.01,88,,percent of total billed charges,,,,,,,,,1669.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1988.57,91,,percent of total billed charges,,,2075.98,95,,percent of total billed charges,,,1813.75,83,,percent of total billed charges,,,1813.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1813.75,83,,percent of total billed charges,,,2075.98,95,,percent of total billed charges,,,1966.72,90,,percent of total billed charges,,,1966.72,90,,percent of total billed charges,,,1791.9,82,,percent of total billed charges,,,1966.72,90,,percent of total billed charges,,,1857.45,85,,percent of total billed charges,,1647.67,2075.98, SYNTHES DRILL BIT 4.2MM,30184796,CDM,,,270,RC,inpatient,,2924.87,2924.87,,2483.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2205.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2486.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2573.89,88,,percent of total billed charges,,,,,,,,,2234.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2661.63,91,,percent of total billed charges,,,2778.63,95,,percent of total billed charges,,,2427.64,83,,percent of total billed charges,,,2427.64,83,,percent of total billed charges,,,,,,,,,,,,,,,2427.64,83,,percent of total billed charges,,,2778.63,95,,percent of total billed charges,,,2632.38,90,,percent of total billed charges,,,2632.38,90,,percent of total billed charges,,,2398.39,82,,percent of total billed charges,,,2632.38,90,,percent of total billed charges,,,2486.14,85,,percent of total billed charges,,2205.35,2778.63, DEPUY INSERT SZ 6 8MM,30184797,CDM,,,278,RC,inpatient,,14349.73,14349.73,,12182.92,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10819.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12197.27,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12627.76,88,,percent of total billed charges,,,,,,,,,10963.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13058.25,91,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,11910.28,83,,percent of total billed charges,,,,,,,,,,,,,,,11910.28,83,,percent of total billed charges,,,13632.24,95,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,11766.78,82,,percent of total billed charges,,,12914.76,90,,percent of total billed charges,,,12197.27,85,,percent of total billed charges,,10819.7,13632.24, STENT URETERAL FIRM 5 X 26,30184798,CDM,,,270,RC,inpatient,,682.36,682.36,,579.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,514.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,580.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,600.48,88,,percent of total billed charges,,,,,,,,,521.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,620.95,91,,percent of total billed charges,,,648.24,95,,percent of total billed charges,,,566.36,83,,percent of total billed charges,,,566.36,83,,percent of total billed charges,,,,,,,,,,,,,,,566.36,83,,percent of total billed charges,,,648.24,95,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,559.54,82,,percent of total billed charges,,,614.12,90,,percent of total billed charges,,,580.01,85,,percent of total billed charges,,514.5,648.24, SYNTHES PLATE VA LCP DISTAL RADIUS 2.4MM,30184799,CDM,,,278,RC,inpatient,,9419.41,9419.41,,7997.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7102.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8006.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8289.08,88,,percent of total billed charges,,,,,,,,,7196.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8571.66,91,,percent of total billed charges,,,8948.44,95,,percent of total billed charges,,,7818.11,83,,percent of total billed charges,,,7818.11,83,,percent of total billed charges,,,,,,,,,,,,,,,7818.11,83,,percent of total billed charges,,,8948.44,95,,percent of total billed charges,,,8477.47,90,,percent of total billed charges,,,8477.47,90,,percent of total billed charges,,,7723.92,82,,percent of total billed charges,,,8477.47,90,,percent of total billed charges,,,8006.5,85,,percent of total billed charges,,7102.24,8948.44, SYNTHES SCREW LOCKING 5.0MM X 34MM,30184800,CDM,,,278,RC,inpatient,,2185.24,2185.24,,1855.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1647.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1857.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1923.01,88,,percent of total billed charges,,,,,,,,,1669.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1988.57,91,,percent of total billed charges,,,2075.98,95,,percent of total billed charges,,,1813.75,83,,percent of total billed charges,,,1813.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1813.75,83,,percent of total billed charges,,,2075.98,95,,percent of total billed charges,,,1966.72,90,,percent of total billed charges,,,1966.72,90,,percent of total billed charges,,,1791.9,82,,percent of total billed charges,,,1966.72,90,,percent of total billed charges,,,1857.45,85,,percent of total billed charges,,1647.67,2075.98, SYNTHES PLATE LCP RT DISTAL RADIUS,30184801,CDM,,,278,RC,inpatient,,15945.15,15945.15,,13537.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12022.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13553.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14031.73,88,,percent of total billed charges,,,,,,,,,12182.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14510.09,91,,percent of total billed charges,,,15147.89,95,,percent of total billed charges,,,13234.47,83,,percent of total billed charges,,,13234.47,83,,percent of total billed charges,,,,,,,,,,,,,,,13234.47,83,,percent of total billed charges,,,15147.89,95,,percent of total billed charges,,,14350.64,90,,percent of total billed charges,,,14350.64,90,,percent of total billed charges,,,13075.02,82,,percent of total billed charges,,,14350.64,90,,percent of total billed charges,,,13553.38,85,,percent of total billed charges,,12022.64,15147.89, SPINECRAFT PLATE VELOX 28MM 2 LEVELS,30184802,CDM,,,278,RC,inpatient,,7150,7150,,6070.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5391.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6077.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6292,88,,percent of total billed charges,,,,,,,,,5462.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6506.5,91,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,,,,,,,,,,,,,5934.5,83,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,5863,82,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6077.5,85,,percent of total billed charges,,5391.1,6792.5, SPINECRAFT PLATE VELOX 14MM 1 LEVEL,30184804,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, DEPUY PE CUP 38MM+9,30184805,CDM,,,278,RC,inpatient,,10688.08,10688.08,,9074.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8058.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9084.87,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9405.51,88,,percent of total billed charges,,,,,,,,,8165.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9726.15,91,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,8871.11,83,,percent of total billed charges,,,,,,,,,,,,,,,8871.11,83,,percent of total billed charges,,,10153.68,95,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,8764.23,82,,percent of total billed charges,,,9619.27,90,,percent of total billed charges,,,9084.87,85,,percent of total billed charges,,8058.81,10153.68, CYSTOSCOPE - CONTINUOUS FLOW,30184806,CDM,,,270,RC,inpatient,,1625,1625,,1379.63,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1225.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1381.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1430,88,,percent of total billed charges,,,,,,,,,1241.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1478.75,91,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,1348.75,83,,percent of total billed charges,,,,,,,,,,,,,,,1348.75,83,,percent of total billed charges,,,1543.75,95,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1332.5,82,,percent of total billed charges,,,1462.5,90,,percent of total billed charges,,,1381.25,85,,percent of total billed charges,,1225.25,1543.75, SYNTHES PLATE DISTAL RADIUS 2.4MM 6 HOLE,30184807,CDM,,,278,RC,inpatient,,9419.41,9419.41,,7997.08,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7102.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8006.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8289.08,88,,percent of total billed charges,,,,,,,,,7196.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8571.66,91,,percent of total billed charges,,,8948.44,95,,percent of total billed charges,,,7818.11,83,,percent of total billed charges,,,7818.11,83,,percent of total billed charges,,,,,,,,,,,,,,,7818.11,83,,percent of total billed charges,,,8948.44,95,,percent of total billed charges,,,8477.47,90,,percent of total billed charges,,,8477.47,90,,percent of total billed charges,,,7723.92,82,,percent of total billed charges,,,8477.47,90,,percent of total billed charges,,,8006.5,85,,percent of total billed charges,,7102.24,8948.44, ARTHREX SUTURE ANCHOR 5.5 X 14.7MM BIOCO,30184808,CDM,,,270,RC,inpatient,,2112.5,2112.5,,1793.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1592.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1795.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1859,88,,percent of total billed charges,,,,,,,,,1613.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1922.38,91,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,,,,,,,,,,,,,1753.38,83,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1732.25,82,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1795.63,85,,percent of total billed charges,,1592.83,2006.88, ARTHREX SUTURE ANCHOR 5.5 X 14.7MM TRIPL,30184809,CDM,,,270,RC,inpatient,,2210,2210,,1876.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1666.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1878.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1944.8,88,,percent of total billed charges,,,,,,,,,1688.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2011.1,91,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1834.3,83,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1812.2,82,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1878.5,85,,percent of total billed charges,,1666.34,2099.5, CANNISTER LIPOSUCTION 2000CC,30184810,CDM,,,270,RC,inpatient,,80.75,80.75,,68.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,60.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,68.64,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,71.06,88,,percent of total billed charges,,,,,,,,,61.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,73.48,91,,percent of total billed charges,,,76.71,95,,percent of total billed charges,,,67.02,83,,percent of total billed charges,,,67.02,83,,percent of total billed charges,,,,,,,,,,,,,,,67.02,83,,percent of total billed charges,,,76.71,95,,percent of total billed charges,,,72.68,90,,percent of total billed charges,,,72.68,90,,percent of total billed charges,,,66.22,82,,percent of total billed charges,,,72.68,90,,percent of total billed charges,,,68.64,85,,percent of total billed charges,,60.89,76.71, TUBING ASPIRATION SET,30184811,CDM,,,270,RC,inpatient,,104,104,,88.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,78.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,88.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,91.52,88,,percent of total billed charges,,,,,,,,,79.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,94.64,91,,percent of total billed charges,,,98.8,95,,percent of total billed charges,,,86.32,83,,percent of total billed charges,,,86.32,83,,percent of total billed charges,,,,,,,,,,,,,,,86.32,83,,percent of total billed charges,,,98.8,95,,percent of total billed charges,,,93.6,90,,percent of total billed charges,,,93.6,90,,percent of total billed charges,,,85.28,82,,percent of total billed charges,,,93.6,90,,percent of total billed charges,,,88.4,85,,percent of total billed charges,,78.42,98.8, TUBING ASPIRATION- NON STERILE,30184812,CDM,,,270,RC,inpatient,,22.5,22.5,,19.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.8,88,,percent of total billed charges,,,,,,,,,17.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20.48,91,,percent of total billed charges,,,21.38,95,,percent of total billed charges,,,18.68,83,,percent of total billed charges,,,18.68,83,,percent of total billed charges,,,,,,,,,,,,,,,18.68,83,,percent of total billed charges,,,21.38,95,,percent of total billed charges,,,20.25,90,,percent of total billed charges,,,20.25,90,,percent of total billed charges,,,18.45,82,,percent of total billed charges,,,20.25,90,,percent of total billed charges,,,19.13,85,,percent of total billed charges,,16.97,21.38, TUBING INFILTRATION SINGLE-SPIKE,30184813,CDM,,,270,RC,inpatient,,85,85,,72.17,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,64.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,72.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,74.8,88,,percent of total billed charges,,,,,,,,,64.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,77.35,91,,percent of total billed charges,,,80.75,95,,percent of total billed charges,,,70.55,83,,percent of total billed charges,,,70.55,83,,percent of total billed charges,,,,,,,,,,,,,,,70.55,83,,percent of total billed charges,,,80.75,95,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,69.7,82,,percent of total billed charges,,,76.5,90,,percent of total billed charges,,,72.25,85,,percent of total billed charges,,64.09,80.75, LIPOFILTER,30184814,CDM,,,270,RC,inpatient,,1235,1235,,1048.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,931.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1049.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1086.8,88,,percent of total billed charges,,,,,,,,,943.54,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1123.85,91,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,1025.05,83,,percent of total billed charges,,,,,,,,,,,,,,,1025.05,83,,percent of total billed charges,,,1173.25,95,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1012.7,82,,percent of total billed charges,,,1111.5,90,,percent of total billed charges,,,1049.75,85,,percent of total billed charges,,931.19,1173.25, DEPUY LINER ALTRX 40 X 56,30184815,CDM,,,278,RC,inpatient,,17600.51,17600.51,,14942.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13270.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14960.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15488.45,88,,percent of total billed charges,,,,,,,,,13446.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16016.46,91,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,14608.42,83,,percent of total billed charges,,,,,,,,,,,,,,,14608.42,83,,percent of total billed charges,,,16720.48,95,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14432.42,82,,percent of total billed charges,,,15840.46,90,,percent of total billed charges,,,14960.43,85,,percent of total billed charges,,13270.78,16720.48, DEPUY FEMORAL HEAD 28MM +12,30184816,CDM,,,278,RC,inpatient,,5683.54,5683.54,,4825.33,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4285.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4831.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5001.52,88,,percent of total billed charges,,,,,,,,,4342.22,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5172.02,91,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,4717.34,83,,percent of total billed charges,,,,,,,,,,,,,,,4717.34,83,,percent of total billed charges,,,5399.36,95,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4660.5,82,,percent of total billed charges,,,5115.19,90,,percent of total billed charges,,,4831.01,85,,percent of total billed charges,,4285.39,5399.36, DEPUY SEGMENT LPS 85MM,30184817,CDM,,,278,RC,inpatient,,18773.5,18773.5,,15938.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14155.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15957.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16520.68,88,,percent of total billed charges,,,,,,,,,14342.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17083.89,91,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,15582.01,83,,percent of total billed charges,,,,,,,,,,,,,,,15582.01,83,,percent of total billed charges,,,17834.83,95,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15394.27,82,,percent of total billed charges,,,16896.15,90,,percent of total billed charges,,,15957.48,85,,percent of total billed charges,,14155.22,17834.83, DEPUY STEM CEMENTED LPS 13 X 200MM,30184818,CDM,,,278,RC,inpatient,,44982.15,44982.15,,38189.85,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,33916.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,38234.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,39584.29,88,,percent of total billed charges,,,,,,,,,34366.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,40933.76,91,,percent of total billed charges,,,42733.04,95,,percent of total billed charges,,,37335.18,83,,percent of total billed charges,,,37335.18,83,,percent of total billed charges,,,,,,,,,,,,,,,37335.18,83,,percent of total billed charges,,,42733.04,95,,percent of total billed charges,,,40483.94,90,,percent of total billed charges,,,40483.94,90,,percent of total billed charges,,,36885.36,82,,percent of total billed charges,,,40483.94,90,,percent of total billed charges,,,38234.83,85,,percent of total billed charges,,33916.54,42733.04, ZIMMER BLADE EXPLANT 48MM X 10,30184819,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, ZIMMER BLADE EXPLANT 48MM X 20,30184820,CDM,,,270,RC,inpatient,,4290,4290,,3642.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3234.66,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3646.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3775.2,88,,percent of total billed charges,,,,,,,,,3277.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3903.9,91,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,3560.7,83,,percent of total billed charges,,,,,,,,,,,,,,,3560.7,83,,percent of total billed charges,,,4075.5,95,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3517.8,82,,percent of total billed charges,,,3861,90,,percent of total billed charges,,,3646.5,85,,percent of total billed charges,,3234.66,4075.5, SYNTHES SCREW LAG 95MM,30184821,CDM,,,278,RC,inpatient,,6298.5,6298.5,,5347.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4749.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5353.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5542.68,88,,percent of total billed charges,,,,,,,,,4812.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5731.64,91,,percent of total billed charges,,,5983.58,95,,percent of total billed charges,,,5227.76,83,,percent of total billed charges,,,5227.76,83,,percent of total billed charges,,,,,,,,,,,,,,,5227.76,83,,percent of total billed charges,,,5983.58,95,,percent of total billed charges,,,5668.65,90,,percent of total billed charges,,,5668.65,90,,percent of total billed charges,,,5164.77,82,,percent of total billed charges,,,5668.65,90,,percent of total billed charges,,,5353.73,85,,percent of total billed charges,,4749.07,5983.58, SYNTHES TFNA NAIL 11MM X 380MM,30184822,CDM,,,278,RC,inpatient,,22437.74,22437.74,,19049.64,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16918.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19072.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19745.21,88,,percent of total billed charges,,,,,,,,,17142.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20418.34,91,,percent of total billed charges,,,21315.85,95,,percent of total billed charges,,,18623.32,83,,percent of total billed charges,,,18623.32,83,,percent of total billed charges,,,,,,,,,,,,,,,18623.32,83,,percent of total billed charges,,,21315.85,95,,percent of total billed charges,,,20193.97,90,,percent of total billed charges,,,20193.97,90,,percent of total billed charges,,,18398.95,82,,percent of total billed charges,,,20193.97,90,,percent of total billed charges,,,19072.08,85,,percent of total billed charges,,16918.06,21315.85, SYNTHES SCREW LOCKING 5.0MM X 38MM,30184823,CDM,,,278,RC,inpatient,,2250.82,2250.82,,1910.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1697.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1913.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1980.72,88,,percent of total billed charges,,,,,,,,,1719.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2048.25,91,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1868.18,83,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1845.67,82,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1913.2,85,,percent of total billed charges,,1697.12,2138.28, SYNTHES SCREW LOCKING 5.0MM X 50MM,30184824,CDM,,,278,RC,inpatient,,2250.82,2250.82,,1910.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1697.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1913.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1980.72,88,,percent of total billed charges,,,,,,,,,1719.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2048.25,91,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1868.18,83,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1845.67,82,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1913.2,85,,percent of total billed charges,,1697.12,2138.28, SYNTHES EX FIX KIT LARGE,30184825,CDM,,,278,RC,inpatient,,36067.2,36067.2,,30621.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,27194.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30657.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31739.14,88,,percent of total billed charges,,,,,,,,,27555.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32821.15,91,,percent of total billed charges,,,34263.84,95,,percent of total billed charges,,,29935.78,83,,percent of total billed charges,,,29935.78,83,,percent of total billed charges,,,,,,,,,,,,,,,29935.78,83,,percent of total billed charges,,,34263.84,95,,percent of total billed charges,,,32460.48,90,,percent of total billed charges,,,32460.48,90,,percent of total billed charges,,,29575.1,82,,percent of total billed charges,,,32460.48,90,,percent of total billed charges,,,30657.12,85,,percent of total billed charges,,27194.67,34263.84, SYNTHES PIN SCHANTZ 5.0,30184826,CDM,,,278,RC,inpatient,,1740.38,1740.38,,1477.58,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1312.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1479.32,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1531.53,88,,percent of total billed charges,,,,,,,,,1329.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1583.75,91,,percent of total billed charges,,,1653.36,95,,percent of total billed charges,,,1444.52,83,,percent of total billed charges,,,1444.52,83,,percent of total billed charges,,,,,,,,,,,,,,,1444.52,83,,percent of total billed charges,,,1653.36,95,,percent of total billed charges,,,1566.34,90,,percent of total billed charges,,,1566.34,90,,percent of total billed charges,,,1427.11,82,,percent of total billed charges,,,1566.34,90,,percent of total billed charges,,,1479.32,85,,percent of total billed charges,,1312.25,1653.36, SYNTHES ROD ATTACHMENT FOR MULTI PIN,30184827,CDM,,,278,RC,inpatient,,4254.25,4254.25,,3611.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3207.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3616.11,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3743.74,88,,percent of total billed charges,,,,,,,,,3250.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3871.37,91,,percent of total billed charges,,,4041.54,95,,percent of total billed charges,,,3531.03,83,,percent of total billed charges,,,3531.03,83,,percent of total billed charges,,,,,,,,,,,,,,,3531.03,83,,percent of total billed charges,,,4041.54,95,,percent of total billed charges,,,3828.83,90,,percent of total billed charges,,,3828.83,90,,percent of total billed charges,,,3488.49,82,,percent of total billed charges,,,3828.83,90,,percent of total billed charges,,,3616.11,85,,percent of total billed charges,,3207.7,4041.54, SYNTHES CLAMP ADJUSTABLE LARGE OPEN,30184828,CDM,,,278,RC,inpatient,,5497.38,5497.38,,4667.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4145.02,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4672.77,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4837.69,88,,percent of total billed charges,,,,,,,,,4200,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5002.62,91,,percent of total billed charges,,,5222.51,95,,percent of total billed charges,,,4562.83,83,,percent of total billed charges,,,4562.83,83,,percent of total billed charges,,,,,,,,,,,,,,,4562.83,83,,percent of total billed charges,,,5222.51,95,,percent of total billed charges,,,4947.64,90,,percent of total billed charges,,,4947.64,90,,percent of total billed charges,,,4507.85,82,,percent of total billed charges,,,4947.64,90,,percent of total billed charges,,,4672.77,85,,percent of total billed charges,,4145.02,5222.51, SYNTHES ROD CARBON FIBER 11 X 250MM,30184829,CDM,,,278,RC,inpatient,,2447.58,2447.58,,2078,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1845.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2080.44,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2153.87,88,,percent of total billed charges,,,,,,,,,1869.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2227.3,91,,percent of total billed charges,,,2325.2,95,,percent of total billed charges,,,2031.49,83,,percent of total billed charges,,,2031.49,83,,percent of total billed charges,,,,,,,,,,,,,,,2031.49,83,,percent of total billed charges,,,2325.2,95,,percent of total billed charges,,,2202.82,90,,percent of total billed charges,,,2202.82,90,,percent of total billed charges,,,2007.02,82,,percent of total billed charges,,,2202.82,90,,percent of total billed charges,,,2080.44,85,,percent of total billed charges,,1845.48,2325.2, WRIGHT INSERT REVISION CCK,30184830,CDM,,,278,RC,inpatient,,19643,19643,,16676.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14810.82,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16696.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17285.84,88,,percent of total billed charges,,,,,,,,,15007.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17875.13,91,,percent of total billed charges,,,18660.85,95,,percent of total billed charges,,,16303.69,83,,percent of total billed charges,,,16303.69,83,,percent of total billed charges,,,,,,,,,,,,,,,16303.69,83,,percent of total billed charges,,,18660.85,95,,percent of total billed charges,,,17678.7,90,,percent of total billed charges,,,17678.7,90,,percent of total billed charges,,,16107.26,82,,percent of total billed charges,,,17678.7,90,,percent of total billed charges,,,16696.55,85,,percent of total billed charges,,14810.82,18660.85, ARTHREX SUTURE ANCHOR BC 3.5 X 19.5MM,30184833,CDM,,,278,RC,inpatient,,2600,2600,,2207.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1960.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2210,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2288,88,,percent of total billed charges,,,,,,,,,1986.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2366,91,,percent of total billed charges,,,2470,95,,percent of total billed charges,,,2158,83,,percent of total billed charges,,,2158,83,,percent of total billed charges,,,,,,,,,,,,,,,2158,83,,percent of total billed charges,,,2470,95,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2132,82,,percent of total billed charges,,,2340,90,,percent of total billed charges,,,2210,85,,percent of total billed charges,,1960.4,2470, ARTHREX SUTURE ANCHOR BC 3 X 14.5MM,30184834,CDM,,,278,RC,inpatient,,1982.5,1982.5,,1683.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1494.81,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1685.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1744.6,88,,percent of total billed charges,,,,,,,,,1514.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1804.08,91,,percent of total billed charges,,,1883.38,95,,percent of total billed charges,,,1645.48,83,,percent of total billed charges,,,1645.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1645.48,83,,percent of total billed charges,,,1883.38,95,,percent of total billed charges,,,1784.25,90,,percent of total billed charges,,,1784.25,90,,percent of total billed charges,,,1625.65,82,,percent of total billed charges,,,1784.25,90,,percent of total billed charges,,,1685.13,85,,percent of total billed charges,,1494.81,1883.38, ARTHREX DRILL KIT PUSH LOCK,30184835,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX DRILL KIT SUTURE TAK,30184836,CDM,,,278,RC,inpatient,,1040,1040,,882.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,784.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,884,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,915.2,88,,percent of total billed charges,,,,,,,,,794.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,946.4,91,,percent of total billed charges,,,988,95,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,,,,,,,,,,,,,863.2,83,,percent of total billed charges,,,988,95,,percent of total billed charges,,,936,90,,percent of total billed charges,,,936,90,,percent of total billed charges,,,852.8,82,,percent of total billed charges,,,936,90,,percent of total billed charges,,,884,85,,percent of total billed charges,,784.16,988, PEEK IMPLANT 8 MM X 12 MM X 9 MM,30184837,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, DEPUY FEMORAL HEAD 28MM +3,30184838,CDM,,,278,RC,inpatient,,6922.18,6922.18,,5876.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5219.32,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5883.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6091.52,88,,percent of total billed charges,,,,,,,,,5288.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6299.18,91,,percent of total billed charges,,,6576.07,95,,percent of total billed charges,,,5745.41,83,,percent of total billed charges,,,5745.41,83,,percent of total billed charges,,,,,,,,,,,,,,,5745.41,83,,percent of total billed charges,,,6576.07,95,,percent of total billed charges,,,6229.96,90,,percent of total billed charges,,,6229.96,90,,percent of total billed charges,,,5676.19,82,,percent of total billed charges,,,6229.96,90,,percent of total billed charges,,,5883.85,85,,percent of total billed charges,,5219.32,6576.07, SYNTHES SCREW LOCKING 5.0MM X 36MM,30184839,CDM,,,278,RC,inpatient,,2250.82,2250.82,,1910.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1697.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1913.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1980.72,88,,percent of total billed charges,,,,,,,,,1719.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2048.25,91,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,1868.18,83,,percent of total billed charges,,,,,,,,,,,,,,,1868.18,83,,percent of total billed charges,,,2138.28,95,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1845.67,82,,percent of total billed charges,,,2025.74,90,,percent of total billed charges,,,1913.2,85,,percent of total billed charges,,1697.12,2138.28, ZIMMER BEARING LG LT SZ 7,30184840,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, ZIMMER STEM EXT OFFSET 14MM X 145MM,30184841,CDM,,,278,RC,inpatient,,18538,18538,,15738.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13977.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15757.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16313.44,88,,percent of total billed charges,,,,,,,,,14163.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16869.58,91,,percent of total billed charges,,,17611.1,95,,percent of total billed charges,,,15386.54,83,,percent of total billed charges,,,15386.54,83,,percent of total billed charges,,,,,,,,,,,,,,,15386.54,83,,percent of total billed charges,,,17611.1,95,,percent of total billed charges,,,16684.2,90,,percent of total billed charges,,,16684.2,90,,percent of total billed charges,,,15201.16,82,,percent of total billed charges,,,16684.2,90,,percent of total billed charges,,,15757.3,85,,percent of total billed charges,,13977.65,17611.1, ZIMMER AUGMENT TIBIAL FULL BLOCK 10MM SZ,30184842,CDM,,,278,RC,inpatient,,17810,17810,,15120.69,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13428.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15138.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15672.8,88,,percent of total billed charges,,,,,,,,,13606.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16207.1,91,,percent of total billed charges,,,16919.5,95,,percent of total billed charges,,,14782.3,83,,percent of total billed charges,,,14782.3,83,,percent of total billed charges,,,,,,,,,,,,,,,14782.3,83,,percent of total billed charges,,,16919.5,95,,percent of total billed charges,,,16029,90,,percent of total billed charges,,,16029,90,,percent of total billed charges,,,14604.2,82,,percent of total billed charges,,,16029,90,,percent of total billed charges,,,15138.5,85,,percent of total billed charges,,13428.74,16919.5, ZIMMER PLATE TIBIAL WEDGED A/P SZ4,30184843,CDM,,,278,RC,inpatient,,30680,30680,,26047.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23132.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26078,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26998.4,88,,percent of total billed charges,,,,,,,,,23439.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27918.8,91,,percent of total billed charges,,,29146,95,,percent of total billed charges,,,25464.4,83,,percent of total billed charges,,,25464.4,83,,percent of total billed charges,,,,,,,,,,,,,,,25464.4,83,,percent of total billed charges,,,29146,95,,percent of total billed charges,,,27612,90,,percent of total billed charges,,,27612,90,,percent of total billed charges,,,25157.6,82,,percent of total billed charges,,,27612,90,,percent of total billed charges,,,26078,85,,percent of total billed charges,,23132.72,29146, ZIMMER SURFACE LPS-FLEX FIXED 3-4 10MM,30184844,CDM,,,278,RC,inpatient,,15762.5,15762.5,,13382.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11884.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13398.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13871,88,,percent of total billed charges,,,,,,,,,12042.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14343.88,91,,percent of total billed charges,,,14974.38,95,,percent of total billed charges,,,13082.88,83,,percent of total billed charges,,,13082.88,83,,percent of total billed charges,,,,,,,,,,,,,,,13082.88,83,,percent of total billed charges,,,14974.38,95,,percent of total billed charges,,,14186.25,90,,percent of total billed charges,,,14186.25,90,,percent of total billed charges,,,12925.25,82,,percent of total billed charges,,,14186.25,90,,percent of total billed charges,,,13398.13,85,,percent of total billed charges,,11884.93,14974.38, ZIMMER SURFACE LPS-FLEX FIXED 3-4 12MM,30184845,CDM,,,278,RC,inpatient,,15762.5,15762.5,,13382.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11884.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13398.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13871,88,,percent of total billed charges,,,,,,,,,12042.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14343.88,91,,percent of total billed charges,,,14974.38,95,,percent of total billed charges,,,13082.88,83,,percent of total billed charges,,,13082.88,83,,percent of total billed charges,,,,,,,,,,,,,,,13082.88,83,,percent of total billed charges,,,14974.38,95,,percent of total billed charges,,,14186.25,90,,percent of total billed charges,,,14186.25,90,,percent of total billed charges,,,12925.25,82,,percent of total billed charges,,,14186.25,90,,percent of total billed charges,,,13398.13,85,,percent of total billed charges,,11884.93,14974.38, ALLODERM TISSUE MATRIX PERF. SM 77SQ CM,30184846,CDM,,,278,RC,inpatient,,22386,22386,,19005.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16879.04,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19028.1,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19699.68,88,,percent of total billed charges,,,,,,,,,17102.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20371.26,91,,percent of total billed charges,,,21266.7,95,,percent of total billed charges,,,18580.38,83,,percent of total billed charges,,,18580.38,83,,percent of total billed charges,,,,,,,,,,,,,,,18580.38,83,,percent of total billed charges,,,21266.7,95,,percent of total billed charges,,,20147.4,90,,percent of total billed charges,,,20147.4,90,,percent of total billed charges,,,18356.52,82,,percent of total billed charges,,,20147.4,90,,percent of total billed charges,,,19028.1,85,,percent of total billed charges,,16879.04,21266.7, SCREW POLYAXIAL 3.5 X 12MM,30184847,CDM,,,278,RC,inpatient,,7475,7475,,6346.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5636.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6353.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6578,88,,percent of total billed charges,,,,,,,,,5710.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6802.25,91,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,,,,,,,,,,,,,6204.25,83,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6129.5,82,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6353.75,85,,percent of total billed charges,,5636.15,7101.25, SCREW SET- IR SURGICAL,30184848,CDM,,,278,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, ROD 3.5 X 50MM,30184849,CDM,,,278,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, SCREW POLYAXIAL 3.5 X 24MM,30184850,CDM,,,278,RC,inpatient,,7475,7475,,6346.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5636.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6353.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6578,88,,percent of total billed charges,,,,,,,,,5710.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6802.25,91,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,6204.25,83,,percent of total billed charges,,,,,,,,,,,,,,,6204.25,83,,percent of total billed charges,,,7101.25,95,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6129.5,82,,percent of total billed charges,,,6727.5,90,,percent of total billed charges,,,6353.75,85,,percent of total billed charges,,5636.15,7101.25, LINQ IMPLANTABLE CARDIAC MONITOR,30184851,CDM,,,278,RC,inpatient,,30192.5,30192.5,,25633.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,22765.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,25663.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,26569.4,88,,percent of total billed charges,,,,,,,,,23067.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,27475.18,91,,percent of total billed charges,,,28682.88,95,,percent of total billed charges,,,25059.78,83,,percent of total billed charges,,,25059.78,83,,percent of total billed charges,,,,,,,,,,,,,,,25059.78,83,,percent of total billed charges,,,28682.88,95,,percent of total billed charges,,,27173.25,90,,percent of total billed charges,,,27173.25,90,,percent of total billed charges,,,24757.85,82,,percent of total billed charges,,,27173.25,90,,percent of total billed charges,,,25663.63,85,,percent of total billed charges,,22765.15,28682.88, HOLMIUM FIBER 200-2,30184852,CDM,,,270,RC,inpatient,,1397.5,1397.5,,1186.48,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1053.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1187.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1229.8,88,,percent of total billed charges,,,,,,,,,1067.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1271.73,91,,percent of total billed charges,,,1327.63,95,,percent of total billed charges,,,1159.93,83,,percent of total billed charges,,,1159.93,83,,percent of total billed charges,,,,,,,,,,,,,,,1159.93,83,,percent of total billed charges,,,1327.63,95,,percent of total billed charges,,,1257.75,90,,percent of total billed charges,,,1257.75,90,,percent of total billed charges,,,1145.95,82,,percent of total billed charges,,,1257.75,90,,percent of total billed charges,,,1187.88,85,,percent of total billed charges,,1053.72,1327.63, LINEAR ST 50CM 8 CONTACT,30184853,CDM,,,270,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, O.R. CABLE 2X8 61CM,30184854,CDM,,,270,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, PATIENT TRIAL KIT 52,30184855,CDM,,,270,RC,inpatient,,375,375,,318.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,282.75,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,318.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,330,88,,percent of total billed charges,,,,,,,,,286.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,341.25,91,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,311.25,83,,percent of total billed charges,,,,,,,,,,,,,,,311.25,83,,percent of total billed charges,,,356.25,95,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,307.5,82,,percent of total billed charges,,,337.5,90,,percent of total billed charges,,,318.75,85,,percent of total billed charges,,282.75,356.25, LINEAR ST 70CM 8 CONTACT,30184856,CDM,,,270,RC,inpatient,,12350,12350,,10485.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9311.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10497.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10868,88,,percent of total billed charges,,,,,,,,,9435.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11238.5,91,,percent of total billed charges,,,11732.5,95,,percent of total billed charges,,,10250.5,83,,percent of total billed charges,,,10250.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10250.5,83,,percent of total billed charges,,,11732.5,95,,percent of total billed charges,,,11115,90,,percent of total billed charges,,,11115,90,,percent of total billed charges,,,10127,82,,percent of total billed charges,,,11115,90,,percent of total billed charges,,,10497.5,85,,percent of total billed charges,,9311.9,11732.5, CHOICE SPINE PLATE 3-LEVEL 54MM,30184858,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, CHOICE SPINE DRILL 2.7MM X 12MM,30184859,CDM,,,278,RC,inpatient,,2210,2210,,1876.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1666.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1878.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1944.8,88,,percent of total billed charges,,,,,,,,,1688.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2011.1,91,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1834.3,83,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1812.2,82,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1878.5,85,,percent of total billed charges,,1666.34,2099.5, CHOICE SPINE SCREW VARIABLE ANGLE 4.0X14,30184860,CDM,,,278,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, CHOICE SPINE PEEK STEALTH 7MM 6DEG 12X14,30184861,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, CHOICE SPINE PEEK STEALTH 7MM 6DEG 14X16,30184862,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, CHOICE SPINE PEEK STEALTH 8MM 6DEG 14X16,30184863,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, CHOICE SPINE SCREW VARIABLE ANGLE 4X16MM,30184864,CDM,,,278,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, CHOICE SPINE DRILL 2.7 X 10MM,30184865,CDM,,,278,RC,inpatient,,2210,2210,,1876.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1666.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1878.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1944.8,88,,percent of total billed charges,,,,,,,,,1688.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2011.1,91,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1834.3,83,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1812.2,82,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1878.5,85,,percent of total billed charges,,1666.34,2099.5, CHOICE SPINE PLATE 2-LEVEL 30MM,30184866,CDM,,,278,RC,inpatient,,7150,7150,,6070.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5391.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6077.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6292,88,,percent of total billed charges,,,,,,,,,5462.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6506.5,91,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,5934.5,83,,percent of total billed charges,,,,,,,,,,,,,,,5934.5,83,,percent of total billed charges,,,6792.5,95,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,5863,82,,percent of total billed charges,,,6435,90,,percent of total billed charges,,,6077.5,85,,percent of total billed charges,,5391.1,6792.5, CHOICE SPINE SCREW S-D VARIABLE ANGLE 12,30184867,CDM,,,278,RC,inpatient,,1462.5,1462.5,,1241.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1102.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1243.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1287,88,,percent of total billed charges,,,,,,,,,1117.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1330.88,91,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,1213.88,83,,percent of total billed charges,,,,,,,,,,,,,,,1213.88,83,,percent of total billed charges,,,1389.38,95,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1199.25,82,,percent of total billed charges,,,1316.25,90,,percent of total billed charges,,,1243.13,85,,percent of total billed charges,,1102.73,1389.38, DEPUY STEM FLUTED UNIV 75 X 22,30184868,CDM,,,278,RC,inpatient,,9024.34,9024.34,,7661.66,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6804.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7670.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7941.42,88,,percent of total billed charges,,,,,,,,,6894.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8212.15,91,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,7490.2,83,,percent of total billed charges,,,,,,,,,,,,,,,7490.2,83,,percent of total billed charges,,,8573.12,95,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7399.96,82,,percent of total billed charges,,,8121.91,90,,percent of total billed charges,,,7670.69,85,,percent of total billed charges,,6804.35,8573.12, SYNTHES SCREW CORTEX 3.5 X 50MM SELF TAP,30184871,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES SCREW CANNUL 6.5X60MM,30184872,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, ZIMMER SCP KIT W/ACCUPORT SIDE-DELIVERY,30184873,CDM,,,278,RC,inpatient,,23725,23725,,20142.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17888.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20166.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20878,88,,percent of total billed charges,,,,,,,,,18125.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21589.75,91,,percent of total billed charges,,,22538.75,95,,percent of total billed charges,,,19691.75,83,,percent of total billed charges,,,19691.75,83,,percent of total billed charges,,,,,,,,,,,,,,,19691.75,83,,percent of total billed charges,,,22538.75,95,,percent of total billed charges,,,21352.5,90,,percent of total billed charges,,,21352.5,90,,percent of total billed charges,,,19454.5,82,,percent of total billed charges,,,21352.5,90,,percent of total billed charges,,,20166.25,85,,percent of total billed charges,,17888.65,22538.75, ZIMMER ACCUMIX MIXING SYSTEM,30184874,CDM,,,270,RC,inpatient,,1885,1885,,1600.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1421.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1602.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1658.8,88,,percent of total billed charges,,,,,,,,,1440.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1715.35,91,,percent of total billed charges,,,1790.75,95,,percent of total billed charges,,,1564.55,83,,percent of total billed charges,,,1564.55,83,,percent of total billed charges,,,,,,,,,,,,,,,1564.55,83,,percent of total billed charges,,,1790.75,95,,percent of total billed charges,,,1696.5,90,,percent of total billed charges,,,1696.5,90,,percent of total billed charges,,,1545.7,82,,percent of total billed charges,,,1696.5,90,,percent of total billed charges,,,1602.25,85,,percent of total billed charges,,1421.29,1790.75, S&N ENDO SCREW SOFT SILK 2.0 7MM X 25MM,30184875,CDM,,,278,RC,inpatient,,1487.85,1487.85,,1263.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1121.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1264.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1309.31,88,,percent of total billed charges,,,,,,,,,1136.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1353.94,91,,percent of total billed charges,,,1413.46,95,,percent of total billed charges,,,1234.92,83,,percent of total billed charges,,,1234.92,83,,percent of total billed charges,,,,,,,,,,,,,,,1234.92,83,,percent of total billed charges,,,1413.46,95,,percent of total billed charges,,,1339.07,90,,percent of total billed charges,,,1339.07,90,,percent of total billed charges,,,1220.04,82,,percent of total billed charges,,,1339.07,90,,percent of total billed charges,,,1264.67,85,,percent of total billed charges,,1121.84,1413.46, DEPUY SHELL BIPOLAR 57,30184876,CDM,,,278,RC,inpatient,,6675.44,6675.44,,5667.45,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5033.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5674.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5874.39,88,,percent of total billed charges,,,,,,,,,5100.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6074.65,91,,percent of total billed charges,,,6341.67,95,,percent of total billed charges,,,5540.62,83,,percent of total billed charges,,,5540.62,83,,percent of total billed charges,,,,,,,,,,,,,,,5540.62,83,,percent of total billed charges,,,6341.67,95,,percent of total billed charges,,,6007.9,90,,percent of total billed charges,,,6007.9,90,,percent of total billed charges,,,5473.86,82,,percent of total billed charges,,,6007.9,90,,percent of total billed charges,,,5674.12,85,,percent of total billed charges,,5033.28,6341.67, DEPUY STEM SUMMIT CEMENTED SZ 7 STD,30184877,CDM,,,278,RC,inpatient,,25228.19,25228.19,,21418.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19022.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,21443.96,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22200.81,88,,percent of total billed charges,,,,,,,,,19274.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22957.65,91,,percent of total billed charges,,,23966.78,95,,percent of total billed charges,,,20939.4,83,,percent of total billed charges,,,20939.4,83,,percent of total billed charges,,,,,,,,,,,,,,,20939.4,83,,percent of total billed charges,,,23966.78,95,,percent of total billed charges,,,22705.37,90,,percent of total billed charges,,,22705.37,90,,percent of total billed charges,,,20687.12,82,,percent of total billed charges,,,22705.37,90,,percent of total billed charges,,,21443.96,85,,percent of total billed charges,,19022.06,23966.78, DEPUY STEM GLOBAL UNITED SZ 8,30184878,CDM,,,278,RC,inpatient,,26023.86,26023.86,,22094.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,19621.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,22120.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,22901,88,,percent of total billed charges,,,,,,,,,19882.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,23681.71,91,,percent of total billed charges,,,24722.67,95,,percent of total billed charges,,,21599.8,83,,percent of total billed charges,,,21599.8,83,,percent of total billed charges,,,,,,,,,,,,,,,21599.8,83,,percent of total billed charges,,,24722.67,95,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,21339.57,82,,percent of total billed charges,,,23421.47,90,,percent of total billed charges,,,22120.28,85,,percent of total billed charges,,19621.99,24722.67, MONTAGE MRI 16 IMPLANTABLE GENERATOR KIT,30184879,CDM,,,278,RC,inpatient,,110500,110500,,93814.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,83317,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,93925,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,97240,88,,percent of total billed charges,,,,,,,,,84422,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,100555,91,,percent of total billed charges,,,104975,95,,percent of total billed charges,,,91715,83,,percent of total billed charges,,,91715,83,,percent of total billed charges,,,,,,,,,,,,,,,91715,83,,percent of total billed charges,,,104975,95,,percent of total billed charges,,,99450,90,,percent of total billed charges,,,99450,90,,percent of total billed charges,,,90610,82,,percent of total billed charges,,,99450,90,,percent of total billed charges,,,93925,85,,percent of total billed charges,,83317,104975, AVISTA MRI LEAD KIT 74CM 8 CONTACT,30184880,CDM,,,278,RC,inpatient,,18200,18200,,15451.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13722.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15470,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16016,88,,percent of total billed charges,,,,,,,,,13904.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16562,91,,percent of total billed charges,,,17290,95,,percent of total billed charges,,,15106,83,,percent of total billed charges,,,15106,83,,percent of total billed charges,,,,,,,,,,,,,,,15106,83,,percent of total billed charges,,,17290,95,,percent of total billed charges,,,16380,90,,percent of total billed charges,,,16380,90,,percent of total billed charges,,,14924,82,,percent of total billed charges,,,16380,90,,percent of total billed charges,,,15470,85,,percent of total billed charges,,13722.8,17290, PRECISION CHARGING SYSTEM KIT,30184881,CDM,,,278,RC,inpatient,,16250,16250,,13796.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12252.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13812.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14300,88,,percent of total billed charges,,,,,,,,,12415,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14787.5,91,,percent of total billed charges,,,15437.5,95,,percent of total billed charges,,,13487.5,83,,percent of total billed charges,,,13487.5,83,,percent of total billed charges,,,,,,,,,,,,,,,13487.5,83,,percent of total billed charges,,,15437.5,95,,percent of total billed charges,,,14625,90,,percent of total billed charges,,,14625,90,,percent of total billed charges,,,13325,82,,percent of total billed charges,,,14625,90,,percent of total billed charges,,,13812.5,85,,percent of total billed charges,,12252.5,15437.5, PRECISION REMOTE CONTROL KIT,30184882,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, CLIK X MRI ANCHOR,30184883,CDM,,,270,RC,inpatient,,2193.75,2193.75,,1862.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1654.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1864.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1930.5,88,,percent of total billed charges,,,,,,,,,1676.03,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1996.31,91,,percent of total billed charges,,,2084.06,95,,percent of total billed charges,,,1820.81,83,,percent of total billed charges,,,1820.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1820.81,83,,percent of total billed charges,,,2084.06,95,,percent of total billed charges,,,1974.38,90,,percent of total billed charges,,,1974.38,90,,percent of total billed charges,,,1798.88,82,,percent of total billed charges,,,1974.38,90,,percent of total billed charges,,,1864.69,85,,percent of total billed charges,,1654.09,2084.06, TUNNELING TOOL LONG 35CM,30184884,CDM,,,270,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, PEEK CAGE 10MM,30184885,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, DEPUY BIPOLAR SHELL 40OD,30184886,CDM,,,278,RC,inpatient,,8125.07,8125.07,,6898.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.31,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150.06,88,,percent of total billed charges,,,,,,,,,6207.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.81,91,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,6743.81,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.81,83,,percent of total billed charges,,,7718.82,95,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6662.56,82,,percent of total billed charges,,,7312.56,90,,percent of total billed charges,,,6906.31,85,,percent of total billed charges,,6126.3,7718.82, DEPUY PRIMARY BIPOLAR METAL HEAD CAP,30184887,CDM,,,278,RC,inpatient,,6500,6500,,5518.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4901,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5525,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5720,88,,percent of total billed charges,,,,,,,,,4966,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5915,91,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,5395,83,,percent of total billed charges,,,,,,,,,,,,,,,5395,83,,percent of total billed charges,,,6175,95,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5330,82,,percent of total billed charges,,,5850,90,,percent of total billed charges,,,5525,85,,percent of total billed charges,,4901,6175, DEPUY STEM CEMENTED PRIMARY FX CAP,30184888,CDM,,,278,RC,inpatient,,12350,12350,,10485.15,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9311.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10497.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10868,88,,percent of total billed charges,,,,,,,,,9435.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11238.5,91,,percent of total billed charges,,,11732.5,95,,percent of total billed charges,,,10250.5,83,,percent of total billed charges,,,10250.5,83,,percent of total billed charges,,,,,,,,,,,,,,,10250.5,83,,percent of total billed charges,,,11732.5,95,,percent of total billed charges,,,11115,90,,percent of total billed charges,,,11115,90,,percent of total billed charges,,,10127,82,,percent of total billed charges,,,11115,90,,percent of total billed charges,,,10497.5,85,,percent of total billed charges,,9311.9,11732.5, SYNTHES SCREW CANNUL 4.0X50MM,30184891,CDM,,,278,RC,inpatient,,2063.23,2063.23,,1751.68,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1555.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1753.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1815.64,88,,percent of total billed charges,,,,,,,,,1576.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1877.54,91,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,1712.48,83,,percent of total billed charges,,,,,,,,,,,,,,,1712.48,83,,percent of total billed charges,,,1960.07,95,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1691.85,82,,percent of total billed charges,,,1856.91,90,,percent of total billed charges,,,1753.75,85,,percent of total billed charges,,1555.68,1960.07, ARTHREX REAMER 10MM COW PRO,30184892,CDM,,,278,RC,inpatient,,1267.5,1267.5,,1076.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1077.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1115.4,88,,percent of total billed charges,,,,,,,,,968.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1153.43,91,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1052.03,83,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1039.35,82,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1077.38,85,,percent of total billed charges,,955.7,1204.13, ARTHREX SPEED CINCH,30184893,CDM,,,270,RC,inpatient,,2567.5,2567.5,,2179.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1935.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2182.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2259.4,88,,percent of total billed charges,,,,,,,,,1961.57,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2336.43,91,,percent of total billed charges,,,2439.13,95,,percent of total billed charges,,,2131.03,83,,percent of total billed charges,,,2131.03,83,,percent of total billed charges,,,,,,,,,,,,,,,2131.03,83,,percent of total billed charges,,,2439.13,95,,percent of total billed charges,,,2310.75,90,,percent of total billed charges,,,2310.75,90,,percent of total billed charges,,,2105.35,82,,percent of total billed charges,,,2310.75,90,,percent of total billed charges,,,2182.38,85,,percent of total billed charges,,1935.9,2439.13, SCREW POLYAXIAL 5.5 X 45MM,30184894,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, MEDTRONIC PACER,30184895,CDM,,,278,RC,inpatient,,31018,31018,,26334.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23387.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26365.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27295.84,88,,percent of total billed charges,,,,,,,,,23697.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28226.38,91,,percent of total billed charges,,,29467.1,95,,percent of total billed charges,,,25744.94,83,,percent of total billed charges,,,25744.94,83,,percent of total billed charges,,,,,,,,,,,,,,,25744.94,83,,percent of total billed charges,,,29467.1,95,,percent of total billed charges,,,27916.2,90,,percent of total billed charges,,,27916.2,90,,percent of total billed charges,,,25434.76,82,,percent of total billed charges,,,27916.2,90,,percent of total billed charges,,,26365.3,85,,percent of total billed charges,,23387.57,29467.1, DEPUY FEMUR ATTUNE CR SZ 5 RT,30184896,CDM,,,278,RC,inpatient,,31272.74,31272.74,,26550.56,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,23579.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,26581.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,27520.01,88,,percent of total billed charges,,,,,,,,,23892.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,28458.19,91,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,25956.37,83,,percent of total billed charges,,,,,,,,,,,,,,,25956.37,83,,percent of total billed charges,,,29709.1,95,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,25643.65,82,,percent of total billed charges,,,28145.47,90,,percent of total billed charges,,,26581.83,85,,percent of total billed charges,,23579.65,29709.1, INVUITY PHOTONGUIDE WIDE/FLAT,30184897,CDM,,,270,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, SYNTHES SCREW CORTEX S-T 2.7 X 22MM,30184898,CDM,,,278,RC,inpatient,,386.75,386.75,,328.35,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,291.61,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,328.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,340.34,88,,percent of total billed charges,,,,,,,,,295.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,351.94,91,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,321,83,,percent of total billed charges,,,321,83,,percent of total billed charges,,,,,,,,,,,,,,,321,83,,percent of total billed charges,,,367.41,95,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,317.14,82,,percent of total billed charges,,,348.08,90,,percent of total billed charges,,,328.74,85,,percent of total billed charges,,291.61,367.41, SYNTHES K-WIRE 1.6MM,30184899,CDM,,,278,RC,inpatient,,111.82,111.82,,94.94,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,84.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,95.05,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,98.4,88,,percent of total billed charges,,,,,,,,,85.43,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,101.76,91,,percent of total billed charges,,,106.23,95,,percent of total billed charges,,,92.81,83,,percent of total billed charges,,,92.81,83,,percent of total billed charges,,,,,,,,,,,,,,,92.81,83,,percent of total billed charges,,,106.23,95,,percent of total billed charges,,,100.64,90,,percent of total billed charges,,,100.64,90,,percent of total billed charges,,,91.69,82,,percent of total billed charges,,,100.64,90,,percent of total billed charges,,,95.05,85,,percent of total billed charges,,84.31,106.23, ARTHREX CALIBLATOR COOLCUT,30184901,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX KIT TENO DISPS 3X8MM,30184902,CDM,,,278,RC,inpatient,,1917.5,1917.5,,1627.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1445.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1629.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1687.4,88,,percent of total billed charges,,,,,,,,,1464.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1744.93,91,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,,,,,,,,,,,,,1591.53,83,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1572.35,82,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1629.88,85,,percent of total billed charges,,1445.8,1821.63, ARTHREX SCREW TENO BIO-COMP 3X8MM,30184903,CDM,,,278,RC,inpatient,,2632.5,2632.5,,2234.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1984.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2237.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2316.6,88,,percent of total billed charges,,,,,,,,,2011.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2395.58,91,,percent of total billed charges,,,2500.88,95,,percent of total billed charges,,,2184.98,83,,percent of total billed charges,,,2184.98,83,,percent of total billed charges,,,,,,,,,,,,,,,2184.98,83,,percent of total billed charges,,,2500.88,95,,percent of total billed charges,,,2369.25,90,,percent of total billed charges,,,2369.25,90,,percent of total billed charges,,,2158.65,82,,percent of total billed charges,,,2369.25,90,,percent of total billed charges,,,2237.63,85,,percent of total billed charges,,1984.91,2500.88, SYNTHES PLATE LCP RECON. 3.5X84MM 5 HOLE,30184904,CDM,,,278,RC,inpatient,,4044.3,4044.3,,3433.61,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3049.4,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3437.66,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3558.98,88,,percent of total billed charges,,,,,,,,,3089.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3680.31,91,,percent of total billed charges,,,3842.09,95,,percent of total billed charges,,,3356.77,83,,percent of total billed charges,,,3356.77,83,,percent of total billed charges,,,,,,,,,,,,,,,3356.77,83,,percent of total billed charges,,,3842.09,95,,percent of total billed charges,,,3639.87,90,,percent of total billed charges,,,3639.87,90,,percent of total billed charges,,,3316.33,82,,percent of total billed charges,,,3639.87,90,,percent of total billed charges,,,3437.66,85,,percent of total billed charges,,3049.4,3842.09, SYNTHES SCREW CORTEX 3.5X10MM,30184905,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, SYNTHES PLATE OLEARANON VA 2.7 X 3.5,30184906,CDM,,,278,RC,inpatient,,9464.33,9464.33,,8035.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7136.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8044.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8328.61,88,,percent of total billed charges,,,,,,,,,7230.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8612.54,91,,percent of total billed charges,,,8991.11,95,,percent of total billed charges,,,7855.39,83,,percent of total billed charges,,,7855.39,83,,percent of total billed charges,,,,,,,,,,,,,,,7855.39,83,,percent of total billed charges,,,8991.11,95,,percent of total billed charges,,,8517.9,90,,percent of total billed charges,,,8517.9,90,,percent of total billed charges,,,7760.75,82,,percent of total billed charges,,,8517.9,90,,percent of total billed charges,,,8044.68,85,,percent of total billed charges,,7136.1,8991.11, SYNTHES SCREW CORTEX 2.7 X 14MM,30184907,CDM,,,278,RC,inpatient,,492.38,492.38,,418.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,371.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,418.52,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,433.29,88,,percent of total billed charges,,,,,,,,,376.18,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,448.07,91,,percent of total billed charges,,,467.76,95,,percent of total billed charges,,,408.68,83,,percent of total billed charges,,,408.68,83,,percent of total billed charges,,,,,,,,,,,,,,,408.68,83,,percent of total billed charges,,,467.76,95,,percent of total billed charges,,,443.14,90,,percent of total billed charges,,,443.14,90,,percent of total billed charges,,,403.75,82,,percent of total billed charges,,,443.14,90,,percent of total billed charges,,,418.52,85,,percent of total billed charges,,371.25,467.76, SYNTHES SCREW LOCKING VA 2.7MM X 10MM,30184908,CDM,,,278,RC,inpatient,,1412.65,1412.65,,1199.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1065.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1200.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1243.13,88,,percent of total billed charges,,,,,,,,,1079.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1285.51,91,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1172.5,83,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1158.37,82,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1200.75,85,,percent of total billed charges,,1065.14,1342.02, SYNTHES SCREW LOCKING VA 2.7MM X 12MM,30184909,CDM,,,278,RC,inpatient,,1412.65,1412.65,,1199.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1065.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1200.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1243.13,88,,percent of total billed charges,,,,,,,,,1079.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1285.51,91,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1172.5,83,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1158.37,82,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1200.75,85,,percent of total billed charges,,1065.14,1342.02, SYNTHES SCREW LOCKING VA 2.7MM X 14MM,30184910,CDM,,,278,RC,inpatient,,1412.65,1412.65,,1199.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1065.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1200.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1243.13,88,,percent of total billed charges,,,,,,,,,1079.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1285.51,91,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1172.5,83,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1158.37,82,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1200.75,85,,percent of total billed charges,,1065.14,1342.02, SYNTHES SCREW LOCKING VA 2.7MM X 22MM,30184911,CDM,,,278,RC,inpatient,,1412.65,1412.65,,1199.34,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1065.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1200.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1243.13,88,,percent of total billed charges,,,,,,,,,1079.26,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1285.51,91,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,1172.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1172.5,83,,percent of total billed charges,,,1342.02,95,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1158.37,82,,percent of total billed charges,,,1271.39,90,,percent of total billed charges,,,1200.75,85,,percent of total billed charges,,1065.14,1342.02, SYNTHES SCREW LOCKING VA 2.7MM X 40MM,30184912,CDM,,,278,RC,inpatient,,1331.53,1331.53,,1130.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1003.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1131.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1171.75,88,,percent of total billed charges,,,,,,,,,1017.29,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1211.69,91,,percent of total billed charges,,,1264.95,95,,percent of total billed charges,,,1105.17,83,,percent of total billed charges,,,1105.17,83,,percent of total billed charges,,,,,,,,,,,,,,,1105.17,83,,percent of total billed charges,,,1264.95,95,,percent of total billed charges,,,1198.38,90,,percent of total billed charges,,,1198.38,90,,percent of total billed charges,,,1091.85,82,,percent of total billed charges,,,1198.38,90,,percent of total billed charges,,,1131.8,85,,percent of total billed charges,,1003.97,1264.95, SYNTHES SCREW LOCKING VA 2.7MM X 50MM,30184913,CDM,,,278,RC,inpatient,,1371.5,1371.5,,1164.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1034.11,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1165.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1206.92,88,,percent of total billed charges,,,,,,,,,1047.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1248.07,91,,percent of total billed charges,,,1302.93,95,,percent of total billed charges,,,1138.35,83,,percent of total billed charges,,,1138.35,83,,percent of total billed charges,,,,,,,,,,,,,,,1138.35,83,,percent of total billed charges,,,1302.93,95,,percent of total billed charges,,,1234.35,90,,percent of total billed charges,,,1234.35,90,,percent of total billed charges,,,1124.63,82,,percent of total billed charges,,,1234.35,90,,percent of total billed charges,,,1165.78,85,,percent of total billed charges,,1034.11,1302.93, CAPSULAR TENSION RING EYEJET CTR,30184914,CDM,,,270,RC,inpatient,,1293.5,1293.5,,1098.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,975.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1099.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1138.28,88,,percent of total billed charges,,,,,,,,,988.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1177.09,91,,percent of total billed charges,,,1228.83,95,,percent of total billed charges,,,1073.61,83,,percent of total billed charges,,,1073.61,83,,percent of total billed charges,,,,,,,,,,,,,,,1073.61,83,,percent of total billed charges,,,1228.83,95,,percent of total billed charges,,,1164.15,90,,percent of total billed charges,,,1164.15,90,,percent of total billed charges,,,1060.67,82,,percent of total billed charges,,,1164.15,90,,percent of total billed charges,,,1099.48,85,,percent of total billed charges,,975.3,1228.83, ZIMMER KNEE KIT SUBCHONDROPLASTY W/SIDE,30184915,CDM,,,278,RC,inpatient,,23725,23725,,20142.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17888.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20166.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20878,88,,percent of total billed charges,,,,,,,,,18125.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21589.75,91,,percent of total billed charges,,,22538.75,95,,percent of total billed charges,,,19691.75,83,,percent of total billed charges,,,19691.75,83,,percent of total billed charges,,,,,,,,,,,,,,,19691.75,83,,percent of total billed charges,,,22538.75,95,,percent of total billed charges,,,21352.5,90,,percent of total billed charges,,,21352.5,90,,percent of total billed charges,,,19454.5,82,,percent of total billed charges,,,21352.5,90,,percent of total billed charges,,,20166.25,85,,percent of total billed charges,,17888.65,22538.75, ZIMMER BEARING LG LT SZ 5,30184916,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, DEPUY INSERT SIGMA 2.5 X 10MM STABILIZED,30184917,CDM,,,278,RC,inpatient,,17187.04,17187.04,,14591.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12959.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14608.98,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15124.6,88,,percent of total billed charges,,,,,,,,,13130.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15640.21,91,,percent of total billed charges,,,16327.69,95,,percent of total billed charges,,,14265.24,83,,percent of total billed charges,,,14265.24,83,,percent of total billed charges,,,,,,,,,,,,,,,14265.24,83,,percent of total billed charges,,,16327.69,95,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,14093.37,82,,percent of total billed charges,,,15468.34,90,,percent of total billed charges,,,14608.98,85,,percent of total billed charges,,12959.03,16327.69, PEEK CAGE 0DEG 25X09X11,30184918,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, SYNTHES PLATE VOLAR DIST. RAD. 2.4MM 3 H,30184919,CDM,,,278,RC,inpatient,,9762.68,9762.68,,8288.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7361.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8298.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8591.16,88,,percent of total billed charges,,,,,,,,,7458.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8884.04,91,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,,,,,,,,,,,,,8103.02,83,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8005.4,82,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8298.28,85,,percent of total billed charges,,7361.06,9274.55, DEPUY HUMERAL STEM CEMENTED SZ 12 STD,30184920,CDM,,,278,RC,inpatient,,35653.09,35653.09,,30269.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,26882.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,30305.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,31374.72,88,,percent of total billed charges,,,,,,,,,27238.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,32444.31,91,,percent of total billed charges,,,33870.44,95,,percent of total billed charges,,,29592.06,83,,percent of total billed charges,,,29592.06,83,,percent of total billed charges,,,,,,,,,,,,,,,29592.06,83,,percent of total billed charges,,,33870.44,95,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,29235.53,82,,percent of total billed charges,,,32087.78,90,,percent of total billed charges,,,30305.13,85,,percent of total billed charges,,26882.43,33870.44, DEPUY LINER ALTRX +4 10DEG SZ 58,30184921,CDM,,,278,RC,inpatient,,14161.81,14161.81,,12023.38,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10678,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12037.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12462.39,88,,percent of total billed charges,,,,,,,,,10819.62,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12887.25,91,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,11754.3,83,,percent of total billed charges,,,,,,,,,,,,,,,11754.3,83,,percent of total billed charges,,,13453.72,95,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,11612.68,82,,percent of total billed charges,,,12745.63,90,,percent of total billed charges,,,12037.54,85,,percent of total billed charges,,10678,13453.72, SYNTHES SCREW CORTEX 3.5X30MM,30184922,CDM,,,278,RC,inpatient,,284.03,284.03,,241.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,214.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,241.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,249.95,88,,percent of total billed charges,,,,,,,,,217,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,258.47,91,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,235.74,83,,percent of total billed charges,,,,,,,,,,,,,,,235.74,83,,percent of total billed charges,,,269.83,95,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,232.9,82,,percent of total billed charges,,,255.63,90,,percent of total billed charges,,,241.43,85,,percent of total billed charges,,214.16,269.83, ALLOSOURCE PATELLA HEMI BTB ALLOGRAFT,30184923,CDM,,,278,RC,inpatient,,12480,12480,,10595.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9409.92,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10608,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10982.4,88,,percent of total billed charges,,,,,,,,,9534.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11356.8,91,,percent of total billed charges,,,11856,95,,percent of total billed charges,,,10358.4,83,,percent of total billed charges,,,10358.4,83,,percent of total billed charges,,,,,,,,,,,,,,,10358.4,83,,percent of total billed charges,,,11856,95,,percent of total billed charges,,,11232,90,,percent of total billed charges,,,11232,90,,percent of total billed charges,,,10233.6,82,,percent of total billed charges,,,11232,90,,percent of total billed charges,,,10608,85,,percent of total billed charges,,9409.92,11856, DEPUY INSERT LPS MEDIUM 12MM,30184924,CDM,,,278,RC,inpatient,,24320.34,24320.34,,20647.97,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18337.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20672.29,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21401.9,88,,percent of total billed charges,,,,,,,,,18580.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22131.51,91,,percent of total billed charges,,,23104.32,95,,percent of total billed charges,,,20185.88,83,,percent of total billed charges,,,20185.88,83,,percent of total billed charges,,,,,,,,,,,,,,,20185.88,83,,percent of total billed charges,,,23104.32,95,,percent of total billed charges,,,21888.31,90,,percent of total billed charges,,,21888.31,90,,percent of total billed charges,,,19942.68,82,,percent of total billed charges,,,21888.31,90,,percent of total billed charges,,,20672.29,85,,percent of total billed charges,,18337.54,23104.32, DEPUY SLEEVE FEMORAL 34MM,30184925,CDM,,,278,RC,inpatient,,18062.14,18062.14,,15334.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13618.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15352.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15894.68,88,,percent of total billed charges,,,,,,,,,13799.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16436.55,91,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,14991.58,83,,percent of total billed charges,,,,,,,,,,,,,,,14991.58,83,,percent of total billed charges,,,17159.03,95,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,14810.95,82,,percent of total billed charges,,,16255.93,90,,percent of total billed charges,,,15352.82,85,,percent of total billed charges,,13618.85,17159.03, DEPUY FEMUR S-ROM LEFT,30184926,CDM,,,278,RC,inpatient,,37437.86,37437.86,,31784.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,28228.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,31822.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,32945.32,88,,percent of total billed charges,,,,,,,,,28602.53,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,34068.45,91,,percent of total billed charges,,,35565.97,95,,percent of total billed charges,,,31073.42,83,,percent of total billed charges,,,31073.42,83,,percent of total billed charges,,,,,,,,,,,,,,,31073.42,83,,percent of total billed charges,,,35565.97,95,,percent of total billed charges,,,33694.07,90,,percent of total billed charges,,,33694.07,90,,percent of total billed charges,,,30699.05,82,,percent of total billed charges,,,33694.07,90,,percent of total billed charges,,,31822.18,85,,percent of total billed charges,,28228.15,35565.97, SYNTHES ROD REAMER 2.5MM,30184927,CDM,,,278,RC,inpatient,,1171.3,1171.3,,994.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,883.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,995.61,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1030.74,88,,percent of total billed charges,,,,,,,,,894.87,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1065.88,91,,percent of total billed charges,,,1112.74,95,,percent of total billed charges,,,972.18,83,,percent of total billed charges,,,972.18,83,,percent of total billed charges,,,,,,,,,,,,,,,972.18,83,,percent of total billed charges,,,1112.74,95,,percent of total billed charges,,,1054.17,90,,percent of total billed charges,,,1054.17,90,,percent of total billed charges,,,960.47,82,,percent of total billed charges,,,1054.17,90,,percent of total billed charges,,,995.61,85,,percent of total billed charges,,883.16,1112.74, SYNTHES ROD TIBIA 9MM X 345,30184928,CDM,,,278,RC,inpatient,,15439.13,15439.13,,13107.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11641.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,13123.26,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,13586.43,88,,percent of total billed charges,,,,,,,,,11795.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,14049.61,91,,percent of total billed charges,,,14667.17,95,,percent of total billed charges,,,12814.48,83,,percent of total billed charges,,,12814.48,83,,percent of total billed charges,,,,,,,,,,,,,,,12814.48,83,,percent of total billed charges,,,14667.17,95,,percent of total billed charges,,,13895.22,90,,percent of total billed charges,,,13895.22,90,,percent of total billed charges,,,12660.09,82,,percent of total billed charges,,,13895.22,90,,percent of total billed charges,,,13123.26,85,,percent of total billed charges,,11641.1,14667.17, SYNTHES SCREW LOCKING 4.0MM X 26MM,30184929,CDM,,,278,RC,inpatient,,1248,1248,,1059.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,940.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1060.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1098.24,88,,percent of total billed charges,,,,,,,,,953.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1135.68,91,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1035.84,83,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1023.36,82,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1060.8,85,,percent of total billed charges,,940.99,1185.6, SYNTHES SCREW LOCKING 4.0MM X 30MM,30184930,CDM,,,278,RC,inpatient,,1248,1248,,1059.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,940.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1060.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1098.24,88,,percent of total billed charges,,,,,,,,,953.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1135.68,91,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1035.84,83,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1023.36,82,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1060.8,85,,percent of total billed charges,,940.99,1185.6, SYNTHES SCREW LOCKING 4.0MM X 40MM,30184931,CDM,,,278,RC,inpatient,,1248,1248,,1059.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,940.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1060.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1098.24,88,,percent of total billed charges,,,,,,,,,953.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1135.68,91,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1035.84,83,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1023.36,82,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1060.8,85,,percent of total billed charges,,940.99,1185.6, SYNTHES SCREW LOCKING 4.0MM X 44MM,30184932,CDM,,,278,RC,inpatient,,1248,1248,,1059.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,940.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1060.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1098.24,88,,percent of total billed charges,,,,,,,,,953.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1135.68,91,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1035.84,83,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1023.36,82,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1060.8,85,,percent of total billed charges,,940.99,1185.6, SYNTHES SCREW LOCKING 4.0MM X 50MM,30184933,CDM,,,278,RC,inpatient,,1248,1248,,1059.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,940.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1060.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1098.24,88,,percent of total billed charges,,,,,,,,,953.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1135.68,91,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1035.84,83,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1023.36,82,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1060.8,85,,percent of total billed charges,,940.99,1185.6, SYNTHES SCREW LOCKING 4.0MM X 60MM,30184934,CDM,,,278,RC,inpatient,,1248,1248,,1059.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,940.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1060.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1098.24,88,,percent of total billed charges,,,,,,,,,953.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1135.68,91,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,1035.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1035.84,83,,percent of total billed charges,,,1185.6,95,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1023.36,82,,percent of total billed charges,,,1123.2,90,,percent of total billed charges,,,1060.8,85,,percent of total billed charges,,940.99,1185.6, ZIMMER SIDE DELIVERY CANNULA,30184935,CDM,,,278,RC,inpatient,,3640,3640,,3090.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2744.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3094,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3203.2,88,,percent of total billed charges,,,,,,,,,2780.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3312.4,91,,percent of total billed charges,,,3458,95,,percent of total billed charges,,,3021.2,83,,percent of total billed charges,,,3021.2,83,,percent of total billed charges,,,,,,,,,,,,,,,3021.2,83,,percent of total billed charges,,,3458,95,,percent of total billed charges,,,3276,90,,percent of total billed charges,,,3276,90,,percent of total billed charges,,,2984.8,82,,percent of total billed charges,,,3276,90,,percent of total billed charges,,,3094,85,,percent of total billed charges,,2744.56,3458, ARTHREX ACL DISPOSABLE KIT,30184936,CDM,,,270,RC,inpatient,,942.5,942.5,,800.18,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,710.65,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,801.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,829.4,88,,percent of total billed charges,,,,,,,,,720.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,857.68,91,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,782.28,83,,percent of total billed charges,,,,,,,,,,,,,,,782.28,83,,percent of total billed charges,,,895.38,95,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,772.85,82,,percent of total billed charges,,,848.25,90,,percent of total billed charges,,,801.13,85,,percent of total billed charges,,710.65,895.38, ZIMMER TIBIAL TRAY OXFORD LM SZ F,30184937,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, AVISTA MRI LEAD KIT 56CM 8 CONTACT,30184938,CDM,,,278,RC,inpatient,,18200,18200,,15451.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13722.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15470,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16016,88,,percent of total billed charges,,,,,,,,,13904.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16562,91,,percent of total billed charges,,,17290,95,,percent of total billed charges,,,15106,83,,percent of total billed charges,,,15106,83,,percent of total billed charges,,,,,,,,,,,,,,,15106,83,,percent of total billed charges,,,17290,95,,percent of total billed charges,,,16380,90,,percent of total billed charges,,,16380,90,,percent of total billed charges,,,14924,82,,percent of total billed charges,,,16380,90,,percent of total billed charges,,,15470,85,,percent of total billed charges,,13722.8,17290, SYNTHES PLATE TUBULAR 10-HOLE 1/3,30184939,CDM,,,278,RC,inpatient,,1811.23,1811.23,,1537.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1365.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1539.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1593.88,88,,percent of total billed charges,,,,,,,,,1383.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1648.22,91,,percent of total billed charges,,,1720.67,95,,percent of total billed charges,,,1503.32,83,,percent of total billed charges,,,1503.32,83,,percent of total billed charges,,,,,,,,,,,,,,,1503.32,83,,percent of total billed charges,,,1720.67,95,,percent of total billed charges,,,1630.11,90,,percent of total billed charges,,,1630.11,90,,percent of total billed charges,,,1485.21,82,,percent of total billed charges,,,1630.11,90,,percent of total billed charges,,,1539.55,85,,percent of total billed charges,,1365.67,1720.67, ZIMMER FEMUR OXFORD TWIN-PEG LG,30184940,CDM,,,278,RC,inpatient,,20345,20345,,17272.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15340.13,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17293.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17903.6,88,,percent of total billed charges,,,,,,,,,15543.58,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18513.95,91,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,16886.35,83,,percent of total billed charges,,,,,,,,,,,,,,,16886.35,83,,percent of total billed charges,,,19327.75,95,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,16682.9,82,,percent of total billed charges,,,18310.5,90,,percent of total billed charges,,,17293.25,85,,percent of total billed charges,,15340.13,19327.75, ZIMMER BEARING RM MENISCAL 4MM LG,30184941,CDM,,,278,RC,inpatient,,6344,6344,,5386.06,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4783.38,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5392.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5582.72,88,,percent of total billed charges,,,,,,,,,4846.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5773.04,91,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,5265.52,83,,percent of total billed charges,,,,,,,,,,,,,,,5265.52,83,,percent of total billed charges,,,6026.8,95,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5202.08,82,,percent of total billed charges,,,5709.6,90,,percent of total billed charges,,,5392.4,85,,percent of total billed charges,,4783.38,6026.8, FLOSEAL FIBRIN 10ML,30184942,CDM,,,270,RC,inpatient,,2444.13,2444.13,,2075.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1842.87,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2077.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2150.83,88,,percent of total billed charges,,,,,,,,,1867.32,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2224.16,91,,percent of total billed charges,,,2321.92,95,,percent of total billed charges,,,2028.63,83,,percent of total billed charges,,,2028.63,83,,percent of total billed charges,,,,,,,,,,,,,,,2028.63,83,,percent of total billed charges,,,2321.92,95,,percent of total billed charges,,,2199.72,90,,percent of total billed charges,,,2199.72,90,,percent of total billed charges,,,2004.19,82,,percent of total billed charges,,,2199.72,90,,percent of total billed charges,,,2077.51,85,,percent of total billed charges,,1842.87,2321.92, MENTOR TISSUE EXPANDER CPX4 350CC,30184944,CDM,,,278,RC,inpatient,,10692.5,10692.5,,9077.93,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8062.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9088.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9409.4,88,,percent of total billed charges,,,,,,,,,8169.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9730.18,91,,percent of total billed charges,,,10157.88,95,,percent of total billed charges,,,8874.78,83,,percent of total billed charges,,,8874.78,83,,percent of total billed charges,,,,,,,,,,,,,,,8874.78,83,,percent of total billed charges,,,10157.88,95,,percent of total billed charges,,,9623.25,90,,percent of total billed charges,,,9623.25,90,,percent of total billed charges,,,8767.85,82,,percent of total billed charges,,,9623.25,90,,percent of total billed charges,,,9088.63,85,,percent of total billed charges,,8062.15,10157.88, OSTEOAMP GRANULES 2-4MM 5.0CC,30184945,CDM,,,278,RC,inpatient,,7237.1,7237.1,,6144.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5456.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6151.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6368.65,88,,percent of total billed charges,,,,,,,,,5529.14,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6585.76,91,,percent of total billed charges,,,6875.25,95,,percent of total billed charges,,,6006.79,83,,percent of total billed charges,,,6006.79,83,,percent of total billed charges,,,,,,,,,,,,,,,6006.79,83,,percent of total billed charges,,,6875.25,95,,percent of total billed charges,,,6513.39,90,,percent of total billed charges,,,6513.39,90,,percent of total billed charges,,,5934.42,82,,percent of total billed charges,,,6513.39,90,,percent of total billed charges,,,6151.54,85,,percent of total billed charges,,5456.77,6875.25, CTL CEZANNE II TLIP 11X30X10,30184946,CDM,,,278,RC,inpatient,,22750,22750,,19314.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17153.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19337.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20020,88,,percent of total billed charges,,,,,,,,,17381,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20702.5,91,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,,,,,,,,,,,,,18882.5,83,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,18655,82,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,19337.5,85,,percent of total billed charges,,17153.5,21612.5, CTL SCREW PICASSO II 6.5X40,30184947,CDM,,,278,RC,inpatient,,11137.1,11137.1,,9455.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8397.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9466.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9800.65,88,,percent of total billed charges,,,,,,,,,8508.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10134.76,91,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,,,,,,,,,,,,,9243.79,83,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9132.42,82,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9466.54,85,,percent of total billed charges,,8397.37,10580.25, CTL SCREW PICASSO II 6.5X45,30184948,CDM,,,278,RC,inpatient,,11137.1,11137.1,,9455.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8397.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9466.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9800.65,88,,percent of total billed charges,,,,,,,,,8508.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10134.76,91,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,,,,,,,,,,,,,9243.79,83,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9132.42,82,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9466.54,85,,percent of total billed charges,,8397.37,10580.25, CTL ROD MLS CURVED 40MM,30184949,CDM,,,278,RC,inpatient,,2213.9,2213.9,,1879.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1669.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1881.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1948.23,88,,percent of total billed charges,,,,,,,,,1691.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2014.65,91,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1837.54,83,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1815.4,82,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1881.82,85,,percent of total billed charges,,1669.28,2103.21, CTL SCREW SET,30184950,CDM,,,278,RC,inpatient,,1605.5,1605.5,,1363.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1210.55,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1364.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1412.84,88,,percent of total billed charges,,,,,,,,,1226.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1461.01,91,,percent of total billed charges,,,1525.23,95,,percent of total billed charges,,,1332.57,83,,percent of total billed charges,,,1332.57,83,,percent of total billed charges,,,,,,,,,,,,,,,1332.57,83,,percent of total billed charges,,,1525.23,95,,percent of total billed charges,,,1444.95,90,,percent of total billed charges,,,1444.95,90,,percent of total billed charges,,,1316.51,82,,percent of total billed charges,,,1444.95,90,,percent of total billed charges,,,1364.68,85,,percent of total billed charges,,1210.55,1525.23, CTL GUIDE WIRE,30184951,CDM,,,278,RC,inpatient,,893.75,893.75,,758.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,673.89,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,759.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,786.5,88,,percent of total billed charges,,,,,,,,,682.83,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,813.31,91,,percent of total billed charges,,,849.06,95,,percent of total billed charges,,,741.81,83,,percent of total billed charges,,,741.81,83,,percent of total billed charges,,,,,,,,,,,,,,,741.81,83,,percent of total billed charges,,,849.06,95,,percent of total billed charges,,,804.38,90,,percent of total billed charges,,,804.38,90,,percent of total billed charges,,,732.88,82,,percent of total billed charges,,,804.38,90,,percent of total billed charges,,,759.69,85,,percent of total billed charges,,673.89,849.06, CTL JAMSHIDI 11G X 15,30184952,CDM,,,278,RC,inpatient,,1056.25,1056.25,,896.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,796.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,897.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,929.5,88,,percent of total billed charges,,,,,,,,,806.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,961.19,91,,percent of total billed charges,,,1003.44,95,,percent of total billed charges,,,876.69,83,,percent of total billed charges,,,876.69,83,,percent of total billed charges,,,,,,,,,,,,,,,876.69,83,,percent of total billed charges,,,1003.44,95,,percent of total billed charges,,,950.63,90,,percent of total billed charges,,,950.63,90,,percent of total billed charges,,,866.13,82,,percent of total billed charges,,,950.63,90,,percent of total billed charges,,,897.81,85,,percent of total billed charges,,796.41,1003.44, CTL JAMSHIDI 11G X 15,30184953,CDM,,,278,RC,inpatient,,1056.25,1056.25,,896.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,796.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,897.81,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,929.5,88,,percent of total billed charges,,,,,,,,,806.98,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,961.19,91,,percent of total billed charges,,,1003.44,95,,percent of total billed charges,,,876.69,83,,percent of total billed charges,,,876.69,83,,percent of total billed charges,,,,,,,,,,,,,,,876.69,83,,percent of total billed charges,,,1003.44,95,,percent of total billed charges,,,950.63,90,,percent of total billed charges,,,950.63,90,,percent of total billed charges,,,866.13,82,,percent of total billed charges,,,950.63,90,,percent of total billed charges,,,897.81,85,,percent of total billed charges,,796.41,1003.44, ALLOSOURCE CANCELLOUS CRUSHED 1-4MM 15CC,30184954,CDM,,,278,RC,inpatient,,1722.5,1722.5,,1462.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1298.77,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1464.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1515.8,88,,percent of total billed charges,,,,,,,,,1315.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1567.48,91,,percent of total billed charges,,,1636.38,95,,percent of total billed charges,,,1429.68,83,,percent of total billed charges,,,1429.68,83,,percent of total billed charges,,,,,,,,,,,,,,,1429.68,83,,percent of total billed charges,,,1636.38,95,,percent of total billed charges,,,1550.25,90,,percent of total billed charges,,,1550.25,90,,percent of total billed charges,,,1412.45,82,,percent of total billed charges,,,1550.25,90,,percent of total billed charges,,,1464.13,85,,percent of total billed charges,,1298.77,1636.38, OSTEOAMP GRANULES 2-4MM 1.0CC,30184955,CDM,,,278,RC,inpatient,,2870.73,2870.73,,2437.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2164.53,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2440.12,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2526.24,88,,percent of total billed charges,,,,,,,,,2193.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2612.36,91,,percent of total billed charges,,,2727.19,95,,percent of total billed charges,,,2382.71,83,,percent of total billed charges,,,2382.71,83,,percent of total billed charges,,,,,,,,,,,,,,,2382.71,83,,percent of total billed charges,,,2727.19,95,,percent of total billed charges,,,2583.66,90,,percent of total billed charges,,,2583.66,90,,percent of total billed charges,,,2354,82,,percent of total billed charges,,,2583.66,90,,percent of total billed charges,,,2440.12,85,,percent of total billed charges,,2164.53,2727.19, CAGE STALIF C-TI 12X6.5 TAPERED,30184956,CDM,,,278,RC,inpatient,,19500,19500,,16555.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14703,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16575,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17160,88,,percent of total billed charges,,,,,,,,,14898,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17745,91,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,,,,,,,,,,,,,16185,83,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,15990,82,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,16575,85,,percent of total billed charges,,14703,18525, SCREW STALIF C ABO 4.0 X 14MM,30184957,CDM,,,278,RC,inpatient,,975,975,,827.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,735.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,828.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,858,88,,percent of total billed charges,,,,,,,,,744.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,887.25,91,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,,,,,,,,,,,,,809.25,83,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,799.5,82,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,828.75,85,,percent of total billed charges,,735.15,926.25, CTL CAGE TLIF CEZANNE 11X30X11,30184958,CDM,,,278,RC,inpatient,,22750,22750,,19314.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17153.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19337.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20020,88,,percent of total billed charges,,,,,,,,,17381,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20702.5,91,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,,,,,,,,,,,,,18882.5,83,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,18655,82,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,19337.5,85,,percent of total billed charges,,17153.5,21612.5, SYNTHES SCREW CANNUL 6.5X75MM,30184959,CDM,,,278,RC,inpatient,,2541.5,2541.5,,2157.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1916.29,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2160.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2236.52,88,,percent of total billed charges,,,,,,,,,1941.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2312.77,91,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,2109.45,83,,percent of total billed charges,,,,,,,,,,,,,,,2109.45,83,,percent of total billed charges,,,2414.43,95,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2084.03,82,,percent of total billed charges,,,2287.35,90,,percent of total billed charges,,,2160.28,85,,percent of total billed charges,,1916.29,2414.43, SYNTHES SCREW CANNUL 16MM 6.5X80MM,30184960,CDM,,,278,RC,inpatient,,2696.27,2696.27,,2289.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2032.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2291.83,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2372.72,88,,percent of total billed charges,,,,,,,,,2059.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2453.61,91,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,2237.9,83,,percent of total billed charges,,,,,,,,,,,,,,,2237.9,83,,percent of total billed charges,,,2561.46,95,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2210.94,82,,percent of total billed charges,,,2426.64,90,,percent of total billed charges,,,2291.83,85,,percent of total billed charges,,2032.99,2561.46, OSTEOAMP GRANULES <2MM 2.5CC,30184961,CDM,,,278,RC,inpatient,,4583.54,4583.54,,3891.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3455.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3896.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4033.52,88,,percent of total billed charges,,,,,,,,,3501.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4171.02,91,,percent of total billed charges,,,4354.36,95,,percent of total billed charges,,,3804.34,83,,percent of total billed charges,,,3804.34,83,,percent of total billed charges,,,,,,,,,,,,,,,3804.34,83,,percent of total billed charges,,,4354.36,95,,percent of total billed charges,,,4125.19,90,,percent of total billed charges,,,4125.19,90,,percent of total billed charges,,,3758.5,82,,percent of total billed charges,,,4125.19,90,,percent of total billed charges,,,3896.01,85,,percent of total billed charges,,3455.99,4354.36, CAGE STALIF C-TI 14X7.5 TAPERED,30184962,CDM,,,278,RC,inpatient,,19500,19500,,16555.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14703,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16575,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17160,88,,percent of total billed charges,,,,,,,,,14898,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17745,91,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,,,,,,,,,,,,,16185,83,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,15990,82,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,16575,85,,percent of total billed charges,,14703,18525, CAGE STALIF C-TI 14X6.5 TAPERED,30184963,CDM,,,278,RC,inpatient,,19500,19500,,16555.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14703,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16575,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17160,88,,percent of total billed charges,,,,,,,,,14898,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17745,91,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,,,,,,,,,,,,,16185,83,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,15990,82,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,16575,85,,percent of total billed charges,,14703,18525, SCREW STALIF C ABO 4.0 X 15MM,30184964,CDM,,,278,RC,inpatient,,975,975,,827.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,735.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,828.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,858,88,,percent of total billed charges,,,,,,,,,744.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,887.25,91,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,,,,,,,,,,,,,809.25,83,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,799.5,82,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,828.75,85,,percent of total billed charges,,735.15,926.25, STRYKER MATCHSTICK 3.0MM PRECISION NEURO,30184965,CDM,,,270,RC,inpatient,,919.04,919.04,,780.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,692.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,781.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,808.76,88,,percent of total billed charges,,,,,,,,,702.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,836.33,91,,percent of total billed charges,,,873.09,95,,percent of total billed charges,,,762.8,83,,percent of total billed charges,,,762.8,83,,percent of total billed charges,,,,,,,,,,,,,,,762.8,83,,percent of total billed charges,,,873.09,95,,percent of total billed charges,,,827.14,90,,percent of total billed charges,,,827.14,90,,percent of total billed charges,,,753.61,82,,percent of total billed charges,,,827.14,90,,percent of total billed charges,,,781.18,85,,percent of total billed charges,,692.96,873.09, SURGICAL PATTIES 1 X 1,30184966,CDM,,,270,RC,inpatient,,21.83,21.83,,18.53,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19.21,88,,percent of total billed charges,,,,,,,,,16.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19.87,91,,percent of total billed charges,,,20.74,95,,percent of total billed charges,,,18.12,83,,percent of total billed charges,,,18.12,83,,percent of total billed charges,,,,,,,,,,,,,,,18.12,83,,percent of total billed charges,,,20.74,95,,percent of total billed charges,,,19.65,90,,percent of total billed charges,,,19.65,90,,percent of total billed charges,,,17.9,82,,percent of total billed charges,,,19.65,90,,percent of total billed charges,,,18.56,85,,percent of total billed charges,,16.46,20.74, ALLOSOURCE PASTE DBM PLUS 8ML,30184967,CDM,,,278,RC,inpatient,,5232.5,5232.5,,4442.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3945.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4447.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4604.6,88,,percent of total billed charges,,,,,,,,,3997.63,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4761.58,91,,percent of total billed charges,,,4970.88,95,,percent of total billed charges,,,4342.98,83,,percent of total billed charges,,,4342.98,83,,percent of total billed charges,,,,,,,,,,,,,,,4342.98,83,,percent of total billed charges,,,4970.88,95,,percent of total billed charges,,,4709.25,90,,percent of total billed charges,,,4709.25,90,,percent of total billed charges,,,4290.65,82,,percent of total billed charges,,,4709.25,90,,percent of total billed charges,,,4447.63,85,,percent of total billed charges,,3945.31,4970.88, ELECTRODE BLADE BLUESILK 4 PTFE-INS,30184969,CDM,,,270,RC,inpatient,,70.53,70.53,,59.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,53.18,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,59.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,62.07,88,,percent of total billed charges,,,,,,,,,53.88,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,64.18,91,,percent of total billed charges,,,67,95,,percent of total billed charges,,,58.54,83,,percent of total billed charges,,,58.54,83,,percent of total billed charges,,,,,,,,,,,,,,,58.54,83,,percent of total billed charges,,,67,95,,percent of total billed charges,,,63.48,90,,percent of total billed charges,,,63.48,90,,percent of total billed charges,,,57.83,82,,percent of total billed charges,,,63.48,90,,percent of total billed charges,,,59.95,85,,percent of total billed charges,,53.18,67, S&N EXTRACTOR NAIL LARGE,30184970,CDM,,,270,RC,inpatient,,6597.5,6597.5,,5601.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4974.52,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,5607.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5805.8,88,,percent of total billed charges,,,,,,,,,5040.49,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,6003.73,91,,percent of total billed charges,,,6267.63,95,,percent of total billed charges,,,5475.93,83,,percent of total billed charges,,,5475.93,83,,percent of total billed charges,,,,,,,,,,,,,,,5475.93,83,,percent of total billed charges,,,6267.63,95,,percent of total billed charges,,,5937.75,90,,percent of total billed charges,,,5937.75,90,,percent of total billed charges,,,5409.95,82,,percent of total billed charges,,,5937.75,90,,percent of total billed charges,,,5607.88,85,,percent of total billed charges,,4974.52,6267.63, S&N NAIL META-TAN 10MM X 36CM RT,30184971,CDM,,,278,RC,inpatient,,19110,19110,,16224.39,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14408.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16243.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16816.8,88,,percent of total billed charges,,,,,,,,,14600.04,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17390.1,91,,percent of total billed charges,,,18154.5,95,,percent of total billed charges,,,15861.3,83,,percent of total billed charges,,,15861.3,83,,percent of total billed charges,,,,,,,,,,,,,,,15861.3,83,,percent of total billed charges,,,18154.5,95,,percent of total billed charges,,,17199,90,,percent of total billed charges,,,17199,90,,percent of total billed charges,,,15670.2,82,,percent of total billed charges,,,17199,90,,percent of total billed charges,,,16243.5,85,,percent of total billed charges,,14408.94,18154.5, S&N SCREW LOCKING PROXIMAL 5.0 X 75MM,30184972,CDM,,,278,RC,inpatient,,1865.5,1865.5,,1583.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1406.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1585.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1641.64,88,,percent of total billed charges,,,,,,,,,1425.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1697.61,91,,percent of total billed charges,,,1772.23,95,,percent of total billed charges,,,1548.37,83,,percent of total billed charges,,,1548.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1548.37,83,,percent of total billed charges,,,1772.23,95,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1529.71,82,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1585.68,85,,percent of total billed charges,,1406.59,1772.23, S&N SCREW LOCKING PROXIMAL 5.0 X 35MM,30184973,CDM,,,278,RC,inpatient,,1865.5,1865.5,,1583.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1406.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1585.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1641.64,88,,percent of total billed charges,,,,,,,,,1425.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1697.61,91,,percent of total billed charges,,,1772.23,95,,percent of total billed charges,,,1548.37,83,,percent of total billed charges,,,1548.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1548.37,83,,percent of total billed charges,,,1772.23,95,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1529.71,82,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1585.68,85,,percent of total billed charges,,1406.59,1772.23, CAGE STALIF C-TI 14X5.5 TAPERED,30184974,CDM,,,278,RC,inpatient,,19500,19500,,16555.5,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14703,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16575,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17160,88,,percent of total billed charges,,,,,,,,,14898,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17745,91,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,16185,83,,percent of total billed charges,,,,,,,,,,,,,,,16185,83,,percent of total billed charges,,,18525,95,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,15990,82,,percent of total billed charges,,,17550,90,,percent of total billed charges,,,16575,85,,percent of total billed charges,,14703,18525, CTL SCREW PICASSO II 6.5X35,30184975,CDM,,,278,RC,inpatient,,11137.1,11137.1,,9455.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8397.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9466.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9800.65,88,,percent of total billed charges,,,,,,,,,8508.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10134.76,91,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,,,,,,,,,,,,,9243.79,83,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9132.42,82,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9466.54,85,,percent of total billed charges,,8397.37,10580.25, CTL SCREW PICASSO II 7.5X35,30184976,CDM,,,278,RC,inpatient,,11137.1,11137.1,,9455.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8397.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9466.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9800.65,88,,percent of total billed charges,,,,,,,,,8508.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10134.76,91,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,,,,,,,,,,,,,9243.79,83,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9132.42,82,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9466.54,85,,percent of total billed charges,,8397.37,10580.25, CTL SCREW PICASSO II 7.5X45,30184977,CDM,,,278,RC,inpatient,,11137.1,11137.1,,9455.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8397.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9466.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9800.65,88,,percent of total billed charges,,,,,,,,,8508.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10134.76,91,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,,,,,,,,,,,,,9243.79,83,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9132.42,82,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9466.54,85,,percent of total billed charges,,8397.37,10580.25, CTL ROD 6.0 X 35,30184978,CDM,,,278,RC,inpatient,,2213.9,2213.9,,1879.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1669.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1881.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1948.23,88,,percent of total billed charges,,,,,,,,,1691.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2014.65,91,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1837.54,83,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1815.4,82,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1881.82,85,,percent of total billed charges,,1669.28,2103.21, CAGE CAGE TLIF CEZANNE II 26X9X11,30184979,CDM,,,278,RC,inpatient,,21125,21125,,17935.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15928.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17956.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18590,88,,percent of total billed charges,,,,,,,,,16139.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,19223.75,91,,percent of total billed charges,,,20068.75,95,,percent of total billed charges,,,17533.75,83,,percent of total billed charges,,,17533.75,83,,percent of total billed charges,,,,,,,,,,,,,,,17533.75,83,,percent of total billed charges,,,20068.75,95,,percent of total billed charges,,,19012.5,90,,percent of total billed charges,,,19012.5,90,,percent of total billed charges,,,17322.5,82,,percent of total billed charges,,,19012.5,90,,percent of total billed charges,,,17956.25,85,,percent of total billed charges,,15928.25,20068.75, SYNTHES PLATE VA CONDYLER 12 HOLE RIGHT,30184980,CDM,,,278,RC,inpatient,,17691.05,17691.05,,15019.7,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13339.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15037.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15568.12,88,,percent of total billed charges,,,,,,,,,13515.96,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16098.86,91,,percent of total billed charges,,,16806.5,95,,percent of total billed charges,,,14683.57,83,,percent of total billed charges,,,14683.57,83,,percent of total billed charges,,,,,,,,,,,,,,,14683.57,83,,percent of total billed charges,,,16806.5,95,,percent of total billed charges,,,15921.95,90,,percent of total billed charges,,,15921.95,90,,percent of total billed charges,,,14506.66,82,,percent of total billed charges,,,15921.95,90,,percent of total billed charges,,,15037.39,85,,percent of total billed charges,,13339.05,16806.5, SYNTHES SCREW LOCKING 5 X 16MM ANGLED,30184981,CDM,,,278,RC,inpatient,,2503.93,2503.93,,2125.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1887.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2128.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2203.46,88,,percent of total billed charges,,,,,,,,,1913,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2278.58,91,,percent of total billed charges,,,2378.73,95,,percent of total billed charges,,,2078.26,83,,percent of total billed charges,,,2078.26,83,,percent of total billed charges,,,,,,,,,,,,,,,2078.26,83,,percent of total billed charges,,,2378.73,95,,percent of total billed charges,,,2253.54,90,,percent of total billed charges,,,2253.54,90,,percent of total billed charges,,,2053.22,82,,percent of total billed charges,,,2253.54,90,,percent of total billed charges,,,2128.34,85,,percent of total billed charges,,1887.96,2378.73, SYNTHES SCREW LOCKING 5 X 22MM ANGLED,30184982,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES SCREW LOCKING 5 X 38MM ANGLED,30184983,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES SCREW LOCKING 5 X 50MM ANGLED,30184984,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES SCREW LOCKING 5 X 55MM ANGLED,30184985,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES SCREW LOCKING 5 X 60MM ANGLED,30184986,CDM,,,278,RC,inpatient,,1752.73,1752.73,,1488.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1321.56,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1489.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1542.4,88,,percent of total billed charges,,,,,,,,,1339.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1594.98,91,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,1454.77,83,,percent of total billed charges,,,,,,,,,,,,,,,1454.77,83,,percent of total billed charges,,,1665.09,95,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1437.24,82,,percent of total billed charges,,,1577.46,90,,percent of total billed charges,,,1489.82,85,,percent of total billed charges,,1321.56,1665.09, SYNTHES SCREW LOCKING 5 X 70MM ANGLED,30184987,CDM,,,278,RC,inpatient,,1701.7,1701.7,,1444.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1283.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1446.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1497.5,88,,percent of total billed charges,,,,,,,,,1300.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1548.55,91,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,1412.41,83,,percent of total billed charges,,,,,,,,,,,,,,,1412.41,83,,percent of total billed charges,,,1616.62,95,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1395.39,82,,percent of total billed charges,,,1531.53,90,,percent of total billed charges,,,1446.45,85,,percent of total billed charges,,1283.08,1616.62, SYNTHES SCREW CORTEX 4.5 X 36MM,30184988,CDM,,,278,RC,inpatient,,261.38,261.38,,221.91,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,222.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,230.01,88,,percent of total billed charges,,,,,,,,,199.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,237.86,91,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,216.95,83,,percent of total billed charges,,,,,,,,,,,,,,,216.95,83,,percent of total billed charges,,,248.31,95,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,214.33,82,,percent of total billed charges,,,235.24,90,,percent of total billed charges,,,222.17,85,,percent of total billed charges,,197.08,248.31, SYNTHES SCREW CORTEX 4.5 X 44MM,30184989,CDM,,,278,RC,inpatient,,277.28,277.28,,235.41,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,209.07,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,235.69,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,244.01,88,,percent of total billed charges,,,,,,,,,211.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,252.32,91,,percent of total billed charges,,,263.42,95,,percent of total billed charges,,,230.14,83,,percent of total billed charges,,,230.14,83,,percent of total billed charges,,,,,,,,,,,,,,,230.14,83,,percent of total billed charges,,,263.42,95,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,227.37,82,,percent of total billed charges,,,249.55,90,,percent of total billed charges,,,235.69,85,,percent of total billed charges,,209.07,263.42, ARTHREX DX SWIVELOCK DISP. KIT,30184990,CDM,,,270,RC,inpatient,,1787.5,1787.5,,1517.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1347.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1519.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1573,88,,percent of total billed charges,,,,,,,,,1365.65,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1626.63,91,,percent of total billed charges,,,1698.13,95,,percent of total billed charges,,,1483.63,83,,percent of total billed charges,,,1483.63,83,,percent of total billed charges,,,,,,,,,,,,,,,1483.63,83,,percent of total billed charges,,,1698.13,95,,percent of total billed charges,,,1608.75,90,,percent of total billed charges,,,1608.75,90,,percent of total billed charges,,,1465.75,82,,percent of total billed charges,,,1608.75,90,,percent of total billed charges,,,1519.38,85,,percent of total billed charges,,1347.78,1698.13, ARTHREX DX SWIVELOCK W/FORK EYELET,30184991,CDM,,,270,RC,inpatient,,2762.5,2762.5,,2345.36,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2082.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2348.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2431,88,,percent of total billed charges,,,,,,,,,2110.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2513.88,91,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,2292.88,83,,percent of total billed charges,,,,,,,,,,,,,,,2292.88,83,,percent of total billed charges,,,2624.38,95,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2265.25,82,,percent of total billed charges,,,2486.25,90,,percent of total billed charges,,,2348.13,85,,percent of total billed charges,,2082.93,2624.38, ARTHREX SUTURETAPE 1.3MM,30184992,CDM,,,270,RC,inpatient,,262.5,262.5,,222.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,197.93,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,223.13,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,231,88,,percent of total billed charges,,,,,,,,,200.55,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,238.88,91,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,217.88,83,,percent of total billed charges,,,,,,,,,,,,,,,217.88,83,,percent of total billed charges,,,249.38,95,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,215.25,82,,percent of total billed charges,,,236.25,90,,percent of total billed charges,,,223.13,85,,percent of total billed charges,,197.93,249.38, ZIMMER SCREW BONE ST 6.5 X 40MM,30184993,CDM,,,278,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, ZIMMER SCREW BONE ST 6.5 X 30MM,30184994,CDM,,,278,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, ZIMMER HEAD FEM COCR 6 DEG 28MM +3.5,30184995,CDM,,,278,RC,inpatient,,8450,8450,,7174.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6371.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7182.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7436,88,,percent of total billed charges,,,,,,,,,6455.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7689.5,91,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7013.5,83,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,6929,82,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7182.5,85,,percent of total billed charges,,6371.3,8027.5, ZIMMER DRILL BIT 3.2 X 40MM,30184996,CDM,,,270,RC,inpatient,,728,728,,618.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,548.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,618.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,640.64,88,,percent of total billed charges,,,,,,,,,556.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,662.48,91,,percent of total billed charges,,,691.6,95,,percent of total billed charges,,,604.24,83,,percent of total billed charges,,,604.24,83,,percent of total billed charges,,,,,,,,,,,,,,,604.24,83,,percent of total billed charges,,,691.6,95,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,596.96,82,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,618.8,85,,percent of total billed charges,,548.91,691.6, ZIMMER BEARING HIP ACT ARTIC 28X50MM,30184997,CDM,,,278,RC,inpatient,,23400,23400,,19866.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17643.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19890,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20592,88,,percent of total billed charges,,,,,,,,,17877.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21294,91,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,19422,83,,percent of total billed charges,,,,,,,,,,,,,,,19422,83,,percent of total billed charges,,,22230,95,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19188,82,,percent of total billed charges,,,21060,90,,percent of total billed charges,,,19890,85,,percent of total billed charges,,17643.6,22230, ZIMMER LINER DUAL MOBILITY G7 50MM H,30184998,CDM,,,278,RC,inpatient,,9912.5,9912.5,,8415.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7474.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8425.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8723,88,,percent of total billed charges,,,,,,,,,7573.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9020.38,91,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,,,,,,,,,,,,,8227.38,83,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8128.25,82,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8425.63,85,,percent of total billed charges,,7474.03,9416.88, ZIMMER SHELL OSSEOTI G7 62MM H,30184999,CDM,,,278,RC,inpatient,,41145,41145,,34932.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31023.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34973.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36207.6,88,,percent of total billed charges,,,,,,,,,31434.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37441.95,91,,percent of total billed charges,,,39087.75,95,,percent of total billed charges,,,34150.35,83,,percent of total billed charges,,,34150.35,83,,percent of total billed charges,,,,,,,,,,,,,,,34150.35,83,,percent of total billed charges,,,39087.75,95,,percent of total billed charges,,,37030.5,90,,percent of total billed charges,,,37030.5,90,,percent of total billed charges,,,33738.9,82,,percent of total billed charges,,,37030.5,90,,percent of total billed charges,,,34973.25,85,,percent of total billed charges,,31023.33,39087.75, PEEK CAGE 12 X 9 25MM,30185000,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, PEEK CAGE 9 X 9 X 25MM,30185001,CDM,,,278,RC,inpatient,,16900,16900,,14348.1,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12742.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14365,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14872,88,,percent of total billed charges,,,,,,,,,12911.6,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15379,91,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,14027,83,,percent of total billed charges,,,,,,,,,,,,,,,14027,83,,percent of total billed charges,,,16055,95,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,13858,82,,percent of total billed charges,,,15210,90,,percent of total billed charges,,,14365,85,,percent of total billed charges,,12742.6,16055, ZIMMER TIBIA SZ D RM UNI,30185002,CDM,,,278,RC,inpatient,,13552.5,13552.5,,11506.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,10218.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11519.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11926.2,88,,percent of total billed charges,,,,,,,,,10354.11,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,12332.78,91,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,11248.58,83,,percent of total billed charges,,,,,,,,,,,,,,,11248.58,83,,percent of total billed charges,,,12874.88,95,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11113.05,82,,percent of total billed charges,,,12197.25,90,,percent of total billed charges,,,11519.63,85,,percent of total billed charges,,10218.59,12874.88, DEPUY EPI IMPLANT SZ 2,30185003,CDM,,,278,RC,inpatient,,33055.36,33055.36,,28064,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,24923.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,28097.06,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,29088.72,88,,percent of total billed charges,,,,,,,,,25254.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,30080.38,91,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,27435.95,83,,percent of total billed charges,,,,,,,,,,,,,,,27435.95,83,,percent of total billed charges,,,31402.59,95,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,27105.4,82,,percent of total billed charges,,,29749.82,90,,percent of total billed charges,,,28097.06,85,,percent of total billed charges,,24923.74,31402.59, SCREW STALIF C ABO 4.0 X 16MM,30185004,CDM,,,278,RC,inpatient,,975,975,,827.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,735.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,828.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,858,88,,percent of total billed charges,,,,,,,,,744.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,887.25,91,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,,,,,,,,,,,,,809.25,83,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,799.5,82,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,828.75,85,,percent of total billed charges,,735.15,926.25, CTL CAGE PEEK TLIF CEZANNE 11X30X8,30185005,CDM,,,278,RC,inpatient,,22750,22750,,19314.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17153.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19337.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20020,88,,percent of total billed charges,,,,,,,,,17381,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20702.5,91,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,,,,,,,,,,,,,18882.5,83,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,18655,82,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,19337.5,85,,percent of total billed charges,,17153.5,21612.5, MYOSURE REACH DEVICE,30185006,CDM,,,270,RC,inpatient,,10010,10010,,8498.49,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7547.54,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8508.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8808.8,88,,percent of total billed charges,,,,,,,,,7647.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9109.1,91,,percent of total billed charges,,,9509.5,95,,percent of total billed charges,,,8308.3,83,,percent of total billed charges,,,8308.3,83,,percent of total billed charges,,,,,,,,,,,,,,,8308.3,83,,percent of total billed charges,,,9509.5,95,,percent of total billed charges,,,9009,90,,percent of total billed charges,,,9009,90,,percent of total billed charges,,,8208.2,82,,percent of total billed charges,,,9009,90,,percent of total billed charges,,,8508.5,85,,percent of total billed charges,,7547.54,9509.5, SCREW POLYAXIAL 7.5 X 45MM,30185007,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW POLYAXIAL 4.5 X 45MM,30185008,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, SCREW POLYAXIAL 5.5 X 40MM,30185009,CDM,,,278,RC,inpatient,,8125,8125,,6898.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6126.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6906.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7150,88,,percent of total billed charges,,,,,,,,,6207.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7393.75,91,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,6743.75,83,,percent of total billed charges,,,,,,,,,,,,,,,6743.75,83,,percent of total billed charges,,,7718.75,95,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6662.5,82,,percent of total billed charges,,,7312.5,90,,percent of total billed charges,,,6906.25,85,,percent of total billed charges,,6126.25,7718.75, ARTHREX PUNCH DISP. KIT FOR CORKSREW FT,30185010,CDM,,,270,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, DURASEAL EXACT SPINE SEALANT 5ML,30185011,CDM,,,270,RC,inpatient,,8561.53,8561.53,,7268.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6455.39,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7277.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7534.15,88,,percent of total billed charges,,,,,,,,,6541.01,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7790.99,91,,percent of total billed charges,,,8133.45,95,,percent of total billed charges,,,7106.07,83,,percent of total billed charges,,,7106.07,83,,percent of total billed charges,,,,,,,,,,,,,,,7106.07,83,,percent of total billed charges,,,8133.45,95,,percent of total billed charges,,,7705.38,90,,percent of total billed charges,,,7705.38,90,,percent of total billed charges,,,7020.45,82,,percent of total billed charges,,,7705.38,90,,percent of total billed charges,,,7277.3,85,,percent of total billed charges,,6455.39,8133.45, DURASEAL EXTENDED TIP APPLICATOR 8CM,30185012,CDM,,,270,RC,inpatient,,1665.72,1665.72,,1414.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1255.95,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1415.86,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1465.83,88,,percent of total billed charges,,,,,,,,,1272.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1515.81,91,,percent of total billed charges,,,1582.43,95,,percent of total billed charges,,,1382.55,83,,percent of total billed charges,,,1382.55,83,,percent of total billed charges,,,,,,,,,,,,,,,1382.55,83,,percent of total billed charges,,,1582.43,95,,percent of total billed charges,,,1499.15,90,,percent of total billed charges,,,1499.15,90,,percent of total billed charges,,,1365.89,82,,percent of total billed charges,,,1499.15,90,,percent of total billed charges,,,1415.86,85,,percent of total billed charges,,1255.95,1582.43, DURAGEN SECURE 3X3 REGENERATION MATRIX,30185013,CDM,,,270,RC,inpatient,,5614.9,5614.9,,4767.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4233.63,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4772.67,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4941.11,88,,percent of total billed charges,,,,,,,,,4289.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5109.56,91,,percent of total billed charges,,,5334.16,95,,percent of total billed charges,,,4660.37,83,,percent of total billed charges,,,4660.37,83,,percent of total billed charges,,,,,,,,,,,,,,,4660.37,83,,percent of total billed charges,,,5334.16,95,,percent of total billed charges,,,5053.41,90,,percent of total billed charges,,,5053.41,90,,percent of total billed charges,,,4604.22,82,,percent of total billed charges,,,5053.41,90,,percent of total billed charges,,,4772.67,85,,percent of total billed charges,,4233.63,5334.16, NEUROMONITORING SERVICES - ANS,30185014,CDM,,,270,RC,inpatient,,4550,4550,,3862.95,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3430.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3867.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4004,88,,percent of total billed charges,,,,,,,,,3476.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4140.5,91,,percent of total billed charges,,,4322.5,95,,percent of total billed charges,,,3776.5,83,,percent of total billed charges,,,3776.5,83,,percent of total billed charges,,,,,,,,,,,,,,,3776.5,83,,percent of total billed charges,,,4322.5,95,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,3731,82,,percent of total billed charges,,,4095,90,,percent of total billed charges,,,3867.5,85,,percent of total billed charges,,3430.7,4322.5, ZIMMER DRILL BIT 3.2 X 30MM,30185015,CDM,,,270,RC,inpatient,,728,728,,618.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,548.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,618.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,640.64,88,,percent of total billed charges,,,,,,,,,556.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,662.48,91,,percent of total billed charges,,,691.6,95,,percent of total billed charges,,,604.24,83,,percent of total billed charges,,,604.24,83,,percent of total billed charges,,,,,,,,,,,,,,,604.24,83,,percent of total billed charges,,,691.6,95,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,596.96,82,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,618.8,85,,percent of total billed charges,,548.91,691.6, ZIMMER SHELL OSSEOTI G7 54MM F,30185016,CDM,,,278,RC,inpatient,,41145,41145,,34932.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,31023.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,34973.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,36207.6,88,,percent of total billed charges,,,,,,,,,31434.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,37441.95,91,,percent of total billed charges,,,39087.75,95,,percent of total billed charges,,,34150.35,83,,percent of total billed charges,,,34150.35,83,,percent of total billed charges,,,,,,,,,,,,,,,34150.35,83,,percent of total billed charges,,,39087.75,95,,percent of total billed charges,,,37030.5,90,,percent of total billed charges,,,37030.5,90,,percent of total billed charges,,,33738.9,82,,percent of total billed charges,,,37030.5,90,,percent of total billed charges,,,34973.25,85,,percent of total billed charges,,31023.33,39087.75, ZIMMER LINER DUAL MOBILITY G7 44MM F,30185017,CDM,,,278,RC,inpatient,,9912.5,9912.5,,8415.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7474.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8425.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8723,88,,percent of total billed charges,,,,,,,,,7573.15,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9020.38,91,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,8227.38,83,,percent of total billed charges,,,,,,,,,,,,,,,8227.38,83,,percent of total billed charges,,,9416.88,95,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8128.25,82,,percent of total billed charges,,,8921.25,90,,percent of total billed charges,,,8425.63,85,,percent of total billed charges,,7474.03,9416.88, ZIMMER BEARING HIP ACT ARTIC 28X44MM,30185018,CDM,,,278,RC,inpatient,,8775,8775,,7449.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6616.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7458.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7722,88,,percent of total billed charges,,,,,,,,,6704.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7985.25,91,,percent of total billed charges,,,8336.25,95,,percent of total billed charges,,,7283.25,83,,percent of total billed charges,,,7283.25,83,,percent of total billed charges,,,,,,,,,,,,,,,7283.25,83,,percent of total billed charges,,,8336.25,95,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7195.5,82,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7458.75,85,,percent of total billed charges,,6616.35,8336.25, S&N INSERT CONSTRAINED GENESIS 15MM SZ 5,30185019,CDM,,,278,RC,inpatient,,18018,18018,,15297.28,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,13585.57,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,15315.3,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,15855.84,88,,percent of total billed charges,,,,,,,,,13765.75,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,16396.38,91,,percent of total billed charges,,,17117.1,95,,percent of total billed charges,,,14954.94,83,,percent of total billed charges,,,14954.94,83,,percent of total billed charges,,,,,,,,,,,,,,,14954.94,83,,percent of total billed charges,,,17117.1,95,,percent of total billed charges,,,16216.2,90,,percent of total billed charges,,,16216.2,90,,percent of total billed charges,,,14774.76,82,,percent of total billed charges,,,16216.2,90,,percent of total billed charges,,,15315.3,85,,percent of total billed charges,,13585.57,17117.1, SYNTHES SCREW CORTEX S-T 2.7X24MM,30185020,CDM,,,278,RC,inpatient,,429.03,429.03,,364.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,377.55,88,,percent of total billed charges,,,,,,,,,327.78,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,390.42,91,,percent of total billed charges,,,407.58,95,,percent of total billed charges,,,356.09,83,,percent of total billed charges,,,356.09,83,,percent of total billed charges,,,,,,,,,,,,,,,356.09,83,,percent of total billed charges,,,407.58,95,,percent of total billed charges,,,386.13,90,,percent of total billed charges,,,386.13,90,,percent of total billed charges,,,351.8,82,,percent of total billed charges,,,386.13,90,,percent of total billed charges,,,364.68,85,,percent of total billed charges,,323.49,407.58, DEPUY INSERT RP 6MM SZ 8,30185022,CDM,,,278,RC,inpatient,,16738.35,16738.35,,14210.86,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,12620.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,14227.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,14729.75,88,,percent of total billed charges,,,,,,,,,12788.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,15231.9,91,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,13892.83,83,,percent of total billed charges,,,,,,,,,,,,,,,13892.83,83,,percent of total billed charges,,,15901.43,95,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,13725.45,82,,percent of total billed charges,,,15064.52,90,,percent of total billed charges,,,14227.6,85,,percent of total billed charges,,12620.72,15901.43, CTL ROD MIS 6.0 X 70MM,30185023,CDM,,,278,RC,inpatient,,2213.9,2213.9,,1879.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1669.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1881.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1948.23,88,,percent of total billed charges,,,,,,,,,1691.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2014.65,91,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1837.54,83,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1815.4,82,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1881.82,85,,percent of total billed charges,,1669.28,2103.21, ZIMMER HEAD BIOLOX 36MM + OMM,30185025,CDM,,,278,RC,inpatient,,24700,24700,,20970.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,18623.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,20995,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,21736,88,,percent of total billed charges,,,,,,,,,18870.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,22477,91,,percent of total billed charges,,,23465,95,,percent of total billed charges,,,20501,83,,percent of total billed charges,,,20501,83,,percent of total billed charges,,,,,,,,,,,,,,,20501,83,,percent of total billed charges,,,23465,95,,percent of total billed charges,,,22230,90,,percent of total billed charges,,,22230,90,,percent of total billed charges,,,20254,82,,percent of total billed charges,,,22230,90,,percent of total billed charges,,,20995,85,,percent of total billed charges,,18623.8,23465, ZIMMER LINER NUETRAL VIVACIT-E JJ 36X54,30185026,CDM,,,278,RC,inpatient,,22295,22295,,18928.46,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,16810.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,18950.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19619.6,88,,percent of total billed charges,,,,,,,,,17033.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20288.45,91,,percent of total billed charges,,,21180.25,95,,percent of total billed charges,,,18504.85,83,,percent of total billed charges,,,18504.85,83,,percent of total billed charges,,,,,,,,,,,,,,,18504.85,83,,percent of total billed charges,,,21180.25,95,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,18281.9,82,,percent of total billed charges,,,20065.5,90,,percent of total billed charges,,,18950.75,85,,percent of total billed charges,,16810.43,21180.25, SYNTHES SCREW CANCEL F-THD 4.0X20MM,30185028,CDM,,,278,RC,inpatient,,236.7,236.7,,200.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,178.47,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,201.2,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,208.3,88,,percent of total billed charges,,,,,,,,,180.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,215.4,91,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,196.46,83,,percent of total billed charges,,,,,,,,,,,,,,,196.46,83,,percent of total billed charges,,,224.87,95,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,194.09,82,,percent of total billed charges,,,213.03,90,,percent of total billed charges,,,201.2,85,,percent of total billed charges,,178.47,224.87, S&N SCREW SOFTSLK 1.5 7X20,30185029,CDM,,,270,RC,inpatient,,1265.36,1265.36,,1074.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,954.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1075.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1113.52,88,,percent of total billed charges,,,,,,,,,966.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1151.48,91,,percent of total billed charges,,,1202.09,95,,percent of total billed charges,,,1050.25,83,,percent of total billed charges,,,1050.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1050.25,83,,percent of total billed charges,,,1202.09,95,,percent of total billed charges,,,1138.82,90,,percent of total billed charges,,,1138.82,90,,percent of total billed charges,,,1037.6,82,,percent of total billed charges,,,1138.82,90,,percent of total billed charges,,,1075.56,85,,percent of total billed charges,,954.08,1202.09, S&N SCREW SOFTSLK 1.5 8X20,30185030,CDM,,,270,RC,inpatient,,1265.36,1265.36,,1074.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,954.08,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1075.56,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1113.52,88,,percent of total billed charges,,,,,,,,,966.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1151.48,91,,percent of total billed charges,,,1202.09,95,,percent of total billed charges,,,1050.25,83,,percent of total billed charges,,,1050.25,83,,percent of total billed charges,,,,,,,,,,,,,,,1050.25,83,,percent of total billed charges,,,1202.09,95,,percent of total billed charges,,,1138.82,90,,percent of total billed charges,,,1138.82,90,,percent of total billed charges,,,1037.6,82,,percent of total billed charges,,,1138.82,90,,percent of total billed charges,,,1075.56,85,,percent of total billed charges,,954.08,1202.09, ARTHREX SUTURE ANCHOR BC SL 4.75 X 22MM,30185031,CDM,,,278,RC,inpatient,,2710.5,2710.5,,2301.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2043.72,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2303.93,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2385.24,88,,percent of total billed charges,,,,,,,,,2070.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2466.56,91,,percent of total billed charges,,,2574.98,95,,percent of total billed charges,,,2249.72,83,,percent of total billed charges,,,2249.72,83,,percent of total billed charges,,,,,,,,,,,,,,,2249.72,83,,percent of total billed charges,,,2574.98,95,,percent of total billed charges,,,2439.45,90,,percent of total billed charges,,,2439.45,90,,percent of total billed charges,,,2222.61,82,,percent of total billed charges,,,2439.45,90,,percent of total billed charges,,,2303.93,85,,percent of total billed charges,,2043.72,2574.98, ARTHREX FLIPCUTTER II 10MM,30185032,CDM,,,278,RC,inpatient,,2112.5,2112.5,,1793.51,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1592.83,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1795.63,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1859,88,,percent of total billed charges,,,,,,,,,1613.95,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1922.38,91,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,1753.38,83,,percent of total billed charges,,,,,,,,,,,,,,,1753.38,83,,percent of total billed charges,,,2006.88,95,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1732.25,82,,percent of total billed charges,,,1901.25,90,,percent of total billed charges,,,1795.63,85,,percent of total billed charges,,1592.83,2006.88, FORTEC HOLMIUM LASER HIGH WATTAGE,30185033,CDM,,,270,RC,inpatient,,5070,5070,,4304.43,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3822.78,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4309.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4461.6,88,,percent of total billed charges,,,,,,,,,3873.48,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4613.7,91,,percent of total billed charges,,,4816.5,95,,percent of total billed charges,,,4208.1,83,,percent of total billed charges,,,4208.1,83,,percent of total billed charges,,,,,,,,,,,,,,,4208.1,83,,percent of total billed charges,,,4816.5,95,,percent of total billed charges,,,4563,90,,percent of total billed charges,,,4563,90,,percent of total billed charges,,,4157.4,82,,percent of total billed charges,,,4563,90,,percent of total billed charges,,,4309.5,85,,percent of total billed charges,,3822.78,4816.5, FORTEC HOLMIUM FIBER 365,30185034,CDM,,,270,RC,inpatient,,1482,1482,,1258.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1117.43,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1259.7,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1304.16,88,,percent of total billed charges,,,,,,,,,1132.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1348.62,91,,percent of total billed charges,,,1407.9,95,,percent of total billed charges,,,1230.06,83,,percent of total billed charges,,,1230.06,83,,percent of total billed charges,,,,,,,,,,,,,,,1230.06,83,,percent of total billed charges,,,1407.9,95,,percent of total billed charges,,,1333.8,90,,percent of total billed charges,,,1333.8,90,,percent of total billed charges,,,1215.24,82,,percent of total billed charges,,,1333.8,90,,percent of total billed charges,,,1259.7,85,,percent of total billed charges,,1117.43,1407.9, S&N PLATE PRIM RIGHT MTP VLP 2.7MM,30185035,CDM,,,278,RC,inpatient,,8775,8775,,7449.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6616.35,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7458.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7722,88,,percent of total billed charges,,,,,,,,,6704.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7985.25,91,,percent of total billed charges,,,8336.25,95,,percent of total billed charges,,,7283.25,83,,percent of total billed charges,,,7283.25,83,,percent of total billed charges,,,,,,,,,,,,,,,7283.25,83,,percent of total billed charges,,,8336.25,95,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7195.5,82,,percent of total billed charges,,,7897.5,90,,percent of total billed charges,,,7458.75,85,,percent of total billed charges,,6616.35,8336.25, S&N K-WIRE 1.1MM X 150MM,30185036,CDM,,,278,RC,inpatient,,728,728,,618.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,548.91,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,618.8,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,640.64,88,,percent of total billed charges,,,,,,,,,556.19,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,662.48,91,,percent of total billed charges,,,691.6,95,,percent of total billed charges,,,604.24,83,,percent of total billed charges,,,604.24,83,,percent of total billed charges,,,,,,,,,,,,,,,604.24,83,,percent of total billed charges,,,691.6,95,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,596.96,82,,percent of total billed charges,,,655.2,90,,percent of total billed charges,,,618.8,85,,percent of total billed charges,,548.91,691.6, S&N KWIRE 1.6MM X 150MM,30185037,CDM,,,278,RC,inpatient,,562.45,562.45,,477.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,424.09,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,478.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,494.96,88,,percent of total billed charges,,,,,,,,,429.71,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,511.83,91,,percent of total billed charges,,,534.33,95,,percent of total billed charges,,,466.83,83,,percent of total billed charges,,,466.83,83,,percent of total billed charges,,,,,,,,,,,,,,,466.83,83,,percent of total billed charges,,,534.33,95,,percent of total billed charges,,,506.21,90,,percent of total billed charges,,,506.21,90,,percent of total billed charges,,,461.21,82,,percent of total billed charges,,,506.21,90,,percent of total billed charges,,,478.08,85,,percent of total billed charges,,424.09,534.33, S&N DRILL 2.0MM X 130MM,30185038,CDM,,,278,RC,inpatient,,968.5,968.5,,822.26,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,730.25,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,823.23,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,852.28,88,,percent of total billed charges,,,,,,,,,739.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,881.34,91,,percent of total billed charges,,,920.08,95,,percent of total billed charges,,,803.86,83,,percent of total billed charges,,,803.86,83,,percent of total billed charges,,,,,,,,,,,,,,,803.86,83,,percent of total billed charges,,,920.08,95,,percent of total billed charges,,,871.65,90,,percent of total billed charges,,,871.65,90,,percent of total billed charges,,,794.17,82,,percent of total billed charges,,,871.65,90,,percent of total billed charges,,,823.23,85,,percent of total billed charges,,730.25,920.08, S&N SCREW CORTEX 2.7MM S-T 14MM,30185039,CDM,,,278,RC,inpatient,,233.1,233.1,,197.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,175.76,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,198.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,205.13,88,,percent of total billed charges,,,,,,,,,178.09,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,212.12,91,,percent of total billed charges,,,221.45,95,,percent of total billed charges,,,193.47,83,,percent of total billed charges,,,193.47,83,,percent of total billed charges,,,,,,,,,,,,,,,193.47,83,,percent of total billed charges,,,221.45,95,,percent of total billed charges,,,209.79,90,,percent of total billed charges,,,209.79,90,,percent of total billed charges,,,191.14,82,,percent of total billed charges,,,209.79,90,,percent of total billed charges,,,198.14,85,,percent of total billed charges,,175.76,221.45, S&N SCREW CORTEXST VLP 2.7 X 12MM,30185040,CDM,,,278,RC,inpatient,,1417,1417,,1203.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1068.42,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1204.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1246.96,88,,percent of total billed charges,,,,,,,,,1082.59,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1289.47,91,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,1176.11,83,,percent of total billed charges,,,,,,,,,,,,,,,1176.11,83,,percent of total billed charges,,,1346.15,95,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1161.94,82,,percent of total billed charges,,,1275.3,90,,percent of total billed charges,,,1204.45,85,,percent of total billed charges,,1068.42,1346.15, S&N SCREW CANNULATED 3.0 X 30MM,30185041,CDM,,,278,RC,inpatient,,2333.5,2333.5,,1981.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1759.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1983.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2053.48,88,,percent of total billed charges,,,,,,,,,1782.79,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2123.49,91,,percent of total billed charges,,,2216.83,95,,percent of total billed charges,,,1936.81,83,,percent of total billed charges,,,1936.81,83,,percent of total billed charges,,,,,,,,,,,,,,,1936.81,83,,percent of total billed charges,,,2216.83,95,,percent of total billed charges,,,2100.15,90,,percent of total billed charges,,,2100.15,90,,percent of total billed charges,,,1913.47,82,,percent of total billed charges,,,2100.15,90,,percent of total billed charges,,,1983.48,85,,percent of total billed charges,,1759.46,2216.83, DEPUY LINER ALTRX 32X52 +4,30185042,CDM,,,278,RC,inpatient,,11494.99,11494.99,,9759.25,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8667.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9770.74,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10115.59,88,,percent of total billed charges,,,,,,,,,8782.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10460.44,91,,percent of total billed charges,,,10920.24,95,,percent of total billed charges,,,9540.84,83,,percent of total billed charges,,,9540.84,83,,percent of total billed charges,,,,,,,,,,,,,,,9540.84,83,,percent of total billed charges,,,10920.24,95,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,9425.89,82,,percent of total billed charges,,,10345.49,90,,percent of total billed charges,,,9770.74,85,,percent of total billed charges,,8667.22,10920.24, ZIMMER SHELL OSSEOTI G7 54MM F 4 HOLE,30185043,CDM,,,278,RC,inpatient,,19337.5,19337.5,,16417.54,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14580.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16436.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,17017,88,,percent of total billed charges,,,,,,,,,14773.85,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17597.13,91,,percent of total billed charges,,,18370.63,95,,percent of total billed charges,,,16050.13,83,,percent of total billed charges,,,16050.13,83,,percent of total billed charges,,,,,,,,,,,,,,,16050.13,83,,percent of total billed charges,,,18370.63,95,,percent of total billed charges,,,17403.75,90,,percent of total billed charges,,,17403.75,90,,percent of total billed charges,,,15856.75,82,,percent of total billed charges,,,17403.75,90,,percent of total billed charges,,,16436.88,85,,percent of total billed charges,,14580.48,18370.63, ZIMMER DRILL BIT 3.2 X 50MM RNGLC + ACET,30185044,CDM,,,278,RC,inpatient,,1040,1040,,882.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,784.16,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,884,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,915.2,88,,percent of total billed charges,,,,,,,,,794.56,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,946.4,91,,percent of total billed charges,,,988,95,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,863.2,83,,percent of total billed charges,,,,,,,,,,,,,,,863.2,83,,percent of total billed charges,,,988,95,,percent of total billed charges,,,936,90,,percent of total billed charges,,,936,90,,percent of total billed charges,,,852.8,82,,percent of total billed charges,,,936,90,,percent of total billed charges,,,884,85,,percent of total billed charges,,784.16,988, ZIMMER SCREW BONE ST 6.5 X 25MM,30185045,CDM,,,278,RC,inpatient,,525,525,,445.73,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,395.85,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,446.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,462,88,,percent of total billed charges,,,,,,,,,401.1,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,477.75,91,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,435.75,83,,percent of total billed charges,,,,,,,,,,,,,,,435.75,83,,percent of total billed charges,,,498.75,95,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,430.5,82,,percent of total billed charges,,,472.5,90,,percent of total billed charges,,,446.25,85,,percent of total billed charges,,395.85,498.75, SYNTHES PLATE LOCKING PROX. LAT. 3.5MM 6,30185046,CDM,,,278,RC,inpatient,,14724.13,14724.13,,12500.79,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,11101.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,12515.51,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,12957.23,88,,percent of total billed charges,,,,,,,,,11249.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,13398.96,91,,percent of total billed charges,,,13987.92,95,,percent of total billed charges,,,12221.03,83,,percent of total billed charges,,,12221.03,83,,percent of total billed charges,,,,,,,,,,,,,,,12221.03,83,,percent of total billed charges,,,13987.92,95,,percent of total billed charges,,,13251.72,90,,percent of total billed charges,,,13251.72,90,,percent of total billed charges,,,12073.79,82,,percent of total billed charges,,,13251.72,90,,percent of total billed charges,,,12515.51,85,,percent of total billed charges,,11101.99,13987.92, ARTHREX IMPLANT SYS. SPEED BRIDGE BC 4.7,30185047,CDM,,,278,RC,inpatient,,11310,11310,,9602.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8527.74,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9613.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9952.8,88,,percent of total billed charges,,,,,,,,,8640.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10292.1,91,,percent of total billed charges,,,10744.5,95,,percent of total billed charges,,,9387.3,83,,percent of total billed charges,,,9387.3,83,,percent of total billed charges,,,,,,,,,,,,,,,9387.3,83,,percent of total billed charges,,,10744.5,95,,percent of total billed charges,,,10179,90,,percent of total billed charges,,,10179,90,,percent of total billed charges,,,9274.2,82,,percent of total billed charges,,,10179,90,,percent of total billed charges,,,9613.5,85,,percent of total billed charges,,8527.74,10744.5, ARTHREX CANNULA TRIPLE DAM 8.25 X 7MM,30185048,CDM,,,278,RC,inpatient,,240,240,,203.76,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,180.96,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,204,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,211.2,88,,percent of total billed charges,,,,,,,,,183.36,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,218.4,91,,percent of total billed charges,,,228,95,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,199.2,83,,percent of total billed charges,,,,,,,,,,,,,,,199.2,83,,percent of total billed charges,,,228,95,,percent of total billed charges,,,216,90,,percent of total billed charges,,,216,90,,percent of total billed charges,,,196.8,82,,percent of total billed charges,,,216,90,,percent of total billed charges,,,204,85,,percent of total billed charges,,180.96,228, WRIGHT AUGMENT BONE GRAFT 3CC KIT,30185049,CDM,,,278,RC,inpatient,,22717.5,22717.5,,19287.16,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17129,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19309.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19991.4,88,,percent of total billed charges,,,,,,,,,17356.17,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20672.93,91,,percent of total billed charges,,,21581.63,95,,percent of total billed charges,,,18855.53,83,,percent of total billed charges,,,18855.53,83,,percent of total billed charges,,,,,,,,,,,,,,,18855.53,83,,percent of total billed charges,,,21581.63,95,,percent of total billed charges,,,20445.75,90,,percent of total billed charges,,,20445.75,90,,percent of total billed charges,,,18628.35,82,,percent of total billed charges,,,20445.75,90,,percent of total billed charges,,,19309.88,85,,percent of total billed charges,,17129,21581.63, ARTHREX G-WIRE W/TRCR TIP .086MM,30185050,CDM,,,278,RC,inpatient,,176,176,,149.42,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,132.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,149.6,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,154.88,88,,percent of total billed charges,,,,,,,,,134.46,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,160.16,91,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,146.08,83,,percent of total billed charges,,,,,,,,,,,,,,,146.08,83,,percent of total billed charges,,,167.2,95,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,144.32,82,,percent of total billed charges,,,158.4,90,,percent of total billed charges,,,149.6,85,,percent of total billed charges,,132.7,167.2, ARTHREX DRILL BIT 2.0MM CMP FT CALIBRATE,30185051,CDM,,,278,RC,inpatient,,1267.5,1267.5,,1076.11,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,955.7,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1077.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1115.4,88,,percent of total billed charges,,,,,,,,,968.37,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1153.43,91,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,1052.03,83,,percent of total billed charges,,,,,,,,,,,,,,,1052.03,83,,percent of total billed charges,,,1204.13,95,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1039.35,82,,percent of total billed charges,,,1140.75,90,,percent of total billed charges,,,1077.38,85,,percent of total billed charges,,955.7,1204.13, ARTHREX DRILL PROFILE CANNULATED,30185052,CDM,,,278,RC,inpatient,,975,975,,827.78,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,735.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,828.75,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,858,88,,percent of total billed charges,,,,,,,,,744.9,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,887.25,91,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,809.25,83,,percent of total billed charges,,,,,,,,,,,,,,,809.25,83,,percent of total billed charges,,,926.25,95,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,799.5,82,,percent of total billed charges,,,877.5,90,,percent of total billed charges,,,828.75,85,,percent of total billed charges,,735.15,926.25, ARTHREX G-WIRE 0.86MM W/LASER LINE SS,30185053,CDM,,,270,RC,inpatient,,120,120,,101.88,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,90.48,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,102,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,105.6,88,,percent of total billed charges,,,,,,,,,91.68,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,109.2,91,,percent of total billed charges,,,114,95,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,99.6,83,,percent of total billed charges,,,,,,,,,,,,,,,99.6,83,,percent of total billed charges,,,114,95,,percent of total billed charges,,,108,90,,percent of total billed charges,,,108,90,,percent of total billed charges,,,98.4,82,,percent of total billed charges,,,108,90,,percent of total billed charges,,,102,85,,percent of total billed charges,,90.48,114, ARTHREX DRILL BIT 1.7MM CANNULATED,30185054,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX G-WIRE 0.86MM W/LASER LINE THRE,30185055,CDM,,,270,RC,inpatient,,160,160,,135.84,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,120.64,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,136,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,140.8,88,,percent of total billed charges,,,,,,,,,122.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,145.6,91,,percent of total billed charges,,,152,95,,percent of total billed charges,,,132.8,83,,percent of total billed charges,,,132.8,83,,percent of total billed charges,,,,,,,,,,,,,,,132.8,83,,percent of total billed charges,,,152,95,,percent of total billed charges,,,144,90,,percent of total billed charges,,,144,90,,percent of total billed charges,,,131.2,82,,percent of total billed charges,,,144,90,,percent of total billed charges,,,136,85,,percent of total billed charges,,120.64,152, ARTHREX COUNTERSINK 2.0/2.4MM CANNULATED,30185056,CDM,,,278,RC,inpatient,,1137.5,1137.5,,965.74,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,857.68,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,966.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1001,88,,percent of total billed charges,,,,,,,,,869.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1035.13,91,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,944.13,83,,percent of total billed charges,,,,,,,,,,,,,,,944.13,83,,percent of total billed charges,,,1080.63,95,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,932.75,82,,percent of total billed charges,,,1023.75,90,,percent of total billed charges,,,966.88,85,,percent of total billed charges,,857.68,1080.63, ARTHREX SCREW QUICKFIX TI CANN 2.0 X 8MM,30185057,CDM,,,278,RC,inpatient,,910,910,,772.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,686.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,773.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,800.8,88,,percent of total billed charges,,,,,,,,,695.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,828.1,91,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,,,,,,,,,,,,,755.3,83,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,819,90,,percent of total billed charges,,,819,90,,percent of total billed charges,,,746.2,82,,percent of total billed charges,,,819,90,,percent of total billed charges,,,773.5,85,,percent of total billed charges,,686.14,864.5, ARTHREX SCREW MICRO 2.5 10MM COMPR FT,30185058,CDM,,,278,RC,inpatient,,1917.5,1917.5,,1627.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1445.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1629.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1687.4,88,,percent of total billed charges,,,,,,,,,1464.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1744.93,91,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,,,,,,,,,,,,,1591.53,83,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1572.35,82,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1629.88,85,,percent of total billed charges,,1445.8,1821.63, ARTHREX SCREW MICRO 2.5 8MM COMPR FT,30185059,CDM,,,278,RC,inpatient,,1917.5,1917.5,,1627.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1445.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1629.88,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1687.4,88,,percent of total billed charges,,,,,,,,,1464.97,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1744.93,91,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,1591.53,83,,percent of total billed charges,,,,,,,,,,,,,,,1591.53,83,,percent of total billed charges,,,1821.63,95,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1572.35,82,,percent of total billed charges,,,1725.75,90,,percent of total billed charges,,,1629.88,85,,percent of total billed charges,,1445.8,1821.63, ROD LORDOSES 6.0 X 40MM,30185060,CDM,,,278,RC,inpatient,,1950,1950,,1655.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1470.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1657.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1716,88,,percent of total billed charges,,,,,,,,,1489.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1774.5,91,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,1618.5,83,,percent of total billed charges,,,,,,,,,,,,,,,1618.5,83,,percent of total billed charges,,,1852.5,95,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1599,82,,percent of total billed charges,,,1755,90,,percent of total billed charges,,,1657.5,85,,percent of total billed charges,,1470.3,1852.5, SYNTHES SCREW LOCKING S-T 3.5 X 26MM,30185061,CDM,,,278,RC,inpatient,,1254.37,1254.37,,1064.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,945.79,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1066.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1103.85,88,,percent of total billed charges,,,,,,,,,958.34,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1141.48,91,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,1041.13,83,,percent of total billed charges,,,,,,,,,,,,,,,1041.13,83,,percent of total billed charges,,,1191.65,95,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1028.58,82,,percent of total billed charges,,,1128.93,90,,percent of total billed charges,,,1066.21,85,,percent of total billed charges,,945.79,1191.65, MICROPORT LINER CLASS A 40MM F,30185062,CDM,,,278,RC,inpatient,,20598.5,20598.5,,17488.13,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,15531.27,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,17508.73,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,18126.68,88,,percent of total billed charges,,,,,,,,,15737.25,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,18744.64,91,,percent of total billed charges,,,19568.58,95,,percent of total billed charges,,,17096.76,83,,percent of total billed charges,,,17096.76,83,,percent of total billed charges,,,,,,,,,,,,,,,17096.76,83,,percent of total billed charges,,,19568.58,95,,percent of total billed charges,,,18538.65,90,,percent of total billed charges,,,18538.65,90,,percent of total billed charges,,,16890.77,82,,percent of total billed charges,,,18538.65,90,,percent of total billed charges,,,17508.73,85,,percent of total billed charges,,15531.27,19568.58, MICROPORT HEAD FEMORAL BCH 40MM,30185063,CDM,,,278,RC,inpatient,,39065,39065,,33166.19,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,29455.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,33205.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,34377.2,88,,percent of total billed charges,,,,,,,,,29845.66,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,35549.15,91,,percent of total billed charges,,,37111.75,95,,percent of total billed charges,,,32423.95,83,,percent of total billed charges,,,32423.95,83,,percent of total billed charges,,,,,,,,,,,,,,,32423.95,83,,percent of total billed charges,,,37111.75,95,,percent of total billed charges,,,35158.5,90,,percent of total billed charges,,,35158.5,90,,percent of total billed charges,,,32033.3,82,,percent of total billed charges,,,35158.5,90,,percent of total billed charges,,,33205.25,85,,percent of total billed charges,,29455.01,37111.75, MICROPORT NECK SHORT SLT 12/14,30185064,CDM,,,278,RC,inpatient,,28964,28964,,24590.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,21838.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,24619.4,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,25488.32,88,,percent of total billed charges,,,,,,,,,22128.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,26357.24,91,,percent of total billed charges,,,27515.8,95,,percent of total billed charges,,,24040.12,83,,percent of total billed charges,,,24040.12,83,,percent of total billed charges,,,,,,,,,,,,,,,24040.12,83,,percent of total billed charges,,,27515.8,95,,percent of total billed charges,,,26067.6,90,,percent of total billed charges,,,26067.6,90,,percent of total billed charges,,,23750.48,82,,percent of total billed charges,,,26067.6,90,,percent of total billed charges,,,24619.4,85,,percent of total billed charges,,21838.86,27515.8, MICROPORT NECK SLEEVE CONSERVE X-LONG,30185065,CDM,,,278,RC,inpatient,,8177,8177,,6942.27,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6165.46,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6950.45,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7195.76,88,,percent of total billed charges,,,,,,,,,6247.23,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7441.07,91,,percent of total billed charges,,,7768.15,95,,percent of total billed charges,,,6786.91,83,,percent of total billed charges,,,6786.91,83,,percent of total billed charges,,,,,,,,,,,,,,,6786.91,83,,percent of total billed charges,,,7768.15,95,,percent of total billed charges,,,7359.3,90,,percent of total billed charges,,,7359.3,90,,percent of total billed charges,,,6705.14,82,,percent of total billed charges,,,7359.3,90,,percent of total billed charges,,,6950.45,85,,percent of total billed charges,,6165.46,7768.15, FORTEC HOLMIUM FIBER 550,30185066,CDM,,,270,RC,inpatient,,1560,1560,,1324.44,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1176.24,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1326,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1372.8,88,,percent of total billed charges,,,,,,,,,1191.84,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1419.6,91,,percent of total billed charges,,,1482,95,,percent of total billed charges,,,1294.8,83,,percent of total billed charges,,,1294.8,83,,percent of total billed charges,,,,,,,,,,,,,,,1294.8,83,,percent of total billed charges,,,1482,95,,percent of total billed charges,,,1404,90,,percent of total billed charges,,,1404,90,,percent of total billed charges,,,1279.2,82,,percent of total billed charges,,,1404,90,,percent of total billed charges,,,1326,85,,percent of total billed charges,,1176.24,1482, CTL CAGE PEEK TLIF CEZANNE 9X30X11,30185067,CDM,,,278,RC,inpatient,,22750,22750,,19314.75,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17153.5,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19337.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20020,88,,percent of total billed charges,,,,,,,,,17381,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20702.5,91,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,18882.5,83,,percent of total billed charges,,,,,,,,,,,,,,,18882.5,83,,percent of total billed charges,,,21612.5,95,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,18655,82,,percent of total billed charges,,,20475,90,,percent of total billed charges,,,19337.5,85,,percent of total billed charges,,17153.5,21612.5, CTL SCREW PICASSO MIS 5.5X40,30185068,CDM,,,278,RC,inpatient,,11137.1,11137.1,,9455.4,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8397.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9466.54,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9800.65,88,,percent of total billed charges,,,,,,,,,8508.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10134.76,91,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,9243.79,83,,percent of total billed charges,,,,,,,,,,,,,,,9243.79,83,,percent of total billed charges,,,10580.25,95,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9132.42,82,,percent of total billed charges,,,10023.39,90,,percent of total billed charges,,,9466.54,85,,percent of total billed charges,,8397.37,10580.25, CTL ROD MIS 90MM,30185069,CDM,,,278,RC,inpatient,,2210,2210,,1876.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1666.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1878.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1944.8,88,,percent of total billed charges,,,,,,,,,1688.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2011.1,91,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1834.3,83,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1812.2,82,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1878.5,85,,percent of total billed charges,,1666.34,2099.5, SYNTHES DRILL BIT 1.5MM 110MM,30185070,CDM,,,278,RC,inpatient,,772.17,772.17,,655.57,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,582.22,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,656.34,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,679.51,88,,percent of total billed charges,,,,,,,,,589.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,702.67,91,,percent of total billed charges,,,733.56,95,,percent of total billed charges,,,640.9,83,,percent of total billed charges,,,640.9,83,,percent of total billed charges,,,,,,,,,,,,,,,640.9,83,,percent of total billed charges,,,733.56,95,,percent of total billed charges,,,694.95,90,,percent of total billed charges,,,694.95,90,,percent of total billed charges,,,633.18,82,,percent of total billed charges,,,694.95,90,,percent of total billed charges,,,656.34,85,,percent of total billed charges,,582.22,733.56, SYNTHES DRILL BIT 2.7MM 125MM,30185071,CDM,,,278,RC,inpatient,,844.9,844.9,,717.32,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,637.05,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,718.17,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,743.51,88,,percent of total billed charges,,,,,,,,,645.5,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,768.86,91,,percent of total billed charges,,,802.66,95,,percent of total billed charges,,,701.27,83,,percent of total billed charges,,,701.27,83,,percent of total billed charges,,,,,,,,,,,,,,,701.27,83,,percent of total billed charges,,,802.66,95,,percent of total billed charges,,,760.41,90,,percent of total billed charges,,,760.41,90,,percent of total billed charges,,,692.82,82,,percent of total billed charges,,,760.41,90,,percent of total billed charges,,,718.17,85,,percent of total billed charges,,637.05,802.66, MENISCAL GUN,30185074,CDM,,,270,RC,inpatient,,1865.5,1865.5,,1583.81,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1406.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1585.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1641.64,88,,percent of total billed charges,,,,,,,,,1425.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1697.61,91,,percent of total billed charges,,,1772.23,95,,percent of total billed charges,,,1548.37,83,,percent of total billed charges,,,1548.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1548.37,83,,percent of total billed charges,,,1772.23,95,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1529.71,82,,percent of total billed charges,,,1678.95,90,,percent of total billed charges,,,1585.68,85,,percent of total billed charges,,1406.59,1772.23, CTL ROD MIS 95MM,30185075,CDM,,,278,RC,inpatient,,2213.9,2213.9,,1879.6,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1669.28,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1881.82,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1948.23,88,,percent of total billed charges,,,,,,,,,1691.42,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2014.65,91,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,1837.54,83,,percent of total billed charges,,,,,,,,,,,,,,,1837.54,83,,percent of total billed charges,,,2103.21,95,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1815.4,82,,percent of total billed charges,,,1992.51,90,,percent of total billed charges,,,1881.82,85,,percent of total billed charges,,1669.28,2103.21, SYNTHES SCREW CORTEX 3.5X20MM,30185076,CDM,,,278,RC,inpatient,,275.78,275.78,,234.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,207.94,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,234.41,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,242.69,88,,percent of total billed charges,,,,,,,,,210.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,250.96,91,,percent of total billed charges,,,261.99,95,,percent of total billed charges,,,228.9,83,,percent of total billed charges,,,228.9,83,,percent of total billed charges,,,,,,,,,,,,,,,228.9,83,,percent of total billed charges,,,261.99,95,,percent of total billed charges,,,248.2,90,,percent of total billed charges,,,248.2,90,,percent of total billed charges,,,226.14,82,,percent of total billed charges,,,248.2,90,,percent of total billed charges,,,234.41,85,,percent of total billed charges,,207.94,261.99, SPINECRAFT BOLT ILLIAC 7.75 X 70MM,30185077,CDM,,,278,RC,inpatient,,9425,9425,,8001.83,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7106.45,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8011.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8294,88,,percent of total billed charges,,,,,,,,,7200.7,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8576.75,91,,percent of total billed charges,,,8953.75,95,,percent of total billed charges,,,7822.75,83,,percent of total billed charges,,,7822.75,83,,percent of total billed charges,,,,,,,,,,,,,,,7822.75,83,,percent of total billed charges,,,8953.75,95,,percent of total billed charges,,,8482.5,90,,percent of total billed charges,,,8482.5,90,,percent of total billed charges,,,7728.5,82,,percent of total billed charges,,,8482.5,90,,percent of total billed charges,,,8011.25,85,,percent of total billed charges,,7106.45,8953.75, SPINECRAFT CONNECTOR ILLIAC 26MM,30185078,CDM,,,278,RC,inpatient,,5850,5850,,4966.65,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,4410.9,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,4972.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,5148,88,,percent of total billed charges,,,,,,,,,4469.4,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,5323.5,91,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,4855.5,83,,percent of total billed charges,,,,,,,,,,,,,,,4855.5,83,,percent of total billed charges,,,5557.5,95,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4797,82,,percent of total billed charges,,,5265,90,,percent of total billed charges,,,4972.5,85,,percent of total billed charges,,4410.9,5557.5, SPINECRAFT SCREW SET LARGE,30185079,CDM,,,278,RC,inpatient,,700,700,,594.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,527.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,595,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,616,88,,percent of total billed charges,,,,,,,,,534.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,637,91,,percent of total billed charges,,,665,95,,percent of total billed charges,,,581,83,,percent of total billed charges,,,581,83,,percent of total billed charges,,,,,,,,,,,,,,,581,83,,percent of total billed charges,,,665,95,,percent of total billed charges,,,630,90,,percent of total billed charges,,,630,90,,percent of total billed charges,,,574,82,,percent of total billed charges,,,630,90,,percent of total billed charges,,,595,85,,percent of total billed charges,,527.8,665, SPINECRAFT SCREW SET REGULAR,30185080,CDM,,,278,RC,inpatient,,700,700,,594.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,527.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,595,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,616,88,,percent of total billed charges,,,,,,,,,534.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,637,91,,percent of total billed charges,,,665,95,,percent of total billed charges,,,581,83,,percent of total billed charges,,,581,83,,percent of total billed charges,,,,,,,,,,,,,,,581,83,,percent of total billed charges,,,665,95,,percent of total billed charges,,,630,90,,percent of total billed charges,,,630,90,,percent of total billed charges,,,574,82,,percent of total billed charges,,,630,90,,percent of total billed charges,,,595,85,,percent of total billed charges,,527.8,665, S&N COUPLER OFFSET 6MM,30185081,CDM,,,278,RC,inpatient,,13168.48,13168.48,,11180.04,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9929.03,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11193.21,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11588.26,88,,percent of total billed charges,,,,,,,,,10060.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11983.32,91,,percent of total billed charges,,,12510.06,95,,percent of total billed charges,,,10929.84,83,,percent of total billed charges,,,10929.84,83,,percent of total billed charges,,,,,,,,,,,,,,,10929.84,83,,percent of total billed charges,,,12510.06,95,,percent of total billed charges,,,11851.63,90,,percent of total billed charges,,,11851.63,90,,percent of total billed charges,,,10798.15,82,,percent of total billed charges,,,11851.63,90,,percent of total billed charges,,,11193.21,85,,percent of total billed charges,,9929.03,12510.06, S&N WEDGES DIGITAL 10MM SZ 5,30185082,CDM,,,278,RC,inpatient,,10647,10647,,9039.3,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8027.84,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9049.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9369.36,88,,percent of total billed charges,,,,,,,,,8134.31,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9688.77,91,,percent of total billed charges,,,10114.65,95,,percent of total billed charges,,,8837.01,83,,percent of total billed charges,,,8837.01,83,,percent of total billed charges,,,,,,,,,,,,,,,8837.01,83,,percent of total billed charges,,,10114.65,95,,percent of total billed charges,,,9582.3,90,,percent of total billed charges,,,9582.3,90,,percent of total billed charges,,,8730.54,82,,percent of total billed charges,,,9582.3,90,,percent of total billed charges,,,9049.95,85,,percent of total billed charges,,8027.84,10114.65, S&N STEM PRESSFIT 20 X 120MM,30185083,CDM,,,278,RC,inpatient,,10483.2,10483.2,,8900.24,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7904.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8910.72,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9225.22,88,,percent of total billed charges,,,,,,,,,8009.16,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9539.71,91,,percent of total billed charges,,,9959.04,95,,percent of total billed charges,,,8701.06,83,,percent of total billed charges,,,8701.06,83,,percent of total billed charges,,,,,,,,,,,,,,,8701.06,83,,percent of total billed charges,,,9959.04,95,,percent of total billed charges,,,9434.88,90,,percent of total billed charges,,,9434.88,90,,percent of total billed charges,,,8596.22,82,,percent of total billed charges,,,9434.88,90,,percent of total billed charges,,,8910.72,85,,percent of total billed charges,,7904.33,9959.04, S&N PLATE BASE REVISION SZ 4 LT,30185084,CDM,,,278,RC,inpatient,,22645.35,22645.35,,19225.9,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17074.59,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19248.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,19927.91,88,,percent of total billed charges,,,,,,,,,17301.05,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,20607.27,91,,percent of total billed charges,,,21513.08,95,,percent of total billed charges,,,18795.64,83,,percent of total billed charges,,,18795.64,83,,percent of total billed charges,,,,,,,,,,,,,,,18795.64,83,,percent of total billed charges,,,21513.08,95,,percent of total billed charges,,,20380.82,90,,percent of total billed charges,,,20380.82,90,,percent of total billed charges,,,18569.19,82,,percent of total billed charges,,,20380.82,90,,percent of total billed charges,,,19248.55,85,,percent of total billed charges,,17074.59,21513.08, S&N WEDGE TIB. MEDIAL LT 5MM SZ 3/4,30185085,CDM,,,278,RC,inpatient,,12018.83,12018.83,,10203.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9062.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10216.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10576.57,88,,percent of total billed charges,,,,,,,,,9182.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10937.14,91,,percent of total billed charges,,,11417.89,95,,percent of total billed charges,,,9975.63,83,,percent of total billed charges,,,9975.63,83,,percent of total billed charges,,,,,,,,,,,,,,,9975.63,83,,percent of total billed charges,,,11417.89,95,,percent of total billed charges,,,10816.95,90,,percent of total billed charges,,,10816.95,90,,percent of total billed charges,,,9855.44,82,,percent of total billed charges,,,10816.95,90,,percent of total billed charges,,,10216.01,85,,percent of total billed charges,,9062.2,11417.89, S&N WEDGE TIB. LATERAL LT 5MM SZ 3/4,30185086,CDM,,,278,RC,inpatient,,12018.83,12018.83,,10203.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9062.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,10216.01,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,10576.57,88,,percent of total billed charges,,,,,,,,,9182.39,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,10937.14,91,,percent of total billed charges,,,11417.89,95,,percent of total billed charges,,,9975.63,83,,percent of total billed charges,,,9975.63,83,,percent of total billed charges,,,,,,,,,,,,,,,9975.63,83,,percent of total billed charges,,,11417.89,95,,percent of total billed charges,,,10816.95,90,,percent of total billed charges,,,10816.95,90,,percent of total billed charges,,,9855.44,82,,percent of total billed charges,,,10816.95,90,,percent of total billed charges,,,10216.01,85,,percent of total billed charges,,9062.2,11417.89, S&N STEM PRESSFIT 16MM X 160MM,30185087,CDM,,,278,RC,inpatient,,10776.35,10776.35,,9149.12,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,8125.37,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,9159.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,9483.19,88,,percent of total billed charges,,,,,,,,,8233.13,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,9806.48,91,,percent of total billed charges,,,10237.53,95,,percent of total billed charges,,,8944.37,83,,percent of total billed charges,,,8944.37,83,,percent of total billed charges,,,,,,,,,,,,,,,8944.37,83,,percent of total billed charges,,,10237.53,95,,percent of total billed charges,,,9698.72,90,,percent of total billed charges,,,9698.72,90,,percent of total billed charges,,,8836.61,82,,percent of total billed charges,,,9698.72,90,,percent of total billed charges,,,9159.9,85,,percent of total billed charges,,8125.37,10237.53, S&N INSERT CONSTRAINED 11MM SZ 3/4,30185088,CDM,,,278,RC,inpatient,,23176.47,23176.47,,19676.82,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,17475.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,19700,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,20395.29,88,,percent of total billed charges,,,,,,,,,17706.82,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,21090.59,91,,percent of total billed charges,,,22017.65,95,,percent of total billed charges,,,19236.47,83,,percent of total billed charges,,,19236.47,83,,percent of total billed charges,,,,,,,,,,,,,,,19236.47,83,,percent of total billed charges,,,22017.65,95,,percent of total billed charges,,,20858.82,90,,percent of total billed charges,,,20858.82,90,,percent of total billed charges,,,19004.71,82,,percent of total billed charges,,,20858.82,90,,percent of total billed charges,,,19700,85,,percent of total billed charges,,17475.06,22017.65, S&N PINS HEADLESS 65MM,30185089,CDM,,,278,RC,inpatient,,59.33,59.33,,50.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.21,88,,percent of total billed charges,,,,,,,,,45.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.99,91,,percent of total billed charges,,,56.36,95,,percent of total billed charges,,,49.24,83,,percent of total billed charges,,,49.24,83,,percent of total billed charges,,,,,,,,,,,,,,,49.24,83,,percent of total billed charges,,,56.36,95,,percent of total billed charges,,,53.4,90,,percent of total billed charges,,,53.4,90,,percent of total billed charges,,,48.65,82,,percent of total billed charges,,,53.4,90,,percent of total billed charges,,,50.43,85,,percent of total billed charges,,44.73,56.36, S&N PINS RIMMED 65MM,30185090,CDM,,,278,RC,inpatient,,59.33,59.33,,50.37,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,44.73,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,50.43,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,52.21,88,,percent of total billed charges,,,,,,,,,45.33,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,53.99,91,,percent of total billed charges,,,56.36,95,,percent of total billed charges,,,49.24,83,,percent of total billed charges,,,49.24,83,,percent of total billed charges,,,,,,,,,,,,,,,49.24,83,,percent of total billed charges,,,56.36,95,,percent of total billed charges,,,53.4,90,,percent of total billed charges,,,53.4,90,,percent of total billed charges,,,48.65,82,,percent of total billed charges,,,53.4,90,,percent of total billed charges,,,50.43,85,,percent of total billed charges,,44.73,56.36, S&N PINS RIMMED 45MM,30185091,CDM,,,278,RC,inpatient,,167.52,167.52,,142.22,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,126.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,142.39,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,147.42,88,,percent of total billed charges,,,,,,,,,127.99,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,152.44,91,,percent of total billed charges,,,159.14,95,,percent of total billed charges,,,139.04,83,,percent of total billed charges,,,139.04,83,,percent of total billed charges,,,,,,,,,,,,,,,139.04,83,,percent of total billed charges,,,159.14,95,,percent of total billed charges,,,150.77,90,,percent of total billed charges,,,150.77,90,,percent of total billed charges,,,137.37,82,,percent of total billed charges,,,150.77,90,,percent of total billed charges,,,142.39,85,,percent of total billed charges,,126.31,159.14, SNARE LARIAT,30185092,CDM,,,270,RC,inpatient,,200,200,,169.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,150.8,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,170,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,176,88,,percent of total billed charges,,,,,,,,,152.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,182,91,,percent of total billed charges,,,190,95,,percent of total billed charges,,,166,83,,percent of total billed charges,,,166,83,,percent of total billed charges,,,,,,,,,,,,,,,166,83,,percent of total billed charges,,,190,95,,percent of total billed charges,,,180,90,,percent of total billed charges,,,180,90,,percent of total billed charges,,,164,82,,percent of total billed charges,,,180,90,,percent of total billed charges,,,170,85,,percent of total billed charges,,150.8,190, SYNTHES PLATE DISTAL RADIUS 3 HOLE LEFT,30185095,CDM,,,278,RC,inpatient,,9762.68,9762.68,,8288.52,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,7361.06,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,8298.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,8591.16,88,,percent of total billed charges,,,,,,,,,7458.69,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,8884.04,91,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,8103.02,83,,percent of total billed charges,,,,,,,,,,,,,,,8103.02,83,,percent of total billed charges,,,9274.55,95,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8005.4,82,,percent of total billed charges,,,8786.41,90,,percent of total billed charges,,,8298.28,85,,percent of total billed charges,,7361.06,9274.55, SYNTHES SCREW CORTEX TI 2.7 X 14MM,30185096,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW CORTEX TI 2.7 X 26MM,30185097,CDM,,,278,RC,inpatient,,428.4,428.4,,363.71,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,323.01,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,364.14,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,376.99,88,,percent of total billed charges,,,,,,,,,327.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,389.84,91,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,355.57,83,,percent of total billed charges,,,,,,,,,,,,,,,355.57,83,,percent of total billed charges,,,406.98,95,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,351.29,82,,percent of total billed charges,,,385.56,90,,percent of total billed charges,,,364.14,85,,percent of total billed charges,,323.01,406.98, SYNTHES SCREW LOCKING VA TI 2.4 X 12MM,30185098,CDM,,,278,RC,inpatient,,1408.88,1408.88,,1196.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1062.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1197.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1239.81,88,,percent of total billed charges,,,,,,,,,1076.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1282.08,91,,percent of total billed charges,,,1338.44,95,,percent of total billed charges,,,1169.37,83,,percent of total billed charges,,,1169.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1169.37,83,,percent of total billed charges,,,1338.44,95,,percent of total billed charges,,,1267.99,90,,percent of total billed charges,,,1267.99,90,,percent of total billed charges,,,1155.28,82,,percent of total billed charges,,,1267.99,90,,percent of total billed charges,,,1197.55,85,,percent of total billed charges,,1062.3,1338.44, SYNTHES SCREW LOCKING VA TI 2.4 X 14MM,30185099,CDM,,,278,RC,inpatient,,1408.88,1408.88,,1196.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1062.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1197.55,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1239.81,88,,percent of total billed charges,,,,,,,,,1076.38,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1282.08,91,,percent of total billed charges,,,1338.44,95,,percent of total billed charges,,,1169.37,83,,percent of total billed charges,,,1169.37,83,,percent of total billed charges,,,,,,,,,,,,,,,1169.37,83,,percent of total billed charges,,,1338.44,95,,percent of total billed charges,,,1267.99,90,,percent of total billed charges,,,1267.99,90,,percent of total billed charges,,,1155.28,82,,percent of total billed charges,,,1267.99,90,,percent of total billed charges,,,1197.55,85,,percent of total billed charges,,1062.3,1338.44, SYNTHES SCREW LOCKING VA TI 2.4 X 18MM,30185100,CDM,,,278,RC,inpatient,,1494.68,1494.68,,1268.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1126.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1270.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1315.32,88,,percent of total billed charges,,,,,,,,,1141.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1360.16,91,,percent of total billed charges,,,1419.95,95,,percent of total billed charges,,,1240.58,83,,percent of total billed charges,,,1240.58,83,,percent of total billed charges,,,,,,,,,,,,,,,1240.58,83,,percent of total billed charges,,,1419.95,95,,percent of total billed charges,,,1345.21,90,,percent of total billed charges,,,1345.21,90,,percent of total billed charges,,,1225.64,82,,percent of total billed charges,,,1345.21,90,,percent of total billed charges,,,1270.48,85,,percent of total billed charges,,1126.99,1419.95, SYNTHES SCREW LOCKING VA TI 2.4 X 20MM,30185101,CDM,,,278,RC,inpatient,,1494.68,1494.68,,1268.98,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1126.99,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1270.48,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1315.32,88,,percent of total billed charges,,,,,,,,,1141.94,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1360.16,91,,percent of total billed charges,,,1419.95,95,,percent of total billed charges,,,1240.58,83,,percent of total billed charges,,,1240.58,83,,percent of total billed charges,,,,,,,,,,,,,,,1240.58,83,,percent of total billed charges,,,1419.95,95,,percent of total billed charges,,,1345.21,90,,percent of total billed charges,,,1345.21,90,,percent of total billed charges,,,1225.64,82,,percent of total billed charges,,,1345.21,90,,percent of total billed charges,,,1270.48,85,,percent of total billed charges,,1126.99,1419.95, SYNTHES K-WIRE TI 1.25 X 150M,30185102,CDM,,,278,RC,inpatient,,1049.23,1049.23,,890.8,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,791.12,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,891.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,923.32,88,,percent of total billed charges,,,,,,,,,801.61,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,954.8,91,,percent of total billed charges,,,996.77,95,,percent of total billed charges,,,870.86,83,,percent of total billed charges,,,870.86,83,,percent of total billed charges,,,,,,,,,,,,,,,870.86,83,,percent of total billed charges,,,996.77,95,,percent of total billed charges,,,944.31,90,,percent of total billed charges,,,944.31,90,,percent of total billed charges,,,860.37,82,,percent of total billed charges,,,944.31,90,,percent of total billed charges,,,891.85,85,,percent of total billed charges,,791.12,996.77, ZIMMER HEAD FEMORAL 12/14 28MM +10.5,30185103,CDM,,,278,RC,inpatient,,8450,8450,,7174.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6371.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7182.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7436,88,,percent of total billed charges,,,,,,,,,6455.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7689.5,91,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7013.5,83,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,6929,82,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7182.5,85,,percent of total billed charges,,6371.3,8027.5, CHOICE SPINE PEEK STEALTH 6MM 6DEG 14X16,30185104,CDM,,,278,RC,inpatient,,7800,7800,,6622.2,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,5881.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,6630,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,6864,88,,percent of total billed charges,,,,,,,,,5959.2,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7098,91,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,6474,83,,percent of total billed charges,,,,,,,,,,,,,,,6474,83,,percent of total billed charges,,,7410,95,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6396,82,,percent of total billed charges,,,7020,90,,percent of total billed charges,,,6630,85,,percent of total billed charges,,5881.2,7410, CHOICE SPINE PLATE FOUR LEVEL 76MM,30185105,CDM,,,278,RC,inpatient,,8450,8450,,7174.05,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,6371.3,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,7182.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,7436,88,,percent of total billed charges,,,,,,,,,6455.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,7689.5,91,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,7013.5,83,,percent of total billed charges,,,,,,,,,,,,,,,7013.5,83,,percent of total billed charges,,,8027.5,95,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,6929,82,,percent of total billed charges,,,7605,90,,percent of total billed charges,,,7182.5,85,,percent of total billed charges,,6371.3,8027.5, WRIGHT SCREW PEEK INTERFERENCE,30185106,CDM,,,278,RC,inpatient,,4641,4641,,3940.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,3499.31,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3944.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,4084.08,88,,percent of total billed charges,,,,,,,,,3545.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,4223.31,91,,percent of total billed charges,,,4408.95,95,,percent of total billed charges,,,3852.03,83,,percent of total billed charges,,,3852.03,83,,percent of total billed charges,,,,,,,,,,,,,,,3852.03,83,,percent of total billed charges,,,4408.95,95,,percent of total billed charges,,,4176.9,90,,percent of total billed charges,,,4176.9,90,,percent of total billed charges,,,3805.62,82,,percent of total billed charges,,,4176.9,90,,percent of total billed charges,,,3944.85,85,,percent of total billed charges,,3499.31,4408.95, WRIGHT SUTURE LOOP GUIDE ROD,30185107,CDM,,,278,RC,inpatient,,1631.5,1631.5,,1385.14,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1230.15,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1386.78,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1435.72,88,,percent of total billed charges,,,,,,,,,1246.47,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1484.67,91,,percent of total billed charges,,,1549.93,95,,percent of total billed charges,,,1354.15,83,,percent of total billed charges,,,1354.15,83,,percent of total billed charges,,,,,,,,,,,,,,,1354.15,83,,percent of total billed charges,,,1549.93,95,,percent of total billed charges,,,1468.35,90,,percent of total billed charges,,,1468.35,90,,percent of total billed charges,,,1337.83,82,,percent of total billed charges,,,1468.35,90,,percent of total billed charges,,,1386.78,85,,percent of total billed charges,,1230.15,1549.93, WRIGHT REAMER CANNULATED 5MM,30185108,CDM,,,278,RC,inpatient,,3874,3874,,3289.03,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2921,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,3292.9,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,3409.12,88,,percent of total billed charges,,,,,,,,,2959.74,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,3525.34,91,,percent of total billed charges,,,3680.3,95,,percent of total billed charges,,,3215.42,83,,percent of total billed charges,,,3215.42,83,,percent of total billed charges,,,,,,,,,,,,,,,3215.42,83,,percent of total billed charges,,,3680.3,95,,percent of total billed charges,,,3486.6,90,,percent of total billed charges,,,3486.6,90,,percent of total billed charges,,,3176.68,82,,percent of total billed charges,,,3486.6,90,,percent of total billed charges,,,3292.9,85,,percent of total billed charges,,2921,3680.3, WRIGHT K-WIRE JONES 228MM,30185109,CDM,,,278,RC,inpatient,,307.5,307.5,,261.07,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,231.86,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,261.38,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,270.6,88,,percent of total billed charges,,,,,,,,,234.93,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,279.83,91,,percent of total billed charges,,,292.13,95,,percent of total billed charges,,,255.23,83,,percent of total billed charges,,,255.23,83,,percent of total billed charges,,,,,,,,,,,,,,,255.23,83,,percent of total billed charges,,,292.13,95,,percent of total billed charges,,,276.75,90,,percent of total billed charges,,,276.75,90,,percent of total billed charges,,,252.15,82,,percent of total billed charges,,,276.75,90,,percent of total billed charges,,,261.38,85,,percent of total billed charges,,231.86,292.13, WRIGHT BEAM SALVATION 7.0 X 80MM,30185110,CDM,,,278,RC,inpatient,,12987,12987,,11025.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,9792.2,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,11038.95,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,11428.56,88,,percent of total billed charges,,,,,,,,,9922.07,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,11818.17,91,,percent of total billed charges,,,12337.65,95,,percent of total billed charges,,,10779.21,83,,percent of total billed charges,,,10779.21,83,,percent of total billed charges,,,,,,,,,,,,,,,10779.21,83,,percent of total billed charges,,,12337.65,95,,percent of total billed charges,,,11688.3,90,,percent of total billed charges,,,11688.3,90,,percent of total billed charges,,,10649.34,82,,percent of total billed charges,,,11688.3,90,,percent of total billed charges,,,11038.95,85,,percent of total billed charges,,9792.2,12337.65, WRIGHT DRILL BIT SALVATION 5.0MM,30185111,CDM,,,278,RC,inpatient,,2619.5,2619.5,,2223.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1975.1,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2226.58,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2305.16,88,,percent of total billed charges,,,,,,,,,2001.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2383.75,91,,percent of total billed charges,,,2488.53,95,,percent of total billed charges,,,2174.19,83,,percent of total billed charges,,,2174.19,83,,percent of total billed charges,,,,,,,,,,,,,,,2174.19,83,,percent of total billed charges,,,2488.53,95,,percent of total billed charges,,,2357.55,90,,percent of total billed charges,,,2357.55,90,,percent of total billed charges,,,2147.99,82,,percent of total billed charges,,,2357.55,90,,percent of total billed charges,,,2226.58,85,,percent of total billed charges,,1975.1,2488.53, WRIGHT PLATE FUSION LG,30185112,CDM,,,278,RC,inpatient,,18869.5,18869.5,,16020.21,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,14227.6,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,16039.08,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,16605.16,88,,percent of total billed charges,,,,,,,,,14416.3,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,17171.25,91,,percent of total billed charges,,,17926.03,95,,percent of total billed charges,,,15661.69,83,,percent of total billed charges,,,15661.69,83,,percent of total billed charges,,,,,,,,,,,,,,,15661.69,83,,percent of total billed charges,,,17926.03,95,,percent of total billed charges,,,16982.55,90,,percent of total billed charges,,,16982.55,90,,percent of total billed charges,,,15472.99,82,,percent of total billed charges,,,16982.55,90,,percent of total billed charges,,,16039.08,85,,percent of total billed charges,,14227.6,17926.03, WRIGHT SCREW LOCKING 3.5 X 22MM,30185113,CDM,,,278,RC,inpatient,,2385.5,2385.5,,2025.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1798.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2027.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2099.24,88,,percent of total billed charges,,,,,,,,,1822.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2170.81,91,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1979.97,83,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,1956.11,82,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2027.68,85,,percent of total billed charges,,1798.67,2266.23, WRIGHT SCREW LOCKING 3.5 X 26MM,30185114,CDM,,,278,RC,inpatient,,2385.5,2385.5,,2025.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1798.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2027.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2099.24,88,,percent of total billed charges,,,,,,,,,1822.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2170.81,91,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1979.97,83,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,1956.11,82,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2027.68,85,,percent of total billed charges,,1798.67,2266.23, WRIGHT SCREW LOCKING 3.5 X 36MM,30185115,CDM,,,278,RC,inpatient,,2385.5,2385.5,,2025.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1798.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2027.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2099.24,88,,percent of total billed charges,,,,,,,,,1822.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2170.81,91,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1979.97,83,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,1956.11,82,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2027.68,85,,percent of total billed charges,,1798.67,2266.23, WRIGHT SCREW LOCKING 3.5 X 46MM,30185116,CDM,,,278,RC,inpatient,,2385.5,2385.5,,2025.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1798.67,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2027.68,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2099.24,88,,percent of total billed charges,,,,,,,,,1822.52,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2170.81,91,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,1979.97,83,,percent of total billed charges,,,,,,,,,,,,,,,1979.97,83,,percent of total billed charges,,,2266.23,95,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,1956.11,82,,percent of total billed charges,,,2146.95,90,,percent of total billed charges,,,2027.68,85,,percent of total billed charges,,1798.67,2266.23, WRIGHT SCREW LOW-PRO CORT 3.5 X 36MM,30185117,CDM,,,278,RC,inpatient,,1215.5,1215.5,,1031.96,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,916.49,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1033.18,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1069.64,88,,percent of total billed charges,,,,,,,,,928.64,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1106.11,91,,percent of total billed charges,,,1154.73,95,,percent of total billed charges,,,1008.87,83,,percent of total billed charges,,,1008.87,83,,percent of total billed charges,,,,,,,,,,,,,,,1008.87,83,,percent of total billed charges,,,1154.73,95,,percent of total billed charges,,,1093.95,90,,percent of total billed charges,,,1093.95,90,,percent of total billed charges,,,996.71,82,,percent of total billed charges,,,1093.95,90,,percent of total billed charges,,,1033.18,85,,percent of total billed charges,,916.49,1154.73, WRIGHT PIN FIXATION 1.4MM LG,30185118,CDM,,,278,RC,inpatient,,861,861,,730.99,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,649.19,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,731.85,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,757.68,88,,percent of total billed charges,,,,,,,,,657.8,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,783.51,91,,percent of total billed charges,,,817.95,95,,percent of total billed charges,,,714.63,83,,percent of total billed charges,,,714.63,83,,percent of total billed charges,,,,,,,,,,,,,,,714.63,83,,percent of total billed charges,,,817.95,95,,percent of total billed charges,,,774.9,90,,percent of total billed charges,,,774.9,90,,percent of total billed charges,,,706.02,82,,percent of total billed charges,,,774.9,90,,percent of total billed charges,,,731.85,85,,percent of total billed charges,,649.19,817.95, WRIGHT DRILL BIT 2.8 X 60MM,30185119,CDM,,,278,RC,inpatient,,1774.5,1774.5,,1506.55,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1337.97,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1508.33,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1561.56,88,,percent of total billed charges,,,,,,,,,1355.72,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,1614.8,91,,percent of total billed charges,,,1685.78,95,,percent of total billed charges,,,1472.84,83,,percent of total billed charges,,,1472.84,83,,percent of total billed charges,,,,,,,,,,,,,,,1472.84,83,,percent of total billed charges,,,1685.78,95,,percent of total billed charges,,,1597.05,90,,percent of total billed charges,,,1597.05,90,,percent of total billed charges,,,1455.09,82,,percent of total billed charges,,,1597.05,90,,percent of total billed charges,,,1508.33,85,,percent of total billed charges,,1337.97,1685.78, ARTHREX BIOCOMPOSITE SUTURETAK,30185120,CDM,,,278,RC,inpatient,,2210,2210,,1876.29,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,1666.34,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,1878.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,1944.8,88,,percent of total billed charges,,,,,,,,,1688.44,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2011.1,91,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,1834.3,83,,percent of total billed charges,,,,,,,,,,,,,,,1834.3,83,,percent of total billed charges,,,2099.5,95,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1812.2,82,,percent of total billed charges,,,1989,90,,percent of total billed charges,,,1878.5,85,,percent of total billed charges,,1666.34,2099.5, ARTHREX SUTURE LASSO 45 LEFT,30185121,CDM,,,270,RC,inpatient,,910,910,,772.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,686.14,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,773.5,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,800.8,88,,percent of total billed charges,,,,,,,,,695.24,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,828.1,91,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,755.3,83,,percent of total billed charges,,,,,,,,,,,,,,,755.3,83,,percent of total billed charges,,,864.5,95,,percent of total billed charges,,,819,90,,percent of total billed charges,,,819,90,,percent of total billed charges,,,746.2,82,,percent of total billed charges,,,819,90,,percent of total billed charges,,,773.5,85,,percent of total billed charges,,686.14,864.5, ACUMED BONE GRAFT DRILL ASSY. 7MM,30185122,CDM,,,270,RC,inpatient,,2801.5,2801.5,,2378.47,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,2112.33,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,2381.28,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,2465.32,88,,percent of total billed charges,,,,,,,,,2140.35,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,2549.37,91,,percent of total billed charges,,,2661.43,95,,percent of total billed charges,,,2325.25,83,,percent of total billed charges,,,2325.25,83,,percent of total billed charges,,,,,,,,,,,,,,,2325.25,83,,percent of total billed charges,,,2661.43,95,,percent of total billed charges,,,2521.35,90,,percent of total billed charges,,,2521.35,90,,percent of total billed charges,,,2297.23,82,,percent of total billed charges,,,2521.35,90,,percent of total billed charges,,,2381.28,85,,percent of total billed charges,,2112.33,2661.43, ACUMED GRAFT REMOVAL PADDLE ASSY. 6MM,30185123,CDM,,,270,RC,inpatient,,665,665,,564.59,84.9,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,"If charges for a single uninterrupted inpatient stay are greater than $18,117, reimbursment will only be 85% of billed charges in lieu of per day payment rate",,501.41,75.4,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,565.25,82.8,,percent of total billed charges,Anesthesia - reimbursement is per 12 Minutes,,,,,,,,585.2,88,,percent of total billed charges,,,,,,,,,508.06,76.4,,percent of total billed charges,Anesthesia - reimbursement is per 15 Minutes,,,,,,,,,,,,Inpatient services are reimbursed under a per diem method. Anesthesia - reimbursement is per 15 Minutes,,605.15,91,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,551.95,83,,percent of total billed charges,,,,,,,,,,,,,,,551.95,83,,percent of total billed charges,,,631.75,95,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,598.5,90,,percent of total billed charges,,,545.3,82,,percent of total billed charges,,,598.5,90,,percent of total billed c